Have a personal or library account? Click to login
Complex Care Needs in Multiple Chronic Conditions: Population Prevalence and Characterization in Primary Care. A Study Protocol Cover

Complex Care Needs in Multiple Chronic Conditions: Population Prevalence and Characterization in Primary Care. A Study Protocol

International Journal of Integrated Care
Volume 18 (2018): Issue 2
By: Francisco Hernansanz Iglesias,  Clara Alavedra Celada,  Carmen Berbel Navarro,  Lidia Palau Morales,  Núria Albi Visus,  Cristina Cobo Valverde,  Vanessa Matias Dorado,  Maria Luisa Martínez Muñoz,  Carles Blay Pueyo,  Esther Limón Ramírez,  Raimon Milà Villaroel,  Núria Montellà Jordana and  Josep Maria Bonet Simó  
Open Access
|May 2018

References

  1. 1Barnett, K, Mercer, SW, Norbury, M, Watt, G, Wyke, S and Guthrie, B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. The Lancet, 2012; 380: 37–43. DOI: 10.1016/S0140-6736(12)60240-2
    Back to article
  2. 2Starfield, B. Challenges to primary care from co-and multi-morbidity. Primary Health Care Research & Development, 2011; 12(1): 1–2. DOI: 10.1017/S1463423610000484
    Back to article
  3. 3Pefoyo, AJ, Bronskill, SE, Gruneir, A, Calzavara, A, Thavorn, K, Petrosyan, Y, et al. The increasing burden and complexity of multimorbidity. BMC Public Health, 2015; 15: 415. DOI: 10.1186/s12889-015-1733-2
    Back to article
  4. 4Hickam, DH, Weiss, JW, Guise, JM, et al. Outpatient Case Management for Adults with Medical Illness and Complex Care Needs. Comparative Effectiveness Review No. 99. (Prepared by the Oregon Evidence based Practice Center under Contract No. 290-2007-10057-I.) AHRQ Publication No.13- EHC031-EF. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productid=733.
    Back to article
  5. 5Rosengard, A, et al. A Literature Review on Multiple and Complex Needs. Edinburgh: Scottish Executive; 2007 January [cited 2017 June 24]. Available from: http://www.gov.scot/Publications/2007/01/18133419/0.
    Back to article
  6. 6Valderas, JM, Mercer, S and Fortin, M. Research on patients with multiple health conditions: different constructs, different views, one voice. Journal of Comorbidity, 2001; 1(1): 1–3. DOI: 10.15256/joc.2011.1.11
    Back to article
  7. 7Catalonia Health Department. TERMCAT, Centre de terminologia. Terminologia de la cronicitat [en línia]. Barcelona: TERMCAT, Centre de Terminologia, cop. 2013. Avaliable from: http://www.termcat.cat/ca/Diccionaris_En_Linia/160/ (accessed March 2016).
    Back to article
  8. 8Valderas, JM, Starfield, B, Sibbald, B, Salisbury, C and Roland, M. Defining Comorbidity: Implications for Understanding Health and Health Services. Annals of Family Medicine, 2009; 7(4): 357–363. DOI: 10.1370/afm.983
    Back to article
  9. 9Schaink, AK, Kuluski, K, Lyons, RF, Fortin, M, Jadad, AR, Upshur, R, et al. A scoping review and thematic classification of patient complexity: offering a unifying framework. Journal of Comorbidity, 2012; 2(1): 1–9. DOI: 10.15256/joc.2012.2.15
    Back to article
  10. 10Safford, MM, Allison, JJ and Kiefe, CI. Patient complexity: More than Comorbidity. The vector model of complexity. Journal of General Internal Medicine, 2007; 22(Suppl 3): 382–390. DOI: 10.1007/s11606-007-0307-0
    Back to article
  11. 11Grembowski, D, Schaefer, J, Johnson, KE, Fischer, H, Moore, SL, Tai-Seale, M, et al. AHRQ MCC Research Network. A conceptual model of the role of complexity in the care of patients with multiple chronic conditions. Medical Care, 2014; 52(Suppl 3): S7–S14. DOI: 10.1097/MLR.0000000000000045
    Back to article
  12. 12Shippee, ND, Shah, ND, May, CR, Mair, FS and Montori, VM. Cumulative complexity: a functional, patient-centered model of patient complexity can improve research and practice. Journal of Clinical Epidemiology, 2012; 65(10): 1041–1051. DOI: 10.1016/j.jclinepi.2012.05.005
    Back to article
  13. 13Zullig, LL, Whitson, HE, Hastings, SN, Beadles, Ch, Kravchenko, J, Akushevich, I, et al. A Systematic Review of Conceptual Frameworks of Medical Complexity and New Model Development. Journal of General Internal Medicine, 2016; 31(3): 329–337. DOI: 10.1007/s11606-015-3512-2
    Back to article
  14. 14Grant, RW, Ashburner, JM, Hong, CS, Chang, Y, Barry, MJ and Atlas, SJ. Defining patient complexity from the primary care physician’s perspective: a cohort study. Annals of Internal Medicine, 2011; 155(12): 797–804. DOI: 10.7326/0003-4819-155-12-201112200-00001
    Back to article
  15. 15Loeb, DF, Binswanger, IA, Candrian, C and Bayliss, EA. Primary care physician insights into a typology of the complex patient in primary care. Annals of Family Medicine, 2015; 13(5): 451–5. DOI: 10.1370/afm.1840
    Back to article
  16. 16Generalitat de Catalunya. Departament de Salut. Pla de Salut de Catalunya 2016–2020. [Catalan Health Plan 2016-2020] [cited 2017 24 June] Avaliable from: http://salutweb.gencat.cat/web/.content/home/el_departament/Pla_salut/pla_salut_2016_2020/Documents/Pla_salut_Catalunya_2016_2020.pdf [in Catalan].
    Back to article
  17. 17Constante Beitia, C, Blay Pueyo, C, Martínez-Muñoz, M, Schiaffino Rubinat, A and Ledesma Castelltort, A. Comparing theoretical and real complex chronic populations: cross-sectional study. International Journal of Integrated Care. 2016; 16(6): A354. DOI: 10.5334/ijic.2902
    Back to article
  18. 18Nardi, R, Scanelli, G, Corrao, S, Iori, I, Mathieu, G and Cataldi Amatrian, R. Co-morbidity does not reflect complexity in internal medicine patients. Eur J Intern Med. 2007; 18(5): 359–368. DOI: 10.1016/j.ejim.2007.05.002
    Back to article
  19. 19Generalitat de Catalunya. Departament de Salut. Pla de salut de Catalunya 2011–2015 [Health Plan 2011-2015] [cited 2017 June 24] Avaliable from: http://salutweb.gencat.cat/web/.content/home/el_departament/pla_de_salut/documents/arxius/health_plan_english.pdf.
    Back to article
  20. 20Contel, JC, Ledesma, A, Blay, C, González Mestre, A, Cabezas, C, Puigdollers, M, et al. Chronic and integrated care in Catalonia. International Journal of Integrated Care, 2015; 15(2). DOI: 10.5334/ijic.2205
    Back to article
  21. 21Idescat. Municipal population register and population census. Barcelona: Institut d’Estadístia de Catalunya, Generalitat de Catalunya. 2014.
    Back to article
  22. 22Domínguez-Berjón, MF, Borrell, C, Cano-Serral, G, Esnaola, S, Nolasco, A, et al. Construcción de un índice de privación a partir de datos censales en grandes ciudades españolas (Proyecto MEDEA) [Constructing a deprivation index based on census data in large Spanish cities (the MEDEA project)]. Gaceta Sanitaria, 2008; 22(3): 179–87. Avaliable from: <http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-91112008000300002&lng=es&nrm=iso> [in Spanish].
    Back to article
  23. 23Blay, C and Limón, E. Bases para un modelo catalán de atención a las personas con necesidades complejas: conceptualización e introducción a los elementos operativos. [Bases for a Catalan model of attention to people with complex needs: conceptualization and introduction to the operative elements]. Barcelona: Departament de Salut; 2016. [cited 2017 24 June]. Avaliable from: http://salutweb.gencat.cat/web/.content/home/ambits_tematics/linies_dactuacio/model_assistencial/atencio_al_malalt_cronic/documents/arxius/bases_modelo_personas_complejidad.pdf.
    Back to article
  24. 24Gomez Batiste, X, Martinez-Munoz, M, Blay, C, Amblàs, J, Vila, L, Costa, X, et al. Utility of the NECPAL CCOMS-ICO© tool and the Surprise Question as screening tools for early palliative care and to predict mortality in patients with advanced chronic conditions: A cohort study. Palliative Medicine, ONLINE Nov 2016; DOI: 10.1177/0269216316676647
    Back to article
  25. 25Hughes, JS, Averill, RF, Eisenhandler, J, Goldfield, NI, Neff, JM and Gay, JC. Clinical Risk Groups (CRGs): a classification system for risk-adjusted capitation-based payment and health care management. Medical Care, 2004; 42(1): 81–90. DOI: 10.1097/01.mlr.0000102367.93252.70
    Back to article
  26. 26Dueñas-Espín, I, Vela, E, Pauws, S, Bescos, C, Cano, I, et al. Proposals for enhanced health risk assessment and stratification in an integrated care scenario. BMJ Open, 2016; 6(4): e010301. DOI: 10.1136/bmjopen-2015-010301
    Back to article
  27. 27Gérvas, J, Pérez Fernández, M and Sánchez Sánchez, RJ. Longitudinality, prestige, good reputation (social and professional) and general/family medicine. Clinical and public health aspects. SESPAS Report 2012. Gac Sanit. 2012; 26(Supl 1): 52–56. DOI: 10.1016/j.gaceta.2011.09.024
    Back to article
  28. 28Beasley, JW, Hankey, TH, Erickson, R, Stange, KC, Mundt, M, et al. How many problems do family physicians manage at each encounter? Annals of family medicine, 2004; 2(5): 405–10. DOI: 10.1370/afm.94
    Back to article
  29. 29Moore, M, Gibbons, C, Cheng, N, Coffman, M, Petterson, S and Bazemore, A. Complexity of ambulatory care visits of patients with diabetes as reflected by diagnoses per visit. Primary care diabetes, 2016; 10(4): 281–286. DOI: 10.1016/j.pcd.2015.11.006
    Back to article
  30. 30Ham, C. The ten characteristics of the high-performing chronic care system. Health Economics, Policy and Law, 2010; 5(1): 71–90. DOI: 10.1017/S1744133109990120
    Back to article
  31. 31Kringos, DS, Boerma, WGW and Hutchinson, A. Building primary care in a changing Europe. Copenhagen: World Health Organization and European Observatory for Healthcare, 2015. [cited 2017 24 June] Avaliable from: http://www.euro.who.int/__data/assets/pdf_file/0018/271170/BuildingPrimaryCareChangingEurope.pdf.
    Back to article
  32. 32Schoen, C, Osborn, R, Squires, D, Doty, M, Pierson, R and Applebaum, S. New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. Health Affairs, 2011; 30(12): 2437–2448. DOI: 10.1377/hlthaff.2011.0923
    Back to article
  33. 33Bachrach, D, Pfister, H, Wallis, K and Lipson, M. Addressing Patients’ Social Needs: An Emerging Business Case for Provider Investment. The Commonwealth Fund, 2014. [cited 2017 24 June] Avaliable from: http://www.commonwealthfund.org/publications/fund-reports/2014/may/addressing-patients-social-needs.
    Back to article
  34. 34Loeb, DF, Bayliss, EA, Candrian, C, deGruy, FV and Binswagner, IA. Primary care providers’ experiences caring for complex patients in primary care: a qualitative study. BMC Family Practice, 2016; 17: 34. DOI: 10.1186/s12875-016-0433-z
    Back to article
DOI: https://doi.org/10.5334/ijic.3292 | Journal eISSN: 1568-4156
Journal RSS Feed
Language: English
Submitted on: Jul 17, 2017
Accepted on: May 14, 2018
Published on: May 25, 2018
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
primary care,
integrated care,
chronic diseases,
patient complexity,
complex care needs,
multimorbidity

© 2018 Francisco Hernansanz Iglesias, Clara Alavedra Celada, Carmen Berbel Navarro, Lidia Palau Morales, Núria Albi Visus, Cristina Cobo Valverde, Vanessa Matias Dorado, Maria Luisa Martínez Muñoz, Carles Blay Pueyo, Esther Limón Ramírez, Raimon Milà Villaroel, Núria Montellà Jordana, Josep Maria Bonet Simó, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

Previous articleVolume 18 (2018): Issue 2Next article