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Cardiorenal and metabolic (CaReMe) syndrome, co-producing a multi-speciality shared model of care

Lavery, J, Jones, ID, Hayes, JA and van Miert, C (2024) Cardiorenal and metabolic (CaReMe) syndrome, co-producing a multi-speciality shared model of care. In: FHE PGR Research Day - "Resilience and Wellbeing", Liverpool.


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Background Cardio-renal metabolic (CaReMe) syndrome can be defined as a group of interactive cardiovascular, renal, and metabolic conditions. These co-morbidities independently affect each other’s response to treatment and influence disease severity, heart failure (HF) outcomes and hospitalisation. The literature advocates collaborative multispeciality team approaches to CaReMe management as gold standard, which leads to consensus in decision making and could improve all-cause outcomes for individuals, whilst providing organisational cost benefits. A current NHS model has evolved over time to deliver a virtual multispeciality collaborative to manage CaReMe patients. The model lacks formal evaluation to demonstrate the merits of its approach and the perceptions and roles of staff who contribute. Aims To co-produce an integrated care model for patients with CaReMe disease by understanding current care models and the individual roles and experiences of staff, patients, and carers. Design Study design is a sequential mixed methods research with 3 phases. Phase 1- Aims to undertake a narrative synthesis of the evidence base to establish current models implemented for patients with co morbidities requiring complex interventions. Phase 2 Aims to understand individual roles, contributions, and experiences within the current service model by process evaluation and qualitative interviews. The impact of the multispeciality team input on CaReMe patient outcomes will be studied by collecting quantitative clinical data.
Phase 3 Aims to refine and co-produce an integrated model of care for CaReMe patients involving staff, patients, carers, and stakeholders. Implications This study seeks to inform current evidence relating to multidisciplinary and multispeciality working with complex interventions and multimorbidity. It aims to coproduce a model for implementation in practice which may form the basis for other future research studies.

Item Type: Conference or Workshop Item (Poster)
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RT Nursing
Divisions: Nursing & Allied Health
Publisher: Liverpool John Moores University
SWORD Depositor: A Symplectic
Date Deposited: 18 Jun 2024 08:09
Last Modified: 18 Jun 2024 08:09
URI: https://researchonline.ljmu.ac.uk/id/eprint/23598
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