The development and optimisation of a primary care-based whole system complex intervention (CARE Plus) for patients with multimorbidity living in areas of high socioeconomic deprivation

Chronic Illness

Volumn 12, Issue 3, 2016, Pages 165-181

  Mercer, Stewart William ^a   O'brien, Rosaleen ^a   Fitzpatrick, Bridie ^a   Higgins, Maria ^a   Guthrie, Bruce ^a   Watt, Graham ^a   Wyke, Sally ^a  

^a UNIVERSITY OF GLASGOW   (United Kingdom)

Author keywords

Complex intervention; Deprivation; Multimorbidity; Primary care; Quality of life

Indexed keywords

CLINICAL ARTICLE; CONSULTATION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOCTOR PATIENT RELATION; GENERAL PRACTITIONER; HUMAN; INTERVIEW; MINDFULNESS; NURSE; ORGANIZATION; PILOT STUDY; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; SELF CARE; STRESS; ADULT; AGED; COMORBIDITY; DEMOGRAPHY; FEMALE; HOSPITAL MANAGEMENT; INFORMATION PROCESSING; MALE; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; PATIENT; PATIENT CARE; PHILOSOPHY; POVERTY; PRIMARY HEALTH CARE; PROCEDURES; TIME FACTOR;

ADULT; AGED; APPOINTMENTS AND SCHEDULES; COMORBIDITY; CONTINUITY OF PATIENT CARE; FEMALE; FOCUS GROUPS; GENERAL PRACTITIONERS; HOLISTIC HEALTH; HUMANS; MALE; MIDDLE AGED; NURSES; PATIENTS; PHYSICIAN-PATIENT RELATIONS; PILOT PROJECTS; POVERTY AREAS; PRIMARY HEALTH CARE; QUALITY OF LIFE; RESIDENCE CHARACTERISTICS; TIME FACTORS;

EID: 84991408342     PISSN: 17423953     EISSN: 17459206     Source Type: Journal    
DOI: 10.1177/1742395316644304     Document Type: Article

References (33)

1. Violan C, Foguet-Boreu Q, Flores-Mateo G, et al. Prevalence, determinants and patterns of multimorbidity in primary care: a systematic review of observational studies. PloS one 2014;9:e102149.
2. Barnett K, Mercer SW, Norbury M, et al. Epidemiology of multimorbidity and implications for health care, research, and medical education: A cross-sectional study. Lancet 2012;380:37-43.
3. Salisbury C, Johnson C, Purdy S, et al. Epidemiology and impact of multimorbidity in primary care: A retrospective cohort study. Br J Gen Pract 2011;582:e12-21.
4. Lawson K, Mercer S, Wyke S, et al. Double trouble: The impact of multimorbidity and deprivation on preference-weighted health related quality of life - a cross sectional analysis of the Scottish Health Survey. Int J Equity Health 2013;12.
5. McLean G, Gunn J, Wyke S, et al. The influence of socioeconomic deprivation on multimorbidity at different ages. Br J Gen Pract 2014;64:e440-447.
6. Payne R, Abel G, Guthrie B, et al. The impact of physical multimorbidity, mental health conditions and socioeconomic deprivation on unplanned admissions to hospital: A retrospective cohort study. CMAJ 2013;185:E221-228.
7. O'Brien R, Wyke S, Guthrie B, et al. An "endless struggle": A qualitative study of GPs' and Practice Nurses' experiences of managing multimorbidity in socio-economically deprived areas of Scotland. Chronic Illn 2011;7:45-59.
8. O'Brien R, Wyke S, Watt G, et al. The 'everyday work' of living with multimorbidity in socio-economically deprived areas of Scotland. JOC 2014;9:62.
9. Smith SM, Soubhi H, Fortin M, et al. Interventions for improving outcomes in patients with multimorbidity in primary care and community settings: Systematic review. BMJ 2012;345:e5205.
10. Craig P, Dieppe P, Macintyre S, et al. Developing and evaluating complex interventions: The new Medical Research Council guidance. BMJ 2008;337:a165.
11. Glasgow RE, Emont S and Miller DC. Assessing delivery of the five 'As' for patient-centered counseling. Health Promot Int 2006;21:245-255.
12. Fitzgerald N, Heywood S, Bikker AP, et al. Enhancing empathy in healthcare: Mixed-methods evaluation of a pilot project implementing the CARE Approach in primary and community care settings in Scotland. J Compassionate Healthcare 2014;1:6.
13. Bikker AP, Cotton P and Mercer SW. Embracing empathy in healthcare. A universal approach to person-centred, empathic healthcare encounters. London-New York: Radcliffe, 2014.
14. Ritchie J and Lewis J. Qualitative research practice. London: Sage, 2003.
15. Hoffmann TC, Glasziou PP, Boutron I, et al. Better reporting of interventions: Template for intervention description and replication (TIDieR) checklist and guide. BMJ 2014;348:g1687.
16. Hart JT. The inverse care law. Lancet 1971;297:405-412.
17. Watt G. The inverse care law today. Lancet 2002;360:252-254.
18. Mercer S and Watt G. The inverse care law: Clinical primary care encounters in deprived and affluent areas of Scotland. Ann Fam Med 2007;5:503-510.
19. Mercer SW, Guthrie B, Furler J, et al. Multimorbidity and the inverse care law in primary care. BMJ 2012;344:e4152.
20. Furler JS, Harris E, Chondros P, et al. The inverse care law revisited: Impact of disadvantaged location on accessing longer GP consultation times. Med J Aust 2002;177:80-83.
21. Pederson AF and Vedsted P. Understanding the inverse care law: A register and survey-based study of patient deprivation and burn-out in general practice. Int J Equity Health 2014;13:121.
22. Jani B, Bikker AP, Higgins M, et al. Patientcentredness and the outcome of general practice consultations with patients with depression in areas of high and low deprivation. Br J Gen Pract 2012;62):e576-e581.
23. Wilson AD and Childs S. Effects of interventions aimed at changing the length of primary care physicians' consultation. Cochrane Database Syst Rev 2006; (1): CD003540.
24. Hutton C and Gunn J. Do longer consultations improve the management of psychological problems in general practice? A systematic literature review. BMC Health Serv Res 2007;7:71.
25. Mercer SW, Fitzpatrick B, Gourlay G, et al. More time for complex consultations in a high deprivation practice is associated with increased patient enablement. Br J Gen Pract 2007;57:960-966.
26. Mercer SW, Cawston PG and Bikker AP. Patients' views on consultation quality in primary care in an area of high deprivation: A qualitative study. BMC Fam Med 2007;8:22.
27. Mercer SW, Neumann M, Wirtz W, et al. Effect of General Practitioner empathy on patient enablement, and patient-reported outcomes in primary care in an area of high socio-economic deprivation in Scotland-A pilot prospective study using structural equation modelling. Patient Educ Couns 2008;73:240-245.
28. Little P, Everitt H, Williamson I, et al. Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations. BMJ 2001;323:908-911.
29. Derksen F, Bensing J and Lagro-Janssen A. Effectiveness of empathy in general practice: A systematic review. Br J Gen Pract 2013;63:e76-84.
30. Verlinde E, De Laener N, De Maesschalck S, et al. The social gradient in doctor-patient communication. Int J Equity Health 2012;11:12.
31. Taylor SJC, Pinnock H, Epiphaniou E, et al. A rapid synthesis of the evidence on interventions supporting self-management for people with longterm conditions: PRISMS - Practical systematic Review of Self-Management Support for longterm conditions. Southampton (UK): NIHR Journals Library, December 2014.
32. Kennedy A, Bower P, Reeves D, et al. Implementation of self management support for long term conditions in routine primary care settings: A cluster randomised controlled trial. BMJ 2013;346:f2882.
33. Reeve J, Dowrick CF, Freeman GK, et al. Examining the practice of generalist expertise: A qualitative study identifying constraints and solutions. JRSM Short Rep 2013;4.