PLOS Global Public Health · 7 authors, 5 centres
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This metasynthesis of 21 qualitative studies found that personal and structural vulnerabilities, social and family struggles, and fragmented relationships with health care professionals negatively affect the self-management of individuals with multimorbidities.
This study conducted a metasynthesis of 21 qualitative studies to explore sociocultural and patient-professional factors affecting self-management in multiethnic patients with multimorbidities. Through thematic synthesis, the authors generated eight descriptive and three analytical themes. The central findings were that self-management is hindered by personal and structural vulnerabilities like poverty and poor housing, social and family struggles, and fragmented interpersonal relationships with health care professionals. The implications suggest a need for health care professionals to develop structural and cultural competency to address these sociocultural factors and for the creation of person-centered, comprehensive care interventions.
