TY - JOUR
KW - Cardiovascular Diseases/psychology/therapy
KW - Comorbidity
KW - Decision Support Systems, Clinical
KW - Delivery of Health Care, Integrated
KW - Depression/therapy
KW - Diagnosis-Related Groups
KW - Humans
KW - Insurance, Psychiatric
KW - Metabolic Syndrome X/psychology/therapy
KW - Risk Assessment
KW - Social Behavior Disorders/complications/therapy
KW - Somatoform Disorders/complications/therapy
AU - P. de Jonge
AU - F. J. Huyse
AU - F. C. Stiefel
A1 - 
AB - The authors have argued that complexity in general health care is increasingly prevalent because of the increase in patients who have multimorbid conditions, and the increased professional and technical possibilities of medicine. In the increasingly complex care systems, it is necessary-specifically when treating patients in need of integrated care by several providers-that an optimal match between case and care complexity be found in order to prevent poor outcomes in this vulnerable group. The authors discussed several approaches to case complexity that can be identified in the literature. Most of them seem unsuitable for adjusting case and care complexity, and inadequate for designing multidisciplinary care. Theoretic approaches to case complexity may be of interest, but did not result in clinically meaningful information. The INTERMED, which can be considered the first empirically based instrument to link case and care complexity, is an attempt to improve care delivery and outcomes for the complex medically ill.
BT - The Medical clinics of North America
C5 - Medically Unexplained Symptoms
CP - 4
CY - United States
DO - 10.1016/j.mcna.2006.04.005
IS - 4
JF - The Medical clinics of North America
N2 - The authors have argued that complexity in general health care is increasingly prevalent because of the increase in patients who have multimorbid conditions, and the increased professional and technical possibilities of medicine. In the increasingly complex care systems, it is necessary-specifically when treating patients in need of integrated care by several providers-that an optimal match between case and care complexity be found in order to prevent poor outcomes in this vulnerable group. The authors discussed several approaches to case complexity that can be identified in the literature. Most of them seem unsuitable for adjusting case and care complexity, and inadequate for designing multidisciplinary care. Theoretic approaches to case complexity may be of interest, but did not result in clinically meaningful information. The INTERMED, which can be considered the first empirically based instrument to link case and care complexity, is an attempt to improve care delivery and outcomes for the complex medically ill.
PP - United States
PY - 2006
SN - 0025-7125; 0025-7125
SP - 679
EP - 692
EP - 
T1 - Case and care complexity in the medically ill
T2 - The Medical clinics of North America
TI - Case and care complexity in the medically ill
U1 - Medically Unexplained Symptoms
U2 - 16843768
U3 - 10.1016/j.mcna.2006.04.005
VL - 90
VO - 0025-7125; 0025-7125
Y1 - 2006
ER -