Literature DB >> 28054430

The complex patient: A concept clarification.

Eli Manning1, Marilou Gagnon2.   

Abstract

Over the last decade, the concept of the "complex patient" has not only been more widely used in multidisciplinary healthcare teams and across various healthcare disciplines, but it has also become more vacuous in meaning. The uptake of the concept of the "complex patient" spans across disciplines, such as medicine, nursing, and social work, with no consistent definition. We review the chronological evolution of this concept and its surrogate terms, namely "comorbidity," "multimorbidity," "polypathology," "dual diagnosis," and "multiple chronic conditions." Drawing on key principles of concept clarification, we highlight disciplinary usage in the literature published between 2005 and 2015 in health sciences, attending to overlaps and revealing nuances of the complex patient concept. Finally, we discuss the implications of this concept for practice, research, and theory.
© 2017 John Wiley & Sons Australia, Ltd.

Entities:  

Keywords:  comorbidity; complex patient; complexity; concept clarification; multidisciplinary health care

Mesh:

Year:  2017        PMID: 28054430     DOI: 10.1111/nhs.12320

Source DB:  PubMed          Journal:  Nurs Health Sci        ISSN: 1441-0745            Impact factor:   1.857


  12 in total

1.  Understanding Barriers to and Facilitators of Case Management in Primary Care: A Systematic Review and Thematic Synthesis.

Authors:  Matthew Hacker Teper; Isabelle Vedel; Xin Qiang Yang; Eva Margo-Dermer; Catherine Hudon
Journal:  Ann Fam Med       Date:  2020-07       Impact factor: 5.166

2.  Long-Term Care for Tracheotomised Patients With or Without Invasive Ventilation. Lessons Learned from a Scoping Review of International Concepts.

Authors:  Susanne Stark; Michael Ewers
Journal:  Int J Integr Care       Date:  2020-07-17       Impact factor: 5.120

3.  Assessing Complexity Among Patients With Tuberculosis in California, 1993-2016.

Authors:  Alon Vaisman; Pennan Barry; Jennifer Flood
Journal:  Open Forum Infect Dis       Date:  2020-07-04       Impact factor: 3.835

4.  The mismeasurement of complexity: provider narratives of patients with complex needs in primary care settings.

Authors:  Fiona Webster; Kathleen Rice; Onil Bhattacharyya; Joel Katz; Eric Oosenbrug; Ross Upshur
Journal:  Int J Equity Health       Date:  2019-07-04

Review 5.  The Importance of Taking a Patient-Centered, Community-Based Approach to Preventing and Managing Frailty: A Public Health Perspective.

Authors:  Kadjo Yves Cedric Adja; Jacopo Lenzi; Duygu Sezgin; Rónán O'Caoimh; Mara Morini; Gianfranco Damiani; Alessandra Buja; Maria Pia Fantini
Journal:  Front Public Health       Date:  2020-11-12

6.  Clustering Complex Chronic Patients: A Cross-Sectional Community Study From the General Practitioner's Perspective.

Authors:  Francisco Hernansanz Iglesias; Joan Carles Martori Cañas; Esther Limón Ramírez; Clara Alavedra Celada; Carles Blay Pueyo
Journal:  Int J Integr Care       Date:  2021-04-19       Impact factor: 5.120

7.  How do healthcare providers construe patient complexity? A qualitative study of multimorbidity in HIV outpatient clinical practice.

Authors:  Shiko Ben-Menahem; Anastassja Sialm; Anna Hachfeld; Andri Rauch; Georg von Krogh; Hansjakob Furrer
Journal:  BMJ Open       Date:  2021-11-22       Impact factor: 2.692

8.  Engagement, Passion and Meaning of Work as Modulating Variables in Nursing: A Theoretical Analysis.

Authors:  Juan Gómez-Salgado; Yolanda Navarro-Abal; María José López-López; Macarena Romero-Martín; José Antonio Climent-Rodríguez
Journal:  Int J Environ Res Public Health       Date:  2019-01-03       Impact factor: 3.390

9.  Complexity as a factor for task allocation among general practitioners and nurse practitioners: a narrative review.

Authors:  Robyn Cody; Stefan Gysin; Christoph Merlo; Armin Gemperli; Stefan Essig
Journal:  BMC Fam Pract       Date:  2020-02-17       Impact factor: 2.497

10.  Case management programs for people with complex needs: Towards better engagement of community pharmacies and community-based organisations.

Authors:  Maud-Christine Chouinard; Mathieu Bisson; Alya Danish; Marlène Karam; Jérémie Beaudin; Nevena Grgurevic; Véronique Sabourin; Catherine Hudon
Journal:  PLoS One       Date:  2021-12-08       Impact factor: 3.240

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