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Multimorbidity and delivery of care for long-term conditions in the English National Health Service: baseline data from a cohort study

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Multimorbidity and delivery of care for long-term conditions in the English National Health Service : baseline data from a cohort study. / Bower, Peter; Hann, Mark; Rick, Jo; Rowe, Kelly; Burt, Jenni; Roland, Martin; Protheroe, Joanne; Richardson, Gerry; Reeves, David.

In: Journal of Health Services Research & Policy, Vol. 18, No. 2 Suppl, 10.2013, p. 29-37.

Research output: Contribution to journalArticle

Harvard

Bower, P, Hann, M, Rick, J, Rowe, K, Burt, J, Roland, M, Protheroe, J, Richardson, G & Reeves, D 2013, 'Multimorbidity and delivery of care for long-term conditions in the English National Health Service: baseline data from a cohort study', Journal of Health Services Research & Policy, vol. 18, no. 2 Suppl, pp. 29-37. https://doi.org/10.1177/1355819613492148

APA

Bower, P., Hann, M., Rick, J., Rowe, K., Burt, J., Roland, M., ... Reeves, D. (2013). Multimorbidity and delivery of care for long-term conditions in the English National Health Service: baseline data from a cohort study. Journal of Health Services Research & Policy, 18(2 Suppl), 29-37. https://doi.org/10.1177/1355819613492148

Vancouver

Bower P, Hann M, Rick J, Rowe K, Burt J, Roland M et al. Multimorbidity and delivery of care for long-term conditions in the English National Health Service: baseline data from a cohort study. Journal of Health Services Research & Policy. 2013 Oct;18(2 Suppl):29-37. https://doi.org/10.1177/1355819613492148

Author

Bower, Peter ; Hann, Mark ; Rick, Jo ; Rowe, Kelly ; Burt, Jenni ; Roland, Martin ; Protheroe, Joanne ; Richardson, Gerry ; Reeves, David. / Multimorbidity and delivery of care for long-term conditions in the English National Health Service : baseline data from a cohort study. In: Journal of Health Services Research & Policy. 2013 ; Vol. 18, No. 2 Suppl. pp. 29-37.

Bibtex - Download

@article{adf36dd9b4e34a63ae9e10ca5d1afe6c,
title = "Multimorbidity and delivery of care for long-term conditions in the English National Health Service: baseline data from a cohort study",
abstract = "OBJECTIVES: Many patients with long-term conditions have multiple conditions. Current delivery of care is not designed around their needs and they may face barriers to effective self-management. This study assessed the relationships between multimorbidity, the delivery of care, and self-management.METHODS: We surveyed 2439 patients with long-term conditions concerning their experience of the delivery of care and self-management in England in 2011. We assessed multimorbidity in terms of a count of long-term conditions and the presence of 'probable depression'. We explored the relationships between multimorbidity, patient experience of the delivery of care, and self-managementRESULTS: Neither measure of multimorbidity was a significant predictor of patients' experience of the delivery of care. Patients with multimorbidity reported higher levels of self-management behaviour, while the presence of depression was associated with less positive attitudes towards self-management.CONCLUSIONS: The current data do not demonstrate a consistent impact of multimorbidity on patients' experience of care or on self-management. Further research is required to assess those types of multimorbidity that are associated with significant deficits, or to identify other aspects of care that might be problematic in the context of multiple conditions.",
keywords = "Adolescent, Adult, Aged, Chronic Disease, Comorbidity, Cross-Sectional Studies, Delivery of Health Care, Depression, England, Female, Humans, Longitudinal Studies, Male, Middle Aged, Patient Satisfaction, Quality of Health Care, Questionnaires, Self Care, State Medicine",
author = "Peter Bower and Mark Hann and Jo Rick and Kelly Rowe and Jenni Burt and Martin Roland and Joanne Protheroe and Gerry Richardson and David Reeves",
year = "2013",
month = "10",
doi = "10.1177/1355819613492148",
language = "English",
volume = "18",
pages = "29--37",
journal = "Journal of Health Services Research & Policy",
issn = "1355-8196",
publisher = "SAGE Publications Sage UK: London, England",
number = "2 Suppl",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Multimorbidity and delivery of care for long-term conditions in the English National Health Service

T2 - Journal of Health Services Research & Policy

AU - Bower, Peter

AU - Hann, Mark

AU - Rick, Jo

AU - Rowe, Kelly

AU - Burt, Jenni

AU - Roland, Martin

AU - Protheroe, Joanne

AU - Richardson, Gerry

AU - Reeves, David

PY - 2013/10

Y1 - 2013/10

N2 - OBJECTIVES: Many patients with long-term conditions have multiple conditions. Current delivery of care is not designed around their needs and they may face barriers to effective self-management. This study assessed the relationships between multimorbidity, the delivery of care, and self-management.METHODS: We surveyed 2439 patients with long-term conditions concerning their experience of the delivery of care and self-management in England in 2011. We assessed multimorbidity in terms of a count of long-term conditions and the presence of 'probable depression'. We explored the relationships between multimorbidity, patient experience of the delivery of care, and self-managementRESULTS: Neither measure of multimorbidity was a significant predictor of patients' experience of the delivery of care. Patients with multimorbidity reported higher levels of self-management behaviour, while the presence of depression was associated with less positive attitudes towards self-management.CONCLUSIONS: The current data do not demonstrate a consistent impact of multimorbidity on patients' experience of care or on self-management. Further research is required to assess those types of multimorbidity that are associated with significant deficits, or to identify other aspects of care that might be problematic in the context of multiple conditions.

AB - OBJECTIVES: Many patients with long-term conditions have multiple conditions. Current delivery of care is not designed around their needs and they may face barriers to effective self-management. This study assessed the relationships between multimorbidity, the delivery of care, and self-management.METHODS: We surveyed 2439 patients with long-term conditions concerning their experience of the delivery of care and self-management in England in 2011. We assessed multimorbidity in terms of a count of long-term conditions and the presence of 'probable depression'. We explored the relationships between multimorbidity, patient experience of the delivery of care, and self-managementRESULTS: Neither measure of multimorbidity was a significant predictor of patients' experience of the delivery of care. Patients with multimorbidity reported higher levels of self-management behaviour, while the presence of depression was associated with less positive attitudes towards self-management.CONCLUSIONS: The current data do not demonstrate a consistent impact of multimorbidity on patients' experience of care or on self-management. Further research is required to assess those types of multimorbidity that are associated with significant deficits, or to identify other aspects of care that might be problematic in the context of multiple conditions.

KW - Adolescent

KW - Adult

KW - Aged

KW - Chronic Disease

KW - Comorbidity

KW - Cross-Sectional Studies

KW - Delivery of Health Care

KW - Depression

KW - England

KW - Female

KW - Humans

KW - Longitudinal Studies

KW - Male

KW - Middle Aged

KW - Patient Satisfaction

KW - Quality of Health Care

KW - Questionnaires

KW - Self Care

KW - State Medicine

U2 - 10.1177/1355819613492148

DO - 10.1177/1355819613492148

M3 - Article

VL - 18

SP - 29

EP - 37

JO - Journal of Health Services Research & Policy

JF - Journal of Health Services Research & Policy

SN - 1355-8196

IS - 2 Suppl

ER -