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Titolo:
Identification of case complexity and increased health care utilization inpatients with rheumatoid arthritis
Autore:
Koch, N; Stiefel, F; De Jonge, P; Fransen, J; Chamot, AM; Gerster, JC; Huyse, F; So, AKL;
Indirizzi:
Univ Lausanne Hosp, Psychiat Serv, CH-1011 Lausanne, Switzerland Univ Lausanne Hosp Lausanne Switzerland CH-1011 11 Lausanne, Switzerland Free Univ Amsterdam Hosp, Psychiat Serv, NL-1081 HV Amsterdam, NetherlandsFree Univ Amsterdam Hosp Amsterdam Netherlands NL-1081 HV m, Netherlands Univ Zurich Hosp, Rheumatol Serv, CH-8091 Zurich, Switzerland Univ Zurich Hosp Zurich Switzerland CH-8091 CH-8091 Zurich, Switzerland Univ Lausanne Hosp, Rheumatol Serv, CH-1011 Lausanne, Switzerland Univ Lausanne Hosp Lausanne Switzerland CH-1011 11 Lausanne, Switzerland
Titolo Testata:
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH
fascicolo: 3, volume: 45, anno: 2001,
pagine: 216 - 221
SICI:
0004-3591(200106)45:3<216:IOCCAI>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
PSYCHOLOGICAL-FACTORS; SERVICE NEEDS; DISEASE-ACTIVITY; DEPRESSION; PREVALENCE; DISABILITY; DISTRESS; PAIN;
Keywords:
rheumatoid arthritis; INTERMED; biopsychosocial; case complexity; health care utilization;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
44
Recensione:
Indirizzi per estratti:
Indirizzo: Stiefel, F Univ Lausanne Hosp, Psychiat Serv, CH-1011 Lausanne, Switzerland Univ Lausanne Hosp Lausanne Switzerland CH-1011 , Switzerland
Citazione:
N. Koch et al., "Identification of case complexity and increased health care utilization inpatients with rheumatoid arthritis", ARTH RH ART, 45(3), 2001, pp. 216-221

Abstract

Objectives. To document biopsychosocial profiles of patients with rheumatoid arthritis (RA) by means of the INTERMED and to correlate the results with conventional methods of disease assessment and health care utilization. Methods. Patients with RA (n = 75) were evaluated with the INTERMED, an instrument for assessing case complexity and care needs. Based on their INTERMED scores, patients were compared with regard to severity of illness, functional status, and health care utilization. Results. In cluster analysis, a 2-cluster solution emerged, with about half of the patients characterized as complex. Complex patients scoring especially high in the psychosocial domain of the INTERMED were disabled significantly more often and took more psychotropic drugs. Although the 2 patient groups did not differ in severity of illness and functional status, complex patients rated their illness as more severe on subjective measures and on most items of the Medical Outcomes Study Short Form 36. Complex patients showed increased health care utilization despite a similar biologic profile. Conclusions. The INTERMED identified complex patients with increased health care utilization, provided meaningful and comprehensive patient information, and proved to be easy to implement and advantageous compared with conventional methods of disease assessment. Intervention studies will have to demonstrate whether management strategies based on INTERMED profiles can improve treatment response and outcome of complex patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 02:05:30