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August 4, 2025BMJ OpenOpen Access

Clinical decision-making and care pathways for people with multiple long-term conditions admitted to hospital: a scoping review

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Authors

NHNicola HoweEBE. K. BlackburnASAndrew Sheppard

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Overview

Scoping review uncovers gaps in evidence regarding care pathways for patients with multiple long-term conditions, suggesting a need for improved clinical decision-making.

Key Points

  • MAIN FINDING: The review reveals significant gaps in understanding care pathways for patients with multiple long-term conditions admitted to hospital.
  • KEY EVIDENCE: Of 521 articles screened, only 17 met criteria, highlighting a lack of empirical studies focusing on clinical decision-making in acute care.
  • APPROACH: A scoping review framework was used to analyze qualitative methods, literature, and guideline reviews in the context of MLTC care pathways.
  • SIGNIFICANCE: Findings suggest urgent need for more comprehensive research to enhance clinical decision-making and care strategies for MLTC patients.

Cite This Study

Howe et al. (2025) studied this question.

synapsesocial.com/papers/689a0f93e6551bb0af8d0fd2https://doi.org/10.1136/bmjopen-2025-100270
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Investigating the content and processes of patient-derived quality of care indicators for those affected by multiple long-term conditions (MLTC): A scoping review protocol2025
  2. 2Experiences of hospital care for people with multiple long-term conditions: a scoping review of qualitative research2024 · 17 citations
  3. 3Evaluating the structure and process of effective integrated care for people with multiple long-term conditions: systematic review protocol2026
  4. 4Opportunities for optimising care transitions of adults with multiple long-term conditions: a qualitative interview study2025
  5. 5Improving care for patients with multiple long-term conditions admitted to hospital: challenges and potential solutions2024 · 3 citations