These results are a challenge to current thinking on which international guidelines are based. For instance, the U.K.’s National Institute for Health and Clinical Excellence (NICE) recommends patients with multimorbidity receive individualized management plans and a review of medicines and treatments based on outcomes. It also says treatment should focus on the person’s individual needs, preferences for treatments, health priorities, lifestyle and goals. However, this study of primary care patients found that while the model improved patient satisfaction, it had no impact on their outcomes. Researchers concluded it was possible that a 3D intervention, which includes a multidisciplinary review of conditions by a practice nurse, doctor and pharmacist may improve patients’ perceptions of the quality of their care but not the quality of their lives.
NBHC Care Experience