TY - JOUR
T1 - Integrated Care priorities for complex multi-system long-term conditions and for Long COVID
AU - Van Der Feltz-Cornelis, Christina Maria
AU - Sweetman, Jennifer
AU - Turk, Fidan
AU - Alssopp, Gail
AU - Gabbay, Mark
AU - Khunti, Kamlesh
AU - Williams, Nefyn
AU - Montgomery, Hugh
AU - Heightmann, Melissa
AU - Y.H.Lip, Gregory
AU - G. Crooks, Michael
AU - Strain, W. David
AU - Banerjee, Amitava
N1 - This is an author-produced version of the published paper. Uploaded in accordance with the University’s Research Publications and Open Access policy.
PY - 2024/3/23
Y1 - 2024/3/23
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. In the UK, long COVID clinics were set up to address symptoms occurring simultaneously in several organ systems. This required complex interventions including integrated care and provided opportunities to improve the integrated care provision for complex multiple long-term conditions. 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 by480 patients and health care providers, with an 80% consensus rate. The resultant recommendations were based on more than 1100 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, access to care and treatments that work, diagnostic procedures that support the personalization of treatment in an integrated care environment, and structural consultation between primary and specialist care settings including physical and mental health care. Based on the findings we describe a model for delivering integrated care as a complex intervention delivered by a multidisciplinary team for people with complex multisystem conditions. These recommendations can inform improvement of integrated care for complex multiple long-term conditions and long COVID at international level.
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. In the UK, long COVID clinics were set up to address symptoms occurring simultaneously in several organ systems. This required complex interventions including integrated care and provided opportunities to improve the integrated care provision for complex multiple long-term conditions. 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 by480 patients and health care providers, with an 80% consensus rate. The resultant recommendations were based on more than 1100 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, access to care and treatments that work, diagnostic procedures that support the personalization of treatment in an integrated care environment, and structural consultation between primary and specialist care settings including physical and mental health care. Based on the findings we describe a model for delivering integrated care as a complex intervention delivered by a multidisciplinary team for people with complex multisystem conditions. These recommendations can inform improvement of integrated care for complex multiple long-term conditions and long COVID at international level.
M3 - Meeting abstract
SN - 0033-3174
JO - Psychosomatic medicine
JF - Psychosomatic medicine
T2 - APS Annual Meeting
Y2 - 20 March 2024 through 23 March 2024
ER -