TY - JOUR
AU - C. M. van der Feltz-Cornelis
AU - J. Sweetman
AU - F. Turk
AU - G. Allsopp
AU - M. Gabbay
AU - K. Khunti
AU - N. Williams
AU - H. Montgomery
AU - M. Heightman
AU - G. Y. H. Lip
AU - M. G. Crooks
AU - W. D. Strain
AU - A. Loveless
AU - L. Hishmeh
AU - N. Smith
AU - A. Banerjee
A1 - 
AB - 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.
AD - Department of Health Sciences, University of York, York, UK. christina.vanderfeltz-cornelis@york.ac.uk.; Hull York Medical School, (HYMS), University of York, York, UK. christina.vanderfeltz-cornelis@york.ac.uk.; Institute of Health Informatics, University College London, London, UK. christina.vanderfeltz-cornelis@york.ac.uk.; Department of Health Sciences, University of York, York, UK.; Royal College of General Practitioners, London, UK.; Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.; Diabetes Research Centre, University of Leicester, Leicester, UK.; Department of Medicine, University College London, London, UK.; University College London Hospitals NHS Foundation Trust, London, UK.; Liverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart and Chest Hospital, Liverpool, UK.; Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.; Hull York Medical School, University of Hull, Hull, UK.; Hull University Teaching Hospitals NHS Trust, Hull, UK.; Diabetes and Vascular Medicine Research Centre, Institute of Clinical and Biomedical Science and College of Medicine and Health, University of Exeter, Exeter, UK.; PPI Member for STIMULATE-ICP Consortium, London, UK.; Institute of Health Informatics, University College London, London, UK.; Department of Cardiology, University College London Hospitals NHS Trust, London, UK.; Department of Cardiology, Barts Health NHS Trust, London, UK.
AN - 38871773
BT - Sci Rep
C5 - Healthcare Policy
CP - 1
DA - Jun 13
DO - 10.1038/s41598-024-64060-1
DP - NLM
ET - 20240613
IS - 1
JF - Sci Rep
LA - eng
N2 - 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.
PY - 2024
SN - 2045-2322
SP - 13634
ST - Integrated care policy recommendations for complex multisystem long term conditions and long COVID
T1 - Integrated care policy recommendations for complex multisystem long term conditions and long COVID
T2 - Sci Rep
TI - Integrated care policy recommendations for complex multisystem long term conditions and long COVID
U1 - Healthcare Policy
U3 - 10.1038/s41598-024-64060-1
VL - 14
VO - 2045-2322
Y1 - 2024
ER -