What Research Agenda Could be Generated from the European General Practice Research Network Concept of Multimorbidity in Family Practice?

Le Reste et al. (2015) full text summary PDF

For which topic were research priorities identified?


In which location was the research priority setting conducted?


Why was it conducted at all?

Multimorbidity is an intuitively appealing, yet challenging, concept for Family Medicine (FM). An EGPRN working group has published a comprehensive definition of the concept based on a systematic review of the literature which is closely linked to patient complexity and to the biopsychosocial model. This concept was identified by European Family Physicians (FPs) throughout Europe using 13 qualitative surveys. To further our understanding of the issues around multimorbidity, we needed to do innovative research to clarify this concept.

What was the objective?

to answer the question what research agenda could be generated for Family Medicine from the EGPRN concept of Multimorbidity

What was the outcome?

a list of 6 research topics

How long did the research prioritization take?

No information provided.

Which methods were used to identify research priorities?

survey; workshop

How were the priorities for research identified exactly?

Step 1: workshop: using nominal group technique, experts were asked to read publications about concept of Multimorbidity produced by the EGPRN, then participants asked to write down what they regarded as main research questions and also asked to present appropriate design for each research question. Step 2: data processing: ideas were evaluated and analyzed, suggestions sorted, duplicates summarized, resulting in 61 research questions and study designs, the questions were then categorized into 6 major topics. Step 3: final workshop results were sent back to participants for agreement. Step 4: prioritization survey: participants were asked to rank propositions

Which stakeholders took part?

Experts in the field of multimorbidity. 15 participants: 14 clinicians.

How were stakeholders recruited?

An international panel of experts in the field of multimorbidity was purposively sampled. The group was selected from three backgrounds: The EGPRN, the Threads and Yarns network members (a group designed for research into the field of multimorbidity), and researchers in multimorbidity from Polish, Dutch and British Universities. The group was made up of FM clinicians, researchers in FM and linguistics, methodologists and epidemiologists.

Were stakeholders actively involved or did they just participate?

Stakeholders were mere participants of the research prioritization process; they were not actively involved in the process.