| Autor: |
Xavier, Busquet-Duran, Eva Maria, Jiménez-Zafra, Josep Maria, Manresa-Domínguez, Magda, Tura-Poma, Olga, Bosch-delaRosa, Anna, Moragas-Roca, Maria Concepción, Galera Padilla, Susana, Martin Moreno, Emilio, Martínez-Losada, Silvia, Crespo-Ramírez, Ana Isabel, López-Garcia, Pere, Torán-Monserrat |
| Rok vydání: |
2019 |
| Předmět: |
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| Zdroj: |
Journal of Multidisciplinary Healthcare |
| ISSN: |
1178-2390 |
| Popis: |
Background Complexity has become a core issue in caring for patients with advanced disease and/or at the end-of-life. The Hexagon of Complexity (HexCom) is a complexity assessment model in the process of validation in health-care settings. Our objective is to use the instrument to describe differences in complexity across disease groups in specific home care for advanced disease and/or at the end-of-life patients, both in general and as relates to each domain and subdomain. Methods Cross-sectional study of home care was conducted in Catalonia. The instrument includes 6 domains of needs (clinical, psychological/emotional, social/family, spiritual, ethical, and death-related), 4 domains of resources (intrapersonal, interpersonal, transpersonal, and practical), and 3 levels of complexity (High (H), Moderate (M), and Low (L)). Interdisciplinary home care teams assessed and agreed on the level of complexity for each patient. Results Forty-three teams participated (74.1% of those invited). A total of 832 patients were assessed, 61.4% of which were cancer patients. Moderate complexity was observed in 385 (47.0%) cases and high complexity in 347 (42.4%). The median complexity score was 51 for cancer patients and 23 for patients with dementia (p |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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