STIMULATE-ICP-Delphi (Symptoms, Trajectory, Inequalities and Management: Understanding Long-COVID to Address and Transform Existing Integrated Care Pathways Delphi): Study protocol
STIMULATE-ICP-Delphi (Symptoms, Trajectory, Inequalities and Management: Understanding Long-COVID to Address and Transform Existing Integrated Care Pathways Delphi): Study protocol
Abstract IntroductionAs mortality rates from COVID-19 disease fall, the high prevalence of long-term sequelae (Long COVID) is becoming increasingly widespread, challenging healthcare systems globally. Traditional pathways of care for Long Term Conditions (LTCs) have tended to be managed by disease-specific specialties, an approach that has been ineffective in delivering care for patients with multi-morbidity. The multi-system nature of Long COVID and its impact on physical and psychological health demands a more effective model of holistic, integrated care. The evolution of integrated care systems (ICSs) in the UK presents an important opportunity to explore areas of mutual benefit to LTC, multi-morbidity and Long COVID care. There may be benefits in comparing and contrasting ICPs for Long COVID with ICPs for other LTCs. Methods and analysisThis study aims to evaluate health services requirements for ICPs for Long COVID and their applicability to other LTCs including multi-morbidity and the overlap with medically not yet explained symptoms (MNYES). The study will follow a Delphi design and involve an expert panel of stakeholders including people with lived experience, as well as clinicians with expertise in Long COVID and other LTCs. Study processes will include expert panel and moderator panel meetings, surveys, and interviews. The Delphi process is part of the overall STIMULATE-ICP programme, aimed at improving integrated care for people with Long COVID. Ethics and disseminationEthical approval for this Delphi study has been obtained (Research Governance Board of the University of York) as have approvals for the other STIMULATE-ICP studies. Study outcomes are likely to inform policy for ICPs across LTCs. Results will be disseminated through scientific publication, conference presentation and communications with patients and stakeholders involved in care of other LTCs and Long COVID. RegistrationResearchregistry: https://www.researchregistry.com/browse-the-registry#home/registrationdetails/6246bfeeeaaed6001f08dadc/.
Cuthbertson Daniel J、Hillman Toby、Hishmeh Lyth、Lip Gregory Y.H.、Lorgelly Paula、Montgomery Hugh、van der Feltz-Cornelis Christina M.、Sweetman Jennifer、Attree Emily、Williams Nefyn、the STIMULATE-ICP Consortium、Strain W. David、Banerjee Amitava、Crooks Michael G.、Wootton Dan G.、Heightman Melissa、Khunti Kamlesh、Wall Emma、Green Angela、Watkins Caroline、Allsopp Gail、Forshaw Denise、Gabbay Mark
Institute of Cardiovascular and Metabolic Medicine, University of LiverpoolDepartment of Respiratory Medicine, University College London Hospitals NHS Foundation Trust||UCL Respiratory, University College LondonLong COVID SOSLiverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital||Department of Clinical Medicine, Aalborg UniversitySchool of Population Health and Department of Economics, University of Auckland||Institute of Epidemiology and Health Care, University College LondonDepartment of Medicine, University College LondonDept of Health Sciences, University of York||Hull York Medical School, (HYMS), University of York||Institute of Health Informatics, University College LondonDept of Health Sciences, University of YorkCCG NHS CamdenDepartment of Primary Care and Mental Health, University of LiverpoolDiabetes and Vascular Medicine Research Centre, Institute of Biomedical and Clinical Science and College of Medicine and Health, University of ExeterInstitute of Health Informatics, University College London||Department of Cardiology, University College London Hospitals NHS TrustHull York Medical School, University of Hull||Hull University Teaching Hospitals NHS TrustInstitute of Infection Veterinary and Ecological Sciences and NIHR HPRU in Emerging and Zoonotic Infections, University of Liverpool||Liverpool University Hospitals NHS Foundation TrustDepartment of Respiratory Medicine, University College London Hospitals NHS Foundation TrustDiabetes Research Centre, College of Life Sciences, University of LeicesterFrancis Crick Institute||National Institute for Health Research (NIHR) University College London Hospitals (UCLH) Biomedical Research Centre and NIHR UCLH Clinical Research FacilityHull University Teaching Hospitals NHS TrustLancashire Clinical Trials Unit, University of Central Lancashire||Faculty of Health and Care, University of Central LancashireRoyal College of General Practitioners||National Institute of Health and Care ExcellenceLancashire Clinical Trials Unit, University of Central LancashireDepartment of Primary Care & Mental Health, University of Liverpool||NIHR ARC NWC
医药卫生理论医学研究方法医学现状、医学发展
Cuthbertson Daniel J,Hillman Toby,Hishmeh Lyth,Lip Gregory Y.H.,Lorgelly Paula,Montgomery Hugh,van der Feltz-Cornelis Christina M.,Sweetman Jennifer,Attree Emily,Williams Nefyn,the STIMULATE-ICP Consortium,Strain W. David,Banerjee Amitava,Crooks Michael G.,Wootton Dan G.,Heightman Melissa,Khunti Kamlesh,Wall Emma,Green Angela,Watkins Caroline,Allsopp Gail,Forshaw Denise,Gabbay Mark.STIMULATE-ICP-Delphi (Symptoms, Trajectory, Inequalities and Management: Understanding Long-COVID to Address and Transform Existing Integrated Care Pathways Delphi): Study protocol[EB/OL].(2025-03-28)[2025-08-02].https://www.medrxiv.org/content/10.1101/2022.04.06.22273514.点此复制
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