A scoping Review of tools used to assess patient Complexity in rheumatic disease.

Objective: Patients with rheumatic diseases often have multiple comorbidities which may impact well‐being leading to high psychosocial complexity. This scoping review was undertaken to identify complexity measures/tools used in rheumatology that could help in planning and coordinating care. Methods:...

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Publicado en:Health Expectations Vol. 24; no. 2; pp. 556 - 566
Autores principales: Hawker, Kara, Barnabe, Cheryl, Barber, Claire E.H.
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell Apr2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2021
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/hex.13200
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        atl: A scoping Review of tools used to assess patient Complexity in rheumatic disease.
      aug:
        au:
          Hawker, Kara
          Barnabe, Cheryl
          Barber, Claire E.H.
        affil: Cumming School of Medicine, University of Calgary, Calgary AB,, Canada
      sug:
        subj:
          Rheumatic Diseases Psychosocial Factors
          Needs Assessment
          Patient Assessment
          Clinical Assessment Tools
          Communication
          Interprofessional Relations
          Multidisciplinary Care Team
          Outcomes (Health Care)
          Quality Improvement
          Human
          Scoping Review
          Medline
          Embase
          CINAHL Database
          Arthritis, Rheumatoid
          Lupus Erythematosus, Systemic
          Checklists
          Descriptive Statistics
      ab: Objective: Patients with rheumatic diseases often have multiple comorbidities which may impact well‐being leading to high psychosocial complexity. This scoping review was undertaken to identify complexity measures/tools used in rheumatology that could help in planning and coordinating care. Methods: MEDLINE, EMBASE and CINAHL were searched from database inception to 14 December 2019 using keywords and Medical Subject Headings for "care coordination", "complexity" and selected rheumatic diseases and known complexity measures/tools. Articles describing the development or use of complexity measures/tools in patients with adult rheumatologic diagnoses were included regardless of study design. Included articles were evaluated for risk of bias where applicable. Results: The search yielded 407 articles, 37 underwent full‐text review and 2 were identified during a hand search with 9 included articles. Only 2 complexity tools used in populations of adult patients with rheumatic disease were identified: the SLENQ and the INTERMED. The SLENQ is a 97‐item patient needs questionnaire developed for patients with systemic lupus (n = 1 study describing tool development) and applied in 5 cross‐sectional studies. Three studies (a practice article, trial and a cross‐sectional study) applied the INTERMED, a clinical interview to ascertain complexity and support coordinated care, in patients with rheumatologic diagnoses. Conclusions: There is limited information on the use of patient complexity measures/tools in rheumatology. Such tools could be applied to coordinate multidisciplinary care and improve patient experience and outcomes. Patient contribution: This scoping review will be presented to patient research partners involved in co‐designing a future study on patient complexity in rheumatic disease.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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