TY - JOUR KW - Adult KW - Case Management/organization & administration KW - Chronic Disease/therapy KW - Comorbidity KW - Continuity of Patient Care/organization & administration KW - Data Collection KW - Decision Support Techniques KW - Depressive Disorder/complications/diagnosis/therapy KW - Enteritis/complications/diagnosis/therapy KW - Europe KW - Female KW - Humans KW - Interviews as Topic/methods KW - Lupus Erythematosus, Systemic/complications KW - Medical History Taking/methods KW - Needs Assessment/organization & administration KW - Nursing Assessment/organization & administration KW - Nursing Process/organization & administration KW - Patient Care Team/organization & administration KW - Prognosis KW - Referral and Consultation/organization & administration KW - Risk Assessment KW - United States AU - C. H. Latour AU - F. J. Huyse AU - R. de Vos AU - W. A. Stalman A1 - AB - A growing number of nursing subspecializations have been developed in recent decades. Topics of concern are that care is not tailored to cope with the growing number of patients with more than one chronic disease, there is an increase in co-ordination problems in the care that is provided for this group of complex patients, and the care for these complex patients is extremely fragmented. The assessment of health risks resulting in co-ordinated care with effective communication is vital for multimorbid patients. Our aim is to describe a systematic approach (the INTERMED [IM] method) to identify complex patients who are in need of integrated care and its applicability to the nursing process. We demonstrate the ability of the IM method to quantify, weigh, and classify the complexity of problems. The method is applied in Europe and will be started in the USA in a pharmacy program. The IM is presented as a decision-support system for multidisciplinary teams with nurse co-ordinators. BT - Nursing & health sciences C5 - HIT & Telehealth CP - 2 CY - Australia DO - 10.1111/j.1442-2018.2007.00292.x IS - 2 JF - Nursing & health sciences N2 - A growing number of nursing subspecializations have been developed in recent decades. Topics of concern are that care is not tailored to cope with the growing number of patients with more than one chronic disease, there is an increase in co-ordination problems in the care that is provided for this group of complex patients, and the care for these complex patients is extremely fragmented. The assessment of health risks resulting in co-ordinated care with effective communication is vital for multimorbid patients. Our aim is to describe a systematic approach (the INTERMED [IM] method) to identify complex patients who are in need of integrated care and its applicability to the nursing process. We demonstrate the ability of the IM method to quantify, weigh, and classify the complexity of problems. The method is applied in Europe and will be started in the USA in a pharmacy program. The IM is presented as a decision-support system for multidisciplinary teams with nurse co-ordinators. PP - Australia PY - 2007 SN - 1441-0745; 1441-0745 SP - 150 EP - 157 EP - T1 - A method to provide integrated care for complex medically ill patients: the INTERMED T2 - Nursing & health sciences TI - A method to provide integrated care for complex medically ill patients: the INTERMED U1 - HIT & Telehealth U2 - 17470190 U3 - 10.1111/j.1442-2018.2007.00292.x VL - 9 VO - 1441-0745; 1441-0745 Y1 - 2007 ER -