Health system performance for the high-need patient

"The health care system needs to work better for the highest-need, most-complex patients. This study’s findings highlight the importance of tailoring interventions to address their needs."

Health system performance for the high-need patient: A look at access to care and patient care experiences
CA Salzberg, SL Hayes, D McCarthy, D Radley, MK Abrams, T Shah, G Anderson
The Commonwealth Fund
August 2016

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Bringing hospital-level care to the patient

"This case study is one in an ongoing series examining programs that aim to improve outcomes and reduce costs of care for patients with complex needs, who account for a large share of U.S. health care spending."

The hospital at home model: Bringing hospital-level care to the patient
S Klein, M Hostetter, D McCarthy
The Commonwealth Fund
August 2016

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Why do patients with multimorbidity in England report worse experiences in primary care?

"Health policymakers should recognise that the patient experience and healthcare needs of people with multimorbidity are likely to be different to those with a single long-term condition, and should take this into account when designing health services for people with multiple long-term conditions. We recommend that research modelling the relationship between multimorbidity and patient experience of care should include the impact of health-related quality of life."

Why do patients with multimorbidity in England report worse experiences in primary care? Evidence from the General Practice Patient Survey
CAM Paddison, CL Saunders, GA Abel, RA Payne, JL Campbell, M Roland
BMJ Open, 2015, 5:e006172

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Importance of multimorbidity in explaining utilisation and costs

“The more co-morbidities that a person has, the more likely they are to require care across diverse settings, and the higher their costs.”

Importance of multmorbidity in explaining utilisation and costs across health and social care settings: Evidence from South Somerset’s Symphony Project
CHE Research Paper 96
P Kasteridis, A Street, M Dolman, L Gallier, K Hudson, J Martin, I Wyer
Centre for Health Economics
The University of York
February 2014

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GPs’ perspectives on the management of patients with multimorbidity

"This systematic review shows that the problem areas for GPs in the management of multimorbidity may be classified into four domains. There will be no ‘one size fits all’ intervention for multimorbidity but these domains may be useful targets to guide the development of interventions that will assist and improve the provision of care to multimorbid patients."

GPs’ perspectives on the management of patients with multimorbidity: systematic review and synthesis of qualitative research
C Sinnott, S McHugh, J Browne, C Bradley
BMJ Open, 2013: e003610

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