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Care"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Multimorbidity, the presence of multiple chronic health conditions, presents significant challenges in both health and social care settings. Addressing social care needs, such as assistance with daily activities and support for managing finances, is crucial in care management patients with multimorbidity. However, variability in the documentation and reporting of these needs remains poorly understood. This study aimed to quantify the variations in social care need (SCN) reporting across GP practices in England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a population-based study using electronic health records from a national sample of 873,092 individuals with multimorbidity. Inclusion and exclusion criteria were applied to determine the final cohort, with demographic and clinical data extracted. We analysed SCN reporting rates at the practice level, using interquartile ranges (IQRs) and intra-class coefficients (ICCs) to assess variability. Factors influencing SCN reporting were examined, including long-term conditions, demographic variables, and socio-economic deprivation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Significant variability was observed in SCN reporting across GP practices. Outcomes related to mobility and residential needs showed the greatest differences in reporting rates. Moderate correlations were observed between certain SCN categories, such as mobility and activities of daily living, as well as disability and financial needs. Patients with long-term conditions, such as dementia and multiple sclerosis, were more likely to have their SCNs reported, while other multimorbidity conditions showed lower reporting rates. Demographic factors, including gender and socio-economic deprivation, were associated with higher reporting rates, particularly for females and patients in more deprived areas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study highlights the significant variability in the documentation of social care needs across healthcare practices, using electronic health records in a large population-based sample. The findings emphasise the need for standardised reporting practices to ensure comprehensive care for individuals with multimorbidity, particularly those from more deprived socio-economic backgrounds and with complex care needs. Improved reporting could enhance care coordination and reduce health inequalities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12875-025-03107-2","type":"journal-article","created":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T05:04:29Z","timestamp":1764219869000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Variations in social care need reporting amongst GP practices in England: a retrospective cohort study in people with multimorbidity"],"prefix":"10.1186","volume":"26","author":[{"given":"Dan","family":"Burns","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glenn","family":"Simpson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zlatko","family":"Zlatev","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jakub","family":"Dylag","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Santer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Boniface","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Farmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hajira","family":"Dambha-Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,27]]},"reference":[{"key":"3107_CR1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.101860","volume":"57","author":"SR Chowdhury","year":"2023","unstructured":"Chowdhury SR, Chandra Das D, Sunna TC, Beyene J, Hossain A. 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The study was also approved by the Independent Scientific Advisory Group of the Clinical Practice Research Datalink (CPRD) (ISAC protocol number 21_001667). This study adhered to the General Principles and ethical standards described in the Declaration of Helsinki.Informed consent to participate in relation to the electronic health records data was waived by the Faculty of Medicine Ethics Committee, University of Southampton, United Kingdom, as this study used anonymised data from the Clinical Practice Research Datalink (CPRD), the use of which is set out in the data privacy regulations of CPRD (\n                      \n                      ). This is in accordance with both the United Kingdom General Data Protection Regulation (UK GDPR) (\n                      \n                      ) and UK health research conduct, as set out in the Information Commissioner\u2019s Office Anonymisation Code of Practice (\n                      \n                      ).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"413"}}