The Complexity Signature: Developing a Tool to Communicate Biopsychosocial Severity of Disease for Children with Chronic Neurological Complexity
| Autor: | Nico Sollmann, Sandro M. Krieg, Lucia Gerstl, Sebastian Sonanini, Axel Focke, Florian Heinen |
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| Rok vydání: | 2016 |
| Předmět: |
Biopsychosocial model
medicine.medical_specialty Multiple Sclerosis Health Status Disease Social Environment Severity of Illness Index Health Services Accessibility Correlation Diagnostic Self Evaluation 03 medical and health sciences Cognition 0302 clinical medicine Disease severity medicine Humans 030212 general & internal medicine Child Behavior Interdisciplinary treatment Epilepsy business.industry Cerebral Palsy 030503 health policy & services Headache Neuromuscular Diseases General Medicine Clinical routine Clinical Practice Pediatrics Perinatology and Child Health Physical therapy Neurology (clinical) Nervous System Diseases Board certification 0305 other medical science business |
| Zdroj: | Neuropediatrics. 47:238-244 |
| ISSN: | 1439-1899 0174-304X |
| DOI: | 10.1055/s-0036-1584195 |
| Popis: | Aim For children with medical complexity, interdisciplinary treatment approaches are required to address the various aspects defined within the biopsychosocial model. Methods The present study identifies dimensions of the biopsychosocial model to generate a standardized visualized severity score for chronic neurological diseases in children. We demonstrate the score's applicability and usefulness in clinical practice among clinicians with and without pediatric board certification with the aid of illustrative patient cases. The results are compared by Spearman correlation coefficient. Results Nine dimensions were identified as the basis for the development of the score, which consists of five grades of severity for each of the selected neuropediatric subsections. All board-certified pediatricians would recommend the application of the severity score in clinical routine. Furthermore, a good correlation was revealed between direct and indirect (severity score) assessment. Interpretation The severity score developed in this study takes into account biopsychosocial aspects of chronic diseases while being comprehensible and easily applicable in clinical routine—a biopsychosocial signature serving as an excellent, striking communication basis within the interdisciplinary team. However, upcoming studies including more patient cases are needed for further refinement. |
| Databáze: | OpenAIRE |
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