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

Abstract:

Background:Chronicity, and particularly complex care needs for people with chronic diseases is one of the main challenges of health systems. Objective:To determine the population prevalence of people with chronic diseases and complex care needs and to characterize these needs considering features of health and social complexity in Primary Care. Design:Cross-sectional population-based study. Scope:Patients who have one or more chronic health conditions from three Primary Care urban centres of a reference population of 43.647 inhabitants older than 14 years old. Methodology:Data will be obtained from the review of electronical medical records. Complexity will be defined by: 1) the independent clinical judgment of primary care physicians and nurses and 2) the aid of three complexity domains (clinical and social). Patients with advanced chronic disease and limited life prognosis will be also described. Conclusions:This research protocol intends to describe and analyse complex care needs from a primary care professional perspective in order to improve knowledge of complexity beyond multimorbidity and previous consumption of health resources. Knowing about health and social complexity with a more robust empirical basis could help for a better integration of social and health policies and a more proactive and differentiated care approach in this most vulnerable population.

journal_name

Int J Integr Care

authors

Iglesias FH,Celada CA,Navarro CB,Morales LP,Visus NA,Valverde CC,Dorado VM,Martínez Muñoz ML,Pueyo CB,Ramírez EL,Villaroel RM,Jordana NM,Bonet Simó JM,SABCOMP group.

doi

10.5334/ijic.3292

subject

Has Abstract

pub_date

2018-05-25 00:00:00

pages

16

issue

2

issn

1568-4156

journal_volume

18

pub_type

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