A Systematic Review of Conceptual Frameworks of Medical Complexity and New Model Development

Journal of General Internal Medicine

Volumn 31, Issue 3, 2016, Pages 329-337

  Zullig, Leah L ^a,b   Whitson, Heather E ^a,b,c   Hastings, Susan N ^a,c   Beadles, Chris ^a,d   Kravchenko, Julia ^a,b   Akushevich, Igor ^a,e   Maciejewski, Matthew L ^a,b  

^a DURHAM VA MEDICAL CENTER   (United States)

^b DUKE UNIVERSITY MEDICAL CENTER   (United States)

^c DUKE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d RTI INTERNATIONAL   (United States)

^e Social Science Research Institute   (United States)

Author keywords

complexity; multimorbidity; multiple chronic conditions; patient goal; patients; resilience

Indexed keywords

ADVERSE OUTCOME; ARTICLE; CHRONIC DISEASE; COMORBIDITY; CONCEPTUAL FRAMEWORK; COPING BEHAVIOR; GENERAL ASPECTS OF DISEASE; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE UTILIZATION; HEALTH STATUS; HUMAN; MULTIPLE CHRONIC CONDITION; PATIENT CARE; PATIENT COMPLEXITY; PATIENT PREFERENCE; PATIENT RISK; QUALITY OF LIFE; SYSTEMATIC REVIEW; WORK CAPACITY; WORKLOAD; HEALTH CARE DELIVERY; PROCEDURES; THEORETICAL MODEL;

HEALTH SERVICES ACCESSIBILITY; HUMANS; MODELS, THEORETICAL; PATIENT CARE; PATIENT PREFERENCE;

EID: 84944704292     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-015-3512-2     Document Type: Article

References (46)

1. 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(6):716–724.
2. Tinetti ME, Fried TR, Boyd CM. Designing Health Care for the Most Common Chronic Condition--Multimorbidity. JAMA. 2012;307(23):2493–2494.
3. Brown R, Peikes D, Chen A, Schore J. 15-site randomized trial of coordinated care in Medicare FFS. Health Care Financing Review. 2008;30(1):5–25. Fall.
4. Brown RS, Peikes D, Peterson G, Schore J, Razafindrakoto CM. Six features of Medicare coordinated care demonstration programs that cut hospital admissions of high-risk patients. Health Affairs (Project Hope). 2012;31(6):1156–1166. Jun.
5. Hirth V, Baskins J, Dever-Bumba M. Program of all-inclusive care (PACE): past, present, and future. Journal of the American Medical Directors Association. 2009;10(3):155–160. Mar.
6. Tinetti ME, Bogardus ST Jr, Agostini JV. Potential pitfalls of disease-specific guidelines for patients with multiple conditions. New Engl J Med. 2004;351(27):2870–2874.
7. U.S. Department of Health and Human Services. Multiple chronic conditions-A strategic framework: Optimum health and quality of life for individuals with multiple chronic conditions. Available from: http://www.hhs.gov/ash/initiatives/mcc/index.html Accessed February 17, 2015.
8. Tinetti ME, Basu J. Research on multiple chronic conditions: where we are and where we need to go. Medical Care. 2014;52(Suppl 3):S3–6. Mar.
9. Grant RW, Ashburner JM, Hong CS, Chang Y, Barry MJ, Atlas SJ. Defining patient complexity from the primary care physician’s perspective: a cohort study. Ann Intern Med. 2011;155(12):797–804.
10. Safford MM, Allison JJ, Kiefe CI. Patient complexity: more than comorbidity. the vector model of complexity. J Gen Intern Med. Dec 2007;22 Suppl 3:382-390.
11. Murayama H, Fujiwara Y, Kawachi I. Social capital and health: a review of prospective multilevel studies. J Epidemiol. 2012;22(3):179–187.
12. Grembowski D, Schaefer J, Johnson KE, et al. A conceptual model of the role of complexity in the care of patients with multiple chronic conditions. Medical Care. 2014;52(Suppl 3):S7–S14. Mar.
13. Piette JD, Kerr EA. The impact of comorbid chronic conditions on diabetes care. Diabetes Care. 2006;29(3):725–731. Mar.
14. Capobianco E, Lio P. Comorbidity: a multidimensional approach. Trends Mol Med. 2013;19(9):515–521. Sep.
15. Holzhausen M, Fuchs J, Busch M, et al. Operationalizing multimorbidity and autonomy for health services research in aging populations--the OMAHA study. BMC Health Serv Res. 2011;11:47.
16. Shippee ND, Shah ND, May CR, Mair FS, Montori VM. Cumulative complexity: a functional, patient-centered model of patient complexity can improve research and practice. J Clin Epidemiol. 2012;65(10):1041–1051. Oct.
17. Giovannetti ER, Dy S, Leff B, et al. Performance measurement for people with multiple chronic conditions: conceptual model. Am J Manag Care. 2013;19(10):e359–366.
18. Noel PH, Frueh BC, Larme AC, Pugh JA. Collaborative care needs and preferences of primary care patients with multimorbidity. Health Expectations. 2005;8(1):54–63. Mar.
19. Fried TR, Tinetti ME, Iannone L. Primary care clinicians’ experiences with treatment decision making for older persons with multiple conditions. Arch Intern Med. 2011;171(1):75–80.
20. Fried TR, Tinetti ME, Iannone L, O’Leary JR, Towle V, Van Ness PH. Health outcome prioritization as a tool for decision making among older persons with multiple chronic conditions. Arch Intern Med. 2011;171(20):1854–1856.
21. Schyve PM. Language differences as a barrier to quality and safety in health care: the Joint Commission perspective. J Gen Intern Med. 2007;22(Suppl 2):360–361. Nov.
22. Yang Z, Norton EC, Stearns SC. Longevity and health care expenditures: the real reasons older people spend more. J Gerontol B Psychol Sci Soc Sci. 2003;58(1):S2–10. Jan.
23. Schafer I, Hansen H, Schon G, et al. The influence of age, gender and socio-economic status on multimorbidity patterns in primary care. First results from the multicare cohort study. BMC Health Serv Res. 2012;12:89.
24. Lunney JR, Lynn J, Foley DJ, Lipson S, Guralnik JM. Patterns of functional decline at the end of life. JAMA. 2003;289(18):2387–2392.
25. Ferrante LE, Pisani MA, Murphy TE, Gahbauer EA, Leo-Summers LS, Gill TM. Functional Trajectories Among Older Persons Before and After Critical Illness. JAMA Intern Med. 2015;175(4):523–529.
26. Zhang B, Mitchell SL, Bambauer KZ, Jones R, Prigerson HG. Depressive symptom trajectories and associated risks among bereaved Alzheimer disease caregivers. Am J Geriatr Psychiatr. 2008;16(2):145–155. Feb.
27. Choi H, Schoeni RF, Langa KM, Heisler MM. Older Adults’ Residential Proximity to Their Children: Changes After Cardiovascular Events. The journals of gerontology. Jun 18 2014.
28. Resnick B, Galik E, Dorsey S, Scheve A, Gutkin S. Reliability and validity testing of the physical resilience measure. The Gerontologist. 2011;51(5):643–652. Oct.
29. De Alfieri W, Borgogni T. Through the looking glass and what frailty found there: looking for resilience in older adults. J Am Geriatr Soc. 2010;58(3):602–603. Mar.
30. Hardy SE, Concato J, Gill TM. Resilience of community-dwelling older persons. J Am Geriatr Soc. 2004;52(2):257–262. Feb.
31. Levine M, Crimmins E. Not all smokers die young: a model for hidden heterogeneity within the human population. PloS One. 2014;9(2):e87403.
32. Whitson HE, Pieper CF, Cohen HJ. New light on an age-old issue. Mech Ageing Dev. 2008;129(11):673–674. Nov.
33. Walter-Ginzburg A, Shmotkin D, Blumstein T, Shorek A. A gender-based dynamic multidimensional longitudinal analysis of resilience and mortality in the old-old in Israel: the cross-sectional and longitudinal aging study (CALAS). Soc Sci Med. 2005;60(8):1705–1715.
34. Jacoby SF, Ackerson TH, Richmond TS. Outcome from serious injury in older adults. Journal of Nursing Scholarship. 2006;38(2):133–140.
35. Earvolino-Ramirez M. Resilience: a concept analysis. Nursing Forum. 2007;42(2):73–82. Apr-Jun.
36. Simpson GK, Dall’Armi L, Roydhouse JK, et al. Does Resilience Mediate Carer Distress After Head and Neck Cancer? Cancer Nursing. Feb 27 2015.
37. Morris RL, Sanders C, Kennedy AP, Rogers A. Shifting priorities in multimorbidity: a longitudinal qualitative study of patient’s prioritization of multiple conditions. Chronic Illness. 2011;7(2):147–161. Jun.
38. McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15(4):351–377. Winter.
39. Min L, Wenger N, Walling AM, et al. When comorbidity, aging, and complexity of primary care meet: development and validation of the Geriatric CompleXity of Care Index. J Am Geriatr Soc. 2013;61(4):542–550. Apr.
40. Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Effective Clinical Practice. 1998;1(1):2–4. Aug-Sep.
41. Wagner EH, Austin BT, Von Korff M. Organizing care for patients with chronic illness. Milbank Q. 1996;74(4):511–544.
42. Gruenewald TL, Seeman TE, Karlamangla AS, Sarkisian CA. Allostatic load and frailty in older adults. J Am Geriatr Soc. 2009;57(9):1525–1531. Sep.
43. Stewart JA. The detrimental effects of allostasis: allostatic load as a measure of cumulative stress. J Physiol Anthropol. 2006;25(1):133–145. Jan.
44. Hwang W, Weller W, Ireys H, Anderson G. Out-of-pocket medical spending for care of chronic conditions. Health Affairs (Project Hope). 2001;20(6):267–278. Nov-Dec.
45. Wolff JL, Starfield B, Anderson G. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch Intern Med. 2002;162(20):2269–2276.
46. Tavernise S. Health Care Systems Try to Cut Costs by Aiding the Poor and Troubled. New York Times. 2015;22:2015. March.