Evidence map›Paper›PMID 38871773›Full record

ArticleScientific reports2024

Integrated care policy recommendations for complex multisystem long term conditions and long COVID.

Christina M van der Feltz-Cornelis, Jennifer Sweetman, Fidan Turk, Gail Allsopp, Mark Gabbay, Kamlesh Khunti, Nefyn Williams, Hugh Montgomery, Melissa Heightman, Gregory Y H Lip and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. 'What Do People With Long Covid Want From Healthcare Services?' A Qualitative Exploration From Lived Experience.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  6. Article
  7. Cognition and Long COVID: a Review.Current neurology and neuroscience reports · 2026
    Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Christina M van der Feltz-Cornelis *Department of Health Sciences, University of York, York, UK. christina.vanderfeltz-cornelis@york.ac.uk.
Jennifer Sweetman *Department of Health Sciences, University of York, York, UK.
Fidan TurkDepartment of Health Sciences, University of York, York, UK.
Gail AllsoppRoyal College of General Practitioners, London, UK.
Mark GabbayDepartment of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.
Kamlesh KhuntiDiabetes Research Centre, University of Leicester, Leicester, UK.
Nefyn WilliamsDepartment of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.
Hugh MontgomeryDepartment of Medicine, University College London, London, UK.
Melissa HeightmanUniversity College London Hospitals NHS Foundation Trust, London, UK.
Gregory Y H LipLiverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart and Chest Hospital, Liverpool, UK.
Michael G CrooksHull York Medical School, University of Hull, Hull, UK.
W David StrainDiabetes and Vascular Medicine Research Centre, Institute of Clinical and Biomedical Science and College of Medicine and Health, University of Exeter, Exeter, UK.
Antony LovelessPPI Member for STIMULATE-ICP Consortium, London, UK.
Lyth HishmehPPI Member for STIMULATE-ICP Consortium, London, UK.
Natalie SmithDepartment of Health Sciences, University of York, York, UK.
Amitava BanerjeeInstitute of Health Informatics, University College London, London, UK.

Funding

National Institute of Health Research (NIHR) COV-LT2-0043
6 · The paper itself

Abstract

The importance of integrated care for complex, multiple long term conditions was acknowledged before the COVID pandemic but remained a challenge. The pandemic and consequent development of Long COVID required rapid adaptation of health services to address the population's needs, requiring service redesigns including integrated care. This Delphi consensus study was conducted in the UK and found similar integrated care priorities for Long COVID and complex, multiple long term conditions, provided by 480 patients and health care providers, with an 80% consensus rate. The resultant recommendations were based on more than 1400 responses from survey participants and were supported by patients, health care professionals, and by patient charities. Participants identified the need to allocate resources to: support integrated care, provide access to care and treatments that work, provide diagnostic procedures that support the personalization of treatment in an integrated care environment, and enable structural consultation between primary and specialist care settings including physical and mental health care. Based on the findings we propose a model for delivering integrated care by a multidisciplinary team to people with complex multisystem conditions. These recommendations can inform improvements to integrated care for complex, multiple long term conditions and Long COVID at international level.

Indexed as

COVID-19Delivery of Health Care, IntegratedAdultConsensusDelphi TechniqueFemaleHealth PolicyHumansMaleMiddle AgedPandemicsSARS-CoV-2United Kingdom

Identifiers

PMID38871773
PMCPMC11176166

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.