Impact of individual, household, and area characteristics on health and social care outcomes for people with multimorbidity: Protocol for a multilevel analysis.
<h4>Background</h4>Multimorbidity is one of the greatest challenges facing health and social care systems globally. It is associated with high rates of health service use, adverse healthcare events, and premature death. Despite its importance, little is known about the effects of context...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0282867&type=printable |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832595713777729536 |
|---|---|
| author | Clare MacRae Stewart W Mercer Andrew Lawson Alan Marshall Jamie Pearce Eleojo Abubakar Chunyu Zheng Marjan van den Akker Thomas Williams Olivia Swann Louisa Pollock Anna Rawlings Rich Fry Ronan A Lyons Jane Lyons Amy Mizen Chris Dibben Bruce Guthrie |
| author_facet | Clare MacRae Stewart W Mercer Andrew Lawson Alan Marshall Jamie Pearce Eleojo Abubakar Chunyu Zheng Marjan van den Akker Thomas Williams Olivia Swann Louisa Pollock Anna Rawlings Rich Fry Ronan A Lyons Jane Lyons Amy Mizen Chris Dibben Bruce Guthrie |
| author_sort | Clare MacRae |
| collection | DOAJ |
| description | <h4>Background</h4>Multimorbidity is one of the greatest challenges facing health and social care systems globally. It is associated with high rates of health service use, adverse healthcare events, and premature death. Despite its importance, little is known about the effects of contextual determinants such as household and area characteristics on health and care outcomes for people with multimorbidity. This study protocol presents a plan for the examination of associations between individual, household, and area characteristics with important health and social care outcomes.<h4>Methods</h4>The study will use a cross-section of data from the SAIL Databank on 01 January 2019 and include all people alive and registered with a Welsh GP. The cohort will be stratified according to the presence or absence of multimorbidity, defined as two or more long-term conditions. Multilevel models will be used to examine covariates measured for individuals, households, and areas to account for social processes operating at different levels. The intra-class correlation coefficient will be calculated to determine the strength of association at each level of the hierarchy. Model outcomes will be any emergency department attendance, emergency hospital or care home admission, or mortality, within the study follow-up period.<h4>Discussion</h4>Household and area characteristics might act as protective or risk factors for health and care outcomes for people with multimorbidity, in which case results of the analyses can be used to guide clinical and policy responses for effective targeting of limited resources. |
| format | Article |
| id | doaj-art-d1a15503942640afa544c55b456dc0b7 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-d1a15503942640afa544c55b456dc0b72025-01-18T05:31:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011810e028286710.1371/journal.pone.0282867Impact of individual, household, and area characteristics on health and social care outcomes for people with multimorbidity: Protocol for a multilevel analysis.Clare MacRaeStewart W MercerAndrew LawsonAlan MarshallJamie PearceEleojo AbubakarChunyu ZhengMarjan van den AkkerThomas WilliamsOlivia SwannLouisa PollockAnna RawlingsRich FryRonan A LyonsJane LyonsAmy MizenChris DibbenBruce Guthrie<h4>Background</h4>Multimorbidity is one of the greatest challenges facing health and social care systems globally. It is associated with high rates of health service use, adverse healthcare events, and premature death. Despite its importance, little is known about the effects of contextual determinants such as household and area characteristics on health and care outcomes for people with multimorbidity. This study protocol presents a plan for the examination of associations between individual, household, and area characteristics with important health and social care outcomes.<h4>Methods</h4>The study will use a cross-section of data from the SAIL Databank on 01 January 2019 and include all people alive and registered with a Welsh GP. The cohort will be stratified according to the presence or absence of multimorbidity, defined as two or more long-term conditions. Multilevel models will be used to examine covariates measured for individuals, households, and areas to account for social processes operating at different levels. The intra-class correlation coefficient will be calculated to determine the strength of association at each level of the hierarchy. Model outcomes will be any emergency department attendance, emergency hospital or care home admission, or mortality, within the study follow-up period.<h4>Discussion</h4>Household and area characteristics might act as protective or risk factors for health and care outcomes for people with multimorbidity, in which case results of the analyses can be used to guide clinical and policy responses for effective targeting of limited resources.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0282867&type=printable |
| spellingShingle | Clare MacRae Stewart W Mercer Andrew Lawson Alan Marshall Jamie Pearce Eleojo Abubakar Chunyu Zheng Marjan van den Akker Thomas Williams Olivia Swann Louisa Pollock Anna Rawlings Rich Fry Ronan A Lyons Jane Lyons Amy Mizen Chris Dibben Bruce Guthrie Impact of individual, household, and area characteristics on health and social care outcomes for people with multimorbidity: Protocol for a multilevel analysis. PLoS ONE |
| title | Impact of individual, household, and area characteristics on health and social care outcomes for people with multimorbidity: Protocol for a multilevel analysis. |
| title_full | Impact of individual, household, and area characteristics on health and social care outcomes for people with multimorbidity: Protocol for a multilevel analysis. |
| title_fullStr | Impact of individual, household, and area characteristics on health and social care outcomes for people with multimorbidity: Protocol for a multilevel analysis. |
| title_full_unstemmed | Impact of individual, household, and area characteristics on health and social care outcomes for people with multimorbidity: Protocol for a multilevel analysis. |
| title_short | Impact of individual, household, and area characteristics on health and social care outcomes for people with multimorbidity: Protocol for a multilevel analysis. |
| title_sort | impact of individual household and area characteristics on health and social care outcomes for people with multimorbidity protocol for a multilevel analysis |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0282867&type=printable |
| work_keys_str_mv | AT claremacrae impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT stewartwmercer impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT andrewlawson impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT alanmarshall impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT jamiepearce impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT eleojoabubakar impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT chunyuzheng impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT marjanvandenakker impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT thomaswilliams impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT oliviaswann impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT louisapollock impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT annarawlings impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT richfry impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT ronanalyons impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT janelyons impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT amymizen impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT chrisdibben impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis AT bruceguthrie impactofindividualhouseholdandareacharacteristicsonhealthandsocialcareoutcomesforpeoplewithmultimorbidityprotocolforamultilevelanalysis |