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Community assets and multimorbidity: A qualitative scoping study.

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Community assets are vital for managing multimorbidity (multiple long-term conditions). Resourcing and accessing these community-based approaches are crucial for integrated, holistic patient care beyond the biomedical model.

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Area of Science:

  • Public Health
  • Sociology of Health
  • Health Services Research

Background:

  • Multimorbidity (multiple long-term conditions) care is complex and often siloed.
  • The role of community assets in managing multimorbidity is under-researched.
  • Current care models may not adequately address psychosocial needs associated with multiple conditions.

Purpose of the Study:

  • To explore perceptions of community assets' role in multimorbidity care provision.
  • To identify barriers and facilitators to integrating community assets into multimorbidity management.
  • To inform recommendations for enhancing community-based support for patients with multiple long-term conditions.

Main Methods:

  • A rapid ethnographic approach was employed.
  • Four micro-studies included a literature review, documentary analysis, community patient stories analysis, and stakeholder interviews.
  • Framework thematic analysis was used for data analysis.

Main Results:

  • Literature review highlighted the need to move beyond silos and address attitudes/understandings in multimorbidity management.
  • Documentary analysis revealed a resource-poor climate but recognized community assets' potential.
  • Patient stories and stakeholder interviews emphasized disjointed care, psychosocial needs, and the value of community-based, holistic approaches.

Conclusions:

  • Community assets play a significant role in multimorbidity care, offering holistic and psychosocial support.
  • There is a need for integrated care that moves beyond the biomedical model.
  • Upholding access to and resourcing community assets is essential for effective multimorbidity management.