Group Archives: Multimorbidity

Why don’t care coordination interventions work?

Trials of care coordination are often disappointing. Well, they quite often show improved quality of care and improved patient experience but they rarely seem to save money. Which is a pity because that’s often why they’re set up. Or at least the mantra is “Fragmented care is wasteful, so if we get it better coordinated, …read more

Posted in Blog | Tagged , , | Group: | Comments closed

Why do people with multiple long-term conditions report worse patient experience in primary care?

A new paper by CCHSR researchers, based on the GP Patient Survey, explores why people with multimorbidity report more negative experiences of care compared to those patients who have none, or one, long-term conditions.

Posted in Blog | Tagged , , | Group: , | Comments closed

Multi-morbidity and the Emperor’s New Clothes: a challenge for primary care researchers

Are single disease guidelines and indicators are going out of fashion? Well they are with people interested in multi-morbidity. The argument is straightforward. Single disease guidelines are usually based on trials which exclude people with multiple complex problems. So how does the physician know how a cholesterol guideline developed from trials on 65 year old …read more

Posted in Blog | Tagged , , | Group: | Comments closed

Care plans and care planning: a rare event?

Have you seen a care plan recently? Despite a massive effort, we didn’t see many in our national evaluation of care plans and care planning. Our new paper reports the findings of this work, summarised here.

Posted in Blog | Tagged , , , , | Group: | Comments closed

Being polite about care planning

Care planning in long-term conditions is a key policy initiative in the NHS. However, our evaluation of its implementation revealed a large gap between rhetoric and reality. Here, we look back at the story behind our paper on patient experiences of care planning.

Posted in Blog | Tagged , , | Group: | Comments closed

Better management of patients with multimorbidity

In a recent BMJ article, Charlotte Paddison and I argue that we need a new approach to patients with multimorbidity. Or not so much a new approach as rediscovering some old values. First, we argue that we need to put more value on clinical judgement. Guidelines are generally developed for people with single conditions and …read more

Posted in Blog | Tagged , , | Group: | Comments closed

Multimorbidity and hospitalisation

Recent work published in the Canadian Medical Association Journal (CMAJ) shows the impact on unplanned hospital admissions of mental health problems and socioeconomic deprivation, over and beyond physical multimorbidity.

Posted in Blog | Tagged , | Group: | Comments closed

What do we mean by ‘multimorbidity’?

Multimorbidity is becoming the norm, not the exception. There are currently 15 million people in the UK with long-term conditions. Of these, 6.75 million (45%) have more than one long-term condition. And this number is rising. Fast. We are witness to growing interest in multimorbidity among health services researchers, and among the policy community. However …read more

Posted in Blog | Tagged , | Group: | Comments closed
  • The Cambridge Centre for Health Services Research (CCHSR) is a thriving collaboration between the University of Cambridge and RAND Europe. We aim to inform health policy and practice by conducting research and evaluation studies of organisation and delivery of healthcare, including safety, effectiveness, efficiency and patient experience.