{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:47:18Z","timestamp":1791380838396,"version":"4.3.3"},"reference-count":38,"publisher":"Royal College of General Practitioners","issue":"749","license":[{"start":{"date-parts":[[2019,2,12]],"date-time":"2019-02-12T00:00:00Z","timestamp":1549929600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Gen Pract"],"accepted":{"date-parts":[[2024,9,6]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>People with multimorbidity (&gt;2 long-term conditions) have poorer outcomes in areas of high socioeconomic deprivation (SED). High-quality person-centred care (PCC) is important in those with multimorbidity, but socially vulnerable populations have not, to our knowledge, informed current PCC models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore how wider community factors influence management of multimorbidity in the context of high SED, how high-quality PCC is defined by patients, and whether this influences healthcare management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and setting<\/jats:title><jats:p>Ethnographically informed case study in a community experiencing high SED in Scotland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participant observation (138 h) was undertaken within four community groups who also took part in two participatory workshops. There were 25 in-depth interviews with people with multimorbidity, recruited from local general practices; emerging findings were discussed with interviewees in one focus group. Field notes\/transcripts were analysed using inductive thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Key aspects of PCC were \u2018patient as person\u2019, \u2018strong therapeutic relationship\u2019, \u2018coordination of care\u2019, and \u2018power sharing\u2019; power sharing was particularly enabling but rarely happened (barriers often unseen by practitioners). Shared community experiences of \u2018being known\u2019, \u2018stigma\u2019, and \u2018none of the systems working\u2019 influenced how people approached health services and healthcare decisions. High-quality PCC may have been particularly effective in this setting because of its influence on ameliorating wider shared negative community experiences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In a high SED setting PCC is important and can enhance engagement. Wider community factors have a critical influence on engagement with health care in areas of high SED and PCC may be particularly important in this context because of its influence ameliorating these. Policymakers should prioritise and resource PCC.<\/jats:p><\/jats:sec>","DOI":"10.3399\/bjgp.2024.0286","type":"journal-article","created":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T11:55:16Z","timestamp":1729598116000},"page":"e805-e813","source":"Crossref","is-referenced-by-count":6,"title":["Multimorbidity and person-centred care in a socioeconomically deprived community: a qualitative study"],"prefix":"10.3399","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6664-2485","authenticated-orcid":false,"given":"Marianne","family":"McCallum","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5380-6943","authenticated-orcid":false,"given":"Sara","family":"Macdonald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9780-1135","authenticated-orcid":false,"given":"Frances S","family":"Mair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1987","published-online":{"date-parts":[[2024,10,22]]},"reference":[{"key":"2024112817354476000_74.749.e805.1","unstructured":"The Academy of Medical Sciences (2018) Multimorbidity: a priority for global health research, https:\/\/acmedsci.ac.uk\/file-download\/82222577 (accessed 15 Oct 2024)."},{"key":"2024112817354476000_74.749.e805.2","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-022-00376-4"},{"key":"2024112817354476000_74.749.e805.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60240-2"},{"key":"2024112817354476000_74.749.e805.4","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-281"},{"key":"2024112817354476000_74.749.e805.5","doi-asserted-by":"crossref","unstructured":"MacRae C Mercer SW Henderson D (2023) Age, sex, and socioeconomic differences in multimorbidity measured in four ways: UK primary care cross-sectional analysis. 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