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A scoping review and thematic classification of patient complexity: offering a unifying framework
The path to improving healthcare quality for individuals with complex health conditions is complicated by a lack of common understanding of complexity. Modern medicine, together with social and environmental factors, has extended life, leading to a growing population of patients with chronic conditi...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Swiss Medical Press GmbH
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556402/ https://www.ncbi.nlm.nih.gov/pubmed/29090137 |
_version_ | 1783257058168012800 |
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author | Schaink, Alexis K. Kuluski, Kerry Lyons, Renée F. Fortin, Martin Jadad, Alejandro R. Upshur, Ross Wodchis, Walter P. |
author_facet | Schaink, Alexis K. Kuluski, Kerry Lyons, Renée F. Fortin, Martin Jadad, Alejandro R. Upshur, Ross Wodchis, Walter P. |
author_sort | Schaink, Alexis K. |
collection | PubMed |
description | The path to improving healthcare quality for individuals with complex health conditions is complicated by a lack of common understanding of complexity. Modern medicine, together with social and environmental factors, has extended life, leading to a growing population of patients with chronic conditions. In many cases, there are social and psychological factors that impact treatment, health outcomes, and quality of life. This is the face of complexity. Care challenges, burden, and cost have positioned complexity as an important health issue. Complex chronic conditions are now being discussed by clinicians, researchers, and policy-makers around such issues as quantification, payment schemes, transitions, management models, clinical practice, and improved patient experience. We conducted a scoping review of the literature for definitions and descriptions of complexity. We provide an overview of complex chronic conditions, and what is known about complexity, and describe variations in how it is understood. We developed a Complexity Framework from these findings to guide our approach to understanding patient complexity. It is critical to use common vernacular and conceptualization of complexity to improve service and outcomes for patients with complex chronic conditions. Many questions still persist about how to develop this work with a health and social care lens; our framework offers a foundation to structure thinking about complex patients. Further insight into patient complexity can inform treatment models and goals of care, and identify required services and barriers to the management of complexity. Journal of Comorbidity 2012;2:1–9 |
format | Online Article Text |
id | pubmed-5556402 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Swiss Medical Press GmbH |
record_format | MEDLINE/PubMed |
spelling | pubmed-55564022017-10-31 A scoping review and thematic classification of patient complexity: offering a unifying framework Schaink, Alexis K. Kuluski, Kerry Lyons, Renée F. Fortin, Martin Jadad, Alejandro R. Upshur, Ross Wodchis, Walter P. J Comorb Review The path to improving healthcare quality for individuals with complex health conditions is complicated by a lack of common understanding of complexity. Modern medicine, together with social and environmental factors, has extended life, leading to a growing population of patients with chronic conditions. In many cases, there are social and psychological factors that impact treatment, health outcomes, and quality of life. This is the face of complexity. Care challenges, burden, and cost have positioned complexity as an important health issue. Complex chronic conditions are now being discussed by clinicians, researchers, and policy-makers around such issues as quantification, payment schemes, transitions, management models, clinical practice, and improved patient experience. We conducted a scoping review of the literature for definitions and descriptions of complexity. We provide an overview of complex chronic conditions, and what is known about complexity, and describe variations in how it is understood. We developed a Complexity Framework from these findings to guide our approach to understanding patient complexity. It is critical to use common vernacular and conceptualization of complexity to improve service and outcomes for patients with complex chronic conditions. Many questions still persist about how to develop this work with a health and social care lens; our framework offers a foundation to structure thinking about complex patients. Further insight into patient complexity can inform treatment models and goals of care, and identify required services and barriers to the management of complexity. Journal of Comorbidity 2012;2:1–9 Swiss Medical Press GmbH 2012-10-10 /pmc/articles/PMC5556402/ /pubmed/29090137 Text en Copyright: © 2012 The Authors http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the Creative Commons Attribution-NonCommercial License, which permits all noncommercial use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Review Schaink, Alexis K. Kuluski, Kerry Lyons, Renée F. Fortin, Martin Jadad, Alejandro R. Upshur, Ross Wodchis, Walter P. A scoping review and thematic classification of patient complexity: offering a unifying framework |
title | A scoping review and thematic classification of patient complexity: offering a unifying framework |
title_full | A scoping review and thematic classification of patient complexity: offering a unifying framework |
title_fullStr | A scoping review and thematic classification of patient complexity: offering a unifying framework |
title_full_unstemmed | A scoping review and thematic classification of patient complexity: offering a unifying framework |
title_short | A scoping review and thematic classification of patient complexity: offering a unifying framework |
title_sort | scoping review and thematic classification of patient complexity: offering a unifying framework |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556402/ https://www.ncbi.nlm.nih.gov/pubmed/29090137 |
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