De la enfermedad crónica al paciente en situación de cronicidad

Jiménez, Miguel Melguizo

doi:10.1016/j.aprim.2010.10.001

Cited by 7 publications

(2 citation statements)

References 1 publication

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“…The adequacy of health services to the new chronicity reality is an important change that will require both proper strategic management from managing institutions, and professional involvement on the part of clinicians [17].…”

Section: Introductionmentioning

confidence: 99%

Concordance between the Clinical Definition of Polypathological Patient versus Automated Detection by Means of Combined Identification through ICD-9-CM Codes

Gómez‐Salgado

Bernabéu-Wittel

Aguilera-González

et al. 2019

JCM

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It is unknown whether the digital application of automated ICD-9-CM codes recorded in the medical history are useful for a first screening in the detection of polypathological patients. In this study, the objective was to identify the degree of intra- and inter-observer concordance in the identification of in-patient polypathological patients between the standard clinical identification method and a new automatic method, using the basic minimum data set of ICD-9-CM codes in the digital medical history. For this, a cross-sectional multicenter study with 1518 administratively discharged patients from Andalusian hospitals during the period of 2013–2014 has been carried out. For the concordance between the clinical definition of a polypathological patient and the polypathological patient classification according to ICD-9-CM coding, a 0.661 kappa was obtained (95% confidence interval (CI); 0.622–0.701) with p < 0.0001. The intraclass correlation coefficient between both methods for the number of polypathological patient categories was 0.745 (95% CI; 0.721–0.768; p < 0.0001). The values of sensitivity, specificity, positive-, and negative predictive values of the automated detection using ICD-9-CM coding were 78%, 88%, 78%, and 88%, respectively. As conclusion, the automatic identification of polypathological patients by detecting ICD-9-CM codes is useful as a screening method for in-hospital patients.

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Section: Introductionmentioning

confidence: 99%

Concordance between the Clinical Definition of Polypathological Patient versus Automated Detection by Means of Combined Identification through ICD-9-CM Codes

Gómez‐Salgado

Bernabéu-Wittel

Aguilera-González

et al. 2019

JCM

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“…The advent of new roles, such as the case management nurse, improvements in the care, attention to certain processes, and changes in the location of certain services (such as mobile physiotherapy and rehabilitation) are key to services that are adapted to the needs of the chronic patient [1]. The solution to the problem of chronicity must be offered from an integral viewpoint, with preventative interventions and coordination between the various implicated sectors, using shared guides and protocols, in addition to the participation of patients and their caregivers and/or families [1,39].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Effectiveness of a Nursing/Physiotherapy Program in Chronic Patients

López-Liria

Vega-Ramírez

Aguilar-Parra

et al. 2019

IJERPH

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This study aimed to evaluate the functional impact of a shared intervention model by the mobile physiotherapy and rehabilitation team (MPRT) and primary care case management nurses (PCCMNs) on chronic patients. This was a prospective, observational study involving 1086 patients (mean age, 80 years; 63.7% females) in the province of Almeria, which was conducted between 2004 and 2018. Most of the registered diseases included cerebrovascular and neurological diseases (56.7%), osteoarticular diseases (45.3%), diabetes mellitus (25.7%), cardiovascular diseases (25.5%), and chronic respiratory diseases. The study included a home care intervention by the MPRT and PCCMNs and included the following main outcome measures: age, sex, main caregiver, disabling process (ICD-9), type and number of inclusion categories for chronic disease, initial and final Barthel index (BI), treatment or intervention on the patient (techniques), objectives, and number of sessions. The main techniques used were kinesiotherapy (44.6%) and caregiver training (23%), along with technical aid. An equation predicting the patients’ final BI, according to the initial BI, was constructed using multiple linear regression modelling. A marked improvement in functional capacity was found after an average of 10 physiotherapy sessions. A lower patient age was correlated with a higher functional capacity, both initial and final BI, as well as a greater number of sessions.

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Atención a la cronicidad: desafío estratégico, macrogestión y políticas de salud

Gómez-Picard¹,

Fuster-Culebras²

2014

Enfermería Clínica

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De la enfermedad crónica al paciente en situación de cronicidad

Cited by 7 publications

References 1 publication

Concordance between the Clinical Definition of Polypathological Patient versus Automated Detection by Means of Combined Identification through ICD-9-CM Codes

Concordance between the Clinical Definition of Polypathological Patient versus Automated Detection by Means of Combined Identification through ICD-9-CM Codes

Evaluation of the Effectiveness of a Nursing/Physiotherapy Program in Chronic Patients

Atención a la cronicidad: desafío estratégico, macrogestión y políticas de salud

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