Patient complexity: More than comorbidity. The vector model of complexity

Journal of General Internal Medicine

Volumn 22, Issue SUPPL. 3, 2007, Pages 382-390

  Safford, Monika M ^a,b   Allison, Jeroan J ^b   Kiefe, Catarina I ^a,b  

^a BIRMINGHAM VA MEDICAL CENTER   (United States)

^b UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

Author keywords

Evidence based care; Patient complexity; Vector Model of Complexity

Indexed keywords

BEHAVIOR; BIOLOGY; COMORBIDITY; CONCEPTUAL FRAMEWORK; CONFERENCE PAPER; CULTURAL FACTOR; DOCTOR PATIENT RELATION; ENVIRONMENTAL FACTOR; EVIDENCE BASED PRACTICE; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; PATIENT CARE; PRACTICE GUIDELINE; VECTOR MODEL OF COMPLEXITY;

CHRONIC DISEASE; COMORBIDITY; DELIVERY OF HEALTH CARE; HEALTH STATUS INDICATORS; HUMANS; OUTCOME ASSESSMENT (HEALTH CARE); PHYSICIAN-PATIENT RELATIONS; QUALITY OF HEALTH CARE; SELF CARE;

EID: 36349003144     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-007-0307-0     Document Type: Conference Paper

References (59)

1. Brown AF, Mangione CM, Saliba D, Sarkisian CA. California healthcare foundation/American geriatrics society panel on improving care for elders with diabetes. Guidelines for improving the care of the older person with diabetes mellitus. J Am Geriatr Soc. 2003;May 51(5 Suppl Guidelines):S265-80.
2. Durso SC. Using clinical guidelines designed for older adults with diabetes mellitus and complex health status. JAMA. 2006;295:1935-40. Apr 26.
3. Tinetti ME, Bogardus ST, Agostini JV. Potential pitfalls of disease-specific guidelines for patients with multiple conditions. N Engl J Med. 2004;351:2870-4.
4. Boyd CM, Darer J, Boult C, Fried LP, Boult L, Wu AW. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. JAMA. 2005;294:716-24. Aug 10.
5. Anderson G, Horvath J. Chronic conditions: Making the case for ongoing care. New Jersey, Robert Wood Johnson Foundation's Partnership for Solutions; 2002.
6. Tarlov AR. Public policy frameworks for improving population health. Ann N Y Acad Sci. 1999;896:281-93.
7. Lynch J, Smith GD. A life course approach to chronic disease epidemiology. Annu Rev Public Health. 2005;26:1-35.
8. Astin JA, Forys K. Psychosocial determinants of health and illness: integrating mind, body, and spirit. Adv Mind Body Med. 2004;20:14-21. Winter.
9. Mookadam F, Arthur HM. Social support and its relationship to morbidity and mortality after acute myocardial infarction: systematic overview. Arch Intern Med. 2004;164:1514-8. Jul 26.
10. Starfield B. Measurement of outcome: a proposed scheme. Milbank Mem Fund Q Health Soc. 1974;52:39-50. Winter.
11. Krieger N. The ostrich, the albatross, and public health: an ecosocial perspective-or why an explicit focus on health consequences of discrimination and deprivation is vital for good science and public health practice. Public Health Rep. 2001;116:419-23. Sep-Oct.
12. Mechanic D. Social psychologic factors affecting the presentation of bodily complaints. N Engl J Med. 1972;286:1132-7.
13. Kleinman AM, Eisenberg L, Good B. Culture, illness and care. Clinical lessons from anthropological and cross-cultural research. Ann Intern Med. 1978;88:251-8.
14. Starfield B, Wray C, Hess K, Gross R, Birk PS, D'Lugoff BC. The influence of patient-practitioner agreement on outcome of care. Am J Public Health. 1981;71:127-32.
15. Mechanic D. Health and illness behavior and patient-practitioner relationships. Soc Sci Med. 1992;12:1345-50.
16. Helman CG. Communication in primary care: the role of patient and practitioner explanatory models. Soc Sci Med. 1985;20:923-31.
17. Frank E, Kupfer DJ, Siegel LR. Alliance not compliance: a philosophy of outpatient care. J Clin Psychiatry. 1995;56(suppl):11-7.
18. Krousel-Wood M, Hyre A, Muntner P, Morisky D. Methods to improve medication adherence in patients with hypertension: current status and future directions. Curr Opin Cardiol. 2005;20:296-300.
19. Pena Dolhun E, Munoz C, Grumbach K. Cross-cultural education in US medical schools: development of an assessment tool. Acad Med. 2003;78:615-22.
20. ALLHAT Officers and Coordinators for the ALLHAT Collaborative Research Group. The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial. Major outcomes in moderately hypercholesterolemic, hypertensive patients randomized to pravastatin vs usual care: The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT-LLT). JAMA. 2002;288:2998-3007.
21. Savage PJ, Pressel SL, Curb JD, et al. Influence of long-term, low-dose, diuretic-based, antihypertensive therapy on glucose, lipid, uric acid, and potassium levels in older men and women with isolated systolic hypertension: The Systolic Hypertension in the Elderly Program. SHEP Cooperative Research Group. Arch Intern Med. 1998;158:741-51.
22. Costantini O, Huck K, Carlson MD, et al. Impact of a guideline-based disease management team on outcomes of hospitalized patients with congestive heart failure. Arch Intern Med. 2001;161:177-82
23. Pitt B, Zannad F, Remme WJ, et al. The effect of spironolactone on morbidity and mortality in patients with severe heart failure. Randomized Aldactone Evaluation Study Investigators. N Engl J Med. 1999;341:709-17.
24. UKPDS. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. UK Prospective Diabetes Study Group. BMJ. 1998;317:703-13.
25. Bauer MS, McBride L, Williford WO, et al. Cooperative Studies Program 430 Study Team. Collaborative care for bipolar disorder: Part II. Impact on clinical outcome, function, and costs. Psychiatr Serv. 2006;57(7):937-45.
26. Cokkinides V, Bandi P, Ward E, Jemal A, Thun M. Progress and opportunities in tobacco control. CA Cancer J Clin. 2006;56:135-42.
27. National Heart, Lung, and Blood Institute. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. Available at http://www.nhlbi.nih.gov/guidelines/obesity/ob_home.htm. Accessed August 16, 2006.
28. Wright JT Jr, Bakris G, Greene T, et al. African American study of kidney disease and hypertension study group. Effect of blood pressure lowering and antihypertensive drug class on progression of hypertensive kidney disease: results from the AASK trial. JAMA. 2002;288:2421-31.
29. Nguyen WT, Stewart C, Fisher K, et al. Maintenance asthma treatment with fluticasone/salmeterol combination via Diskus: effect on outcomes in inner-city children enrolled in TennCare. Allergy Asthma Proc. 2005;26:129-34.
30. Cloutier MM, Hall CB, Wakefield DB, Bailit H. Use of asthma guidelines by primary care providers to reduce hospitalizations and emergency department visits in poor, minority, urban children. J Pediatr. 2005;146:591-7.
31. Atkins MS, Frazier SL, Birman D, et al. School-based mental health services for children living in high poverty urban communities. Adm Policy Ment Health. 2006;33:146-59.
32. Albright CL, Pruitt L, Castro C, Gonzalez A, Woo S, King AC. Modifying physical activity in a multiethnic sample of low-income women: one-year results from the IMPACT (Increasing Motivation for Physical ACTivity) project. Ann Behav Med. 2005;30(3):191-200.
33. Emmons KM, Stoddard AM, Fletcher R, et al. Cancer prevention among working class, multiethnic adults: results of the healthy directions-health centers study. Am J Public Health. 2005;95:1200-5.
34. Wagner EH, Austin BT, Von Korff M. Organizing care for patients with chronic illness. Milbank Mem Fund Q. 1996;74:511-44.
35. Willenbring ML, Olson DH. A randomized trial of integrated outpatient treatment for medically ill alcoholic men. Arch Int Med. 1999;159(16):1946-52.
36. Samet JH, Friedmann P, Saitz R. Benefits of linking primary medical care and substance abuse services. Arch Intern Med. 2001;161:85-91.
37. Kertesz SG, Posner MA, O'Connell JJ, et al. Post-Hospital Medical Respite Care and Readmission of Homeless Persons. J Prev Interv Comm. 2007, in press.
38. Clancy DE, Brown SB, Magruder DM, Huang P. Group visits in medically and economically disadvantaged patients with type 2 diabetes and their relationships to clinical outcomes. Top Health Inf Manage 2003;24:8-14.
39. CDC Diabetes Cost-effectiveness Group. Cost-effectiveness of intensive glycemic control, intensified hypertension control, and serum cholesterol level reduction for type 2 diabetes. JAMA. 2002;287(19):2542-51.
40. Agency for Healthcare Research and Quality. National Guideline Clearinghouse. Available at http://www.guideline.gov/resources/glossary.aspx. Accessed August 16, 2006.
41. Lopez-Sendon J, Swedberg K, McMurray J, et al. Expert consensus document on beta-adrenergic receptor blockers. Eur Heart J. 2004;25(15):1341-62. Aug.
42. National Health Care for the Homeless Council. Practice adaptations. Available at http://www.nhchc.org/practiceadaptations.html. Accessed November 10, 2006.
43. Montauk SL. The homeless in America: adapting your practice. Am Fam Physician. 2006;74:1132-8.
44. Russell LR, Suh DC, Safford M. Time requirements for diabetes self-management: too much for many? J Fam Pract. 2005;54:52-6.
45. US Department of Labor Bureau of Labor Statistics. Career Guide to Industries: Truck Transportation and Warehousing. Available at http://www.bls.gov/oco/cg/cgs021.htm#conditions. Accessed November 10, 2006.
46. Safford MM, Russell LB, Suh DC, Roman S, Pogach L. How much time do patients with diabetes spend on self-care? J Am Board Fam Pract. 2005;18:262-70.
47. Kiefe CI, Funkhouser E, Fouad MN, May DS. Chronic disease as a barrier to breast and cervical cancer screening. J Gen Intern Med. 1998;13:357-65.
48. Scales CD Jr, Curtis LH, Norris RD, Schulman KA, Albala DM, Moul JW. Prostate specific antigen testing in men older than 75 yeears in the US. J Urol. 2006;176:511-4.
49. Merz CN, Buse JB, Tuncer D, Twillman GB. Physician attitudes and practices and patient awareness of the cardiovascular complications of diabetes. J Am Coll Cardiol. 2002;40:1877-81.
50. Rao SV, Schulman KA, Curtis LH, Bersh BJ, Jollis JG. Socioeconomic status and outcome following acute myocardial infarciton in elderly patients. Arch Intern Med. 2004;164:1128-33.
51. Schulman KA, Berlin JA, Harless W, et al. The effect of race and sex on physicians' recommendations for cardiac catheterization. N Engl J Med. 1999;340:618-26.
52. Lerman CE, Brody DS, Caputo GC, et al. Patients' perceived involvement in care scale: relationship to attitudes about illness and medical care. J Gen Intern Med. 1990;5:29-33.
53. Glasgow RE, Wagner EH, Schaefer J, Mahoney LD, Reid RJ, Greene SM. Development and validation of the patient assessment of chronic illness care (PACIC). Med Care. 2005;43:436-44.
54. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373-83.
55. Johns Hopkins Bloomberg School of Public Health. The Johns Hopkins University ACG Case-Mix System. Available at http://www.acg.jhsph.edu. Accessed August 16, 2006.
56. Elixhauser A, Steiner C, Harris DR, Coffey RM. Comorbidity measures for use with administrative data. Med Care. 1998;36:8-27.
57. Clark DO, Von Korff M, Saunders K, Baluch WM, Simon GE. A chronic disease score with empirically derived weights. Med Care. 1995;33:783-95.
58. Kiefe CI, Weissman NW, Allison JJ, Farmer R, Weaver M, Williams OD. Identifying achievable benchmarks of care: concepts and methodology. Int J Qual Health Care. 1998;10:443-7.
59. Canto JG, Kiefe CI. Door-to-needle time in myocardial infarction: is there an ideal benchmark? Am Heart J. 2005;150:365-7.