Integrated primary care and social services for older adults with multimorbidity in England: a scoping review

Dambha‐Miller, Hajira; Simpson, Glenn; Hobson, Lucy; Roderick, Paul; Little, Paul; Everitt, Hazel; Santer, Miriam

doi:10.1186/s12877-021-02618-8

Cited by 16 publications

(32 citation statements)

References 52 publications

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“…The data gathered by the review were iteratively synthesised descriptively, using counts to summarise article characteristics (that set out the number, type and quality of studies extracted); use of the data charting technique; and through interpretation of the findings by sifting and sorting material [ 25 ]. The main environmental determinants identified by the review were collated and presented below.…”

Section: Methodsmentioning

confidence: 99%

Multiple Long-Term Conditions (MLTC) and the Environment: A Scoping Review

Dambha‐Miller

Cheema

Saunders

et al. 2022

IJERPH

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Background: Multiple Long Term conditions (MLTC) are a major health care challenge associated with high service utilisation and expenditure. Once established, the trajectory to an increased number and severity of conditions, hospital admission, increased social care need and mortality is multifactorial. The role of wider environmental determinants in the MLTC sequelae is unclear. Aim: the aim of this review was to summarise and collate existing evidence on environmental determinants on established MLTC. Methods: comprehensive search of Medline, Embase, Cochrane, CINAHL and Bielefeld Academic Search Engine (BASE), from inception to 4th June 2022 in addition to grey literature. Two authors independently screened and extracted papers. Disagreements were resolved with a third author. Results: searches yielded 9079 articles, 12 of which met the review’s inclusion criteria. Evidence of correlations between some environmental determinants and increased or decreased risks of MLTC were found, including the quality of internal housing/living environments, exposure to airborne environmental hazards and a beneficial association with socially cohesive, accessible and greener neighbourhood environments. Conclusions: The majority of the 12 included papers focused on the built and social environments. The review uncovered very limited evidence, indicating a need for further research to understand the role of environmental determinants in MLTC.

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Section: Methodsmentioning

confidence: 99%

Multiple Long-Term Conditions (MLTC) and the Environment: A Scoping Review

Dambha‐Miller

Cheema

Saunders

et al. 2022

IJERPH

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“…The data gathered by the review were iteratively synthesised descriptively, through the use of counts to summarise article characteristics (that set out the number, type, and quality of studies extracted and collated social care need variables identified), the data-charting technique, and interpretation of the findings by sifting and sorting material. 14 The main social care need variables identified were collated and are presented in Supplementary Appendix S1.…”

Section: Methodsmentioning

confidence: 99%

Understanding social care need through primary care big data: a rapid scoping review

et al. 2022

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BackgroundA more comprehensive understanding and measurement of adult social care need could contribute to efforts to develop more effective, holistic personalised care, particularly for those with Multiple Long Term Conditions. Progress in this area faces the challenge of a lack of clarity in the literature relating to how social care need is assessed and coded within variables included in primary care databases.AimTo explore how social care need is assessed and coded within variables included in primary care databases.Design & settingAn exploratory rapid scoping review of peer-reviewed articles and grey literature.MethodArticles were screened and extracted onto a charting sheet and findings were summarised descriptively. Articles were included if published in English, related to primary care and social care using data from national primary care databases.ResultsThe search yielded 4,010 articles. Twenty-seven were included. Six articles used the term ‘social care need’, although related terminology was identified including ‘need factors’, ‘social support’ and ‘social care support’. Articles mainly focused on specific components of social care need, including levels of social care usage/service utilisation and costs incurred to social care, primary care and other providers in addressing needs. A limited range of database variables were found measuring social care need.ConclusionFurther research is needed on how social care need has been defined in a UK context and captured in primary care big databases. There is potential scope to broaden the definition of social care need, which captures social service needs and wider social needs.

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“…The data gathered by the review were iteratively synthesised descriptively, using counts to summarise article characteristics (that set out the number, type, and quality of studies extracted), the data charting technique and interpretation of the findings by sifting and sorting material (19). The main environmental factors identified were collated and presented below.…”

Section: Summarising and Analysismentioning

confidence: 99%

Multiple Long-Term Conditions (MLTC) and the environment: A scoping review

Dambha‐Miller

Cheema

Saunders

et al. 2022

Preprint

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Background: Multiple Long Term conditions (MLTC), the coexistence of two or more health conditions, is a major health care challenge associated with high service utilisation and expenditure. Once established, the trajectory to an increased number and severity of conditions, hospital admission, increased social care need and mortality is multifactorial. The role of wider environmental determinants in the MLTC sequelae is unclear. Aim: The aim of this review was to summarise and collate existing evidence on environmental determinants on established MLTC. Methods: A comprehensive search of Medline, Embase, Cochrane, CINAHL and Bielefeld Academic Search Engine (BASE) from inception to 4th June 2022 in addition to grey literature. Two authors independently screened and extracted papers. Disagreements were resolved with a third author. Results: The search yielded 9,079 articles of which 12 were included. Five studies considered the effect of urban built environments and neighbourhood characteristics on MLTC. Two studies examined both the built and social environments. The social environment was considered by four studies. One study examined the natural environment. Evidence of correlations between some environmental determinants and increased or decreased risks of MLTC were found, including the quality of internal housing/living environments, exposure to airborne environmental hazards and a beneficial association with socially cohesive, accessible and greener neighbourhood environments. Conclusions: Only 12 relevant papers were identified, with the majority focused on the built and social environments. Overall, the review uncovered very limited evidence and this finding indicates a need for further research to understand the role of environmental determinants in MLTC.

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Integrated primary care and social services for older adults with multimorbidity in England: a scoping review

Cited by 16 publications

References 52 publications

Multiple Long-Term Conditions (MLTC) and the Environment: A Scoping Review

Multiple Long-Term Conditions (MLTC) and the Environment: A Scoping Review

Understanding social care need through primary care big data: a rapid scoping review

Multiple Long-Term Conditions (MLTC) and the environment: A scoping review

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