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

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posted on 2024-07-16, 08:11 authored by Christina M van der Feltz-Cornelis, Jennifer Sweetman, Fidan Turk, Gail Allsopp, Mark Gabbay, Kamlesh Khunti, Nefyn Williams, Hugh Montgomery, Melissa Heightman, Gregory YH Lip, Michael G Crooks, W David Strain, Antony Loveless, Lyth Hishmeh, Natalie Smith, Amitava Banerjee

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.

Funding

STIMULATE-ICP (Symptoms, Trajectory, Inequalities and Management: Understanding Long-COVID to Address and Transform Existing Integrated Care Pathways)

National Institute for Health Research

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History

Citation

van der Feltz-Cornelis, C.M., Sweetman, J., Turk, F. et al. Integrated care policy recommendations for complex multisystem long term conditions and long COVID. Sci Rep 14, 13634 (2024)

Author affiliation

College of Life Sciences Population Health Sciences

Version

  • VoR (Version of Record)

Published in

Scientific Reports

Volume

14

Pagination

13634

Publisher

Springer Science and Business Media LLC

issn

2045-2322

eissn

2045-2322

Acceptance date

2024-06-05

Copyright date

2024

Available date

2024-07-16

Spatial coverage

England

Language

en

Deposited by

Professor Kamlesh Khunti

Deposit date

2024-07-12

Rights Retention Statement

  • No

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