Treatment pathways for multimorbidity in secondary care

A robust health systems approach is key to deliver this project. Specifically, we need to evaluate secondary care health systems delivery for patients with multimorbidity to understand care pathways and potential nodes for intervention. We will conduct a prospective observational study to evaluate the prevalence of multimorbidity in four hospitals in Malawi and Tanzania. Nested within this will be process evaluation work to identify bottlenecks to diagnosis and management of multimorbidity, to observe healthcare interactions and to develop a structured understanding of healthcare delivery along the continuum of care. The health systems researcher will need to work collaboratively with clinical, social science and health economic teams to inform the development of a virtual implementation model, based on care pathways, to understand the potential trade-offs of proposed interventions to improve outcomes for patients with multimorbidity.

 

KEY ACTIVITIES

KEY ACTIONS

These set out how the Key Responsibilities will be achieved

 

1

 

Day-to-day work on the design and implementation of the health systems portfolio in the Multilink programme

Design and implement high quality health systems research and align with the clinical, social science and health economic research.

Collaborate with consortium partners in the UK, Malawi and Tanzania

Participate in site visits to partner institutions and attend and contribute to multidisciplinary meetings

 

2

Design and conduct high quality health systems research to inform the design, development and evaluation of appropriate interventions to improve outcomes for patients with multimorbid disease in Malawi and Tanzania

To support literature review, protocol development, application for ethics approval, the collection and inter-country analysis of health systems data for studies conducted as part of the Multilink programme.

In collaboration with Multilink partners: implement data collection tools for intervention development activities and process evaluation of the intervention. Liaise with partners and conduct training for robust health systems data collection.

 

Conduct a range of mixed methods research approaches including patient journey mapping, hospital observations, in depth interviews and focus group discussions with patients, carers and healthcare workers. Transcribe and analyse data using appropriate theoretic frameworks, to synthesize key themes

 

Work effectively with key stakeholders to map the secondary care health system pathway for patients with multimorbidity

 

In collaboration with Multilink partners, leverage health systems activities to inform development of interventions for multimorbid disease in secondary care

Implement research in line with all funding and administrative requirements.

 

3

Produce articles and policy briefs to communicate research findings to a wider audience

Lead development of academic papers for submission to high impact journals and adapt appropriate project reports for submission to journals

Be responsible for writing of project reports, policy briefs and other technical documents as appropriate

 

COMPETENCY CRITERIA

ESSENTIAL/

DESIRABLE

ASSESSMENT

Qualifications, Training & Knowledge

 

 

MSc in a relevant discipline (e.g. health economics, economics, public health, or other quantitative health research, demographics.

E

Application & Certificate

Understanding of health issues, services and systems in Low and Middle-Income countries (LMICs)

E

Application & interview

Training at Masters level in quantitative research methods, including study design, data collection, analysis, disease modelling, and reporting

E

Application & interview

Familiarity with secondary care diagnostic and treatment processes

D

Application & interview

Familiarity with qualitative research

D

Application & interview

Understand poverty, financing, and chronic illness and disability issues in LMICs

D

Application & interview

Experience

 

 

Computer competent with large dataset management, statistical analysis, disease modelling,  and MS Office

E

CV, References & Interview

Experience in data analysis using STATA (preferably)/SPSS

E

CV, References & Interview

Experienced and competent in delivery of health economic projects

E

CV, References & Interview

Experience in using the “Witness” software package for development of virtual operational models

D

CV, References & Interview

Experience in publishing in journals in the area of cost analysis, cost of illness, DALYs/QALYs

D

CV, References & Interview

Experience in project supervision, including training and leading teams of research assistants

D

CV, References & Interview

Skills & Behaviours

 

 

Excellent verbal and written communication skills, with the ability to communicate at all levels

E

CV, References & Interview

 

Demonstrable attention to detail and accuracy, leading to high quality control of research data and results

E

CV, References & Interview

Excellent organisational skills with the ability to achieve research objectives independent of day to day supervision

E

CV, References & Interview

Ability to work as an integral, productive and co-operative member of a multi-disciplinary team in a flexible and competent manner and to liaise effectively with collaborators from different cultures

E

References & Interview

 

Circumstances

 

 

Demonstrate a confident, enthusiastic, and energetic approach, with a willingness to get involved in all aspects of the project

E

References & Interview

Determination to contribute programme productivity (publication, teaching, public engagement)

E

References & Interview

Ability to work productively and co-operatively and to develop excellent working relationships with academic and non-academic colleagues

E

Application & interview

Proficient in MS Office Software especially Excel, Word and PowerPoint

E

Application & interview

Flexibility to occasionally work outside of normal hours to meet deadlines

E

Application & interview

Ability to undertake national and international travel

E

Application & interview

Closing date: Monday 7th March 2022

Shortlisting: 11-18 March

Interviews: expected to be 28th March - 4th April

For more information on this PHD opportunity visit the Multilink PhD page