Related Experiment Videos
Codeveloping a Set of Quality of Care Indicators for People Living With Multiple Long-Term Conditions in Primary
Sara Tavares1, Thomas Beaney1, Arad Reisberg2
1The George Institute for Global Health, Imperial College London, Scale Space, 58 Wood Ln, London, England, W12 7RZ, United Kingdom, 44 07568150992.
JMIR Research Protocols
|August 7, 2026
Summary
This study co-develops disease-agnostic quality indicators for primary care for people with multiple long-term conditions (MLTCs). The goal is to create practical, patient-centered indicators for improved healthcare quality and service delivery.
Area of Science:
- Primary Care Research
- Health Services Research
- Patient-Centered Outcomes
Background:
- Current primary care quality indicators are often disease-specific and lack patient/caregiver input.
- Existing frameworks offer direction but few provide ready-to-use indicators for multiple long-term conditions (MLTCs).
Purpose of the Study:
- To co-develop a disease-agnostic set of quality of care indicators for MLTCs.
- To involve patients, caregivers, and healthcare professionals in indicator development.
- To create indicators with preliminary operational specifications for feasibility testing and service improvement in NHS general practices.
Main Methods:
- A 3-round modified RAND/UCLA Appropriateness Method (RAM) study protocol.
- Online questionnaires and structured consensus meetings with an expert panel of patients, caregivers, and professionals.
- Candidate indicators generated from a scoping review and qualitative study, refined through public and patient involvement.
Main Results:
- An expert panel of 10 patients/caregivers and 12 healthcare professionals has been recruited.
- 54 candidate quality indicators have been generated and mapped to a structure-process-outcome framework.
- The study is expected to be completed by early 2027.
Conclusions:
- This study will produce a co-designed, implementation-oriented set of primary care quality indicators for MLTCs.
- The final indicators aim to support future measurement and quality improvement initiatives.
- The indicators are intended for field testing in real-world primary care settings.
Related Concept Videos
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
01:27Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:13Patient-centered Care
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
01:27Coronary Artery Disease V: Interprofessional Care
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
01:19Standards of Care II
Nurses bear specific legal responsibilities under several federal statutes, including: