System failures in care continuity and coordination for people with multiple long-term conditions: an umbrella review of patient, carer, and professional perspectives.

In 30 seconds

This umbrella review examined continuity and coordination of care for patients with multiple long-term conditions (MLTCs) from the perspectives of patients, carers, and healthcare professionals. It included 42 qualitative reviews and identified seven key problem domains. The study found that misalignment in prioritizing stakeholder needs contributes to systemic failures in care continuity.

Key findings

• Seven problem domains affecting care continuity and coordination were identified across stakeholder groups.
• Patients reported a lack of consideration from healthcare professionals, while carers highlighted gaps in support.
• Healthcare professionals emphasized deficits in training and expertise, indicating shared recognition of challenges.

Why it matters

Understanding the perspectives of patients, carers, and healthcare professionals on care continuity is crucial for developing effective interventions. Addressing these systemic issues can enhance patient outcomes and satisfaction in managing multiple long-term conditions.