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July 12, 2026BMC MedicineOpen Access

Mapping quality of primary care among 0.5 million people with multiple long-term conditions in England, 2015–2024: a retrospective cohort study using electronic health records

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Authors

QGQian GaoUniversity College LondonMCMeryem CicekImperial College LondonBHBenedict HayhoeImperial College London

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Implication

Retrospective cohort study evaluates primary care quality for multimorbidity, highlighting health disparities.

Key Points

  • Evaluate the quality of primary care for patients with multimorbidity using quality indicators from electronic health records.
  • Utilized electronic health records from the Discover-NOW Hub covering northwest London (2015-2024).
  • Identified and analyzed eight generic and six multimorbidity-specific quality indicators.
  • Conducted ordinary least squares and logistic regression analyses to assess sociodemographic and health-related inequalities.
  • Attainment on generic quality indicators ranged from 23.5% to 79.8%, generally higher than multimorbidity-specific indicators (less than 30%).
  • Quality indicator scores were stable over the past decade but dropped significantly during the COVID-19 pandemic.
  • Socioeconomic inequalities were observed, especially concerning ethnicity and neighborhood deprivation, affecting quality of care.

Cite This Study

Gao et al. (2026) studied this question.

synapsesocial.com/papers/6a5332484f7abc118adedd14https://doi.org/10.1186/s12916-026-04964-z
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Also Consider

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

  1. 1Primary care quality and secondary healthcare utilisation in patients with multimorbidity: a retrospective cohort study2026
  2. 2Quality of care for people with multimorbidity – a case series2017 · 48 citations
  3. 3Multimorbidity and quality of life in primary care: a systematic review2004 · 1,003 citations
  4. 4Quality of Life and Multimorbidity of Elderly Outpatients2009 · 57 citations
  5. 5Impact of multimorbidity on change in quality of life in a multi-ethnic Asian population: a longitudinal study2026