Amblàs-Novellas Jordi, Contel Joan Carles, Gutiérrez Jiménez Núria, Barbeta Conxita, Santaeugènia Sebastià
Departament de Salut,Generalitat de Catalunya, Barcelona, España; Plan de Atención Integrada Social y Sanitaria (PAISS), Generalitat de Catalunya, Barcelona, España; Grupo de Investigación en Cronicidad de la Cataluña Central (C3RG), Centre d'Estudis Sanitaris i Socials (CESS), Universitat de Vic - Universitat Central de Catalunya (UVIC-UCC), Vic, Barcelona, España.
Departament de Salut,Generalitat de Catalunya, Barcelona, España; Plan de Atención Integrada Social y Sanitaria (PAISS), Generalitat de Catalunya, Barcelona, España; Grupo de Investigación en Cronicidad de la Cataluña Central (C3RG), Centre d'Estudis Sanitaris i Socials (CESS), Universitat de Vic - Universitat Central de Catalunya (UVIC-UCC), Vic, Barcelona, España.
Aten Primaria. 2021 Apr;53(4):101993. doi: 10.1016/j.aprim.2021.101993. Epub 2021 Mar 19.
To reach a consensus on an rapid multidimensional/geriatric assessment (RMGA) tool for all health and social professionals of Catalonia as a shared and universal system to assess patients with multimorbidities, frailty, complexity or advanced conditions.
Three-phase consensus of professionals, combining in-person sessions with telematics.
Catalonia.
A group of 27 interdisciplinary professionals from different care settings.
The Design Thinking methodology for an initial consensus on the characteristics of the RMGA tool (Phase 1) has been combined with the Lean Startup methodology to create a new RMGA tool (Phase 2), and then tested in a group of patients (Phase 3).
In Phase 1, a consensus was reached that the perfect RMGA tool should allow for an ad hoc assessment of patients, be fast and flexible (<10 min), identify altered dimensions using trigger questions and facilitate the diagnosis of the condition (ideally quantified). In Phase 2, a prototype of a new RMGA tool containing 15 + 2 questions (VIG-Express) was developed, which was then tested in 35 patients in Phase 3.
Based on preliminary results, the VIG-Express tool seems to facilitate a simple, rapid multidimensional assessment and the customization of interventions, as well as provide a unique look and shared narrative between professionals from different care settings. More studies will be required to corroborate these findings.
为加泰罗尼亚所有卫生和社会专业人员就一种快速多维/老年评估（RMGA）工具达成共识，作为评估患有多种疾病、虚弱、复杂或晚期疾病患者的共享通用系统。
专业人员的三阶段共识，将面对面会议与远程信息技术相结合。
加泰罗尼亚。
来自不同护理环境的27名跨学科专业人员组成的小组。
将用于就RMGA工具特征达成初步共识的设计思维方法（第1阶段）与精益创业方法相结合，以创建一种新的RMGA工具（第2阶段），然后在一组患者中进行测试（第3阶段）。
在第1阶段，达成的共识是，理想的RMGA工具应允许对患者进行临时评估，快速且灵活（<10分钟），使用触发问题识别改变的维度，并有助于疾病诊断（理想情况下进行量化）。在第2阶段，开发了一种包含15 + 2个问题的新RMGA工具原型（VIG-Express），然后在第3阶段对35名患者进行了测试。
基于初步结果，VIG-Express工具似乎有助于进行简单、快速的多维评估和干预措施的定制，以及在来自不同护理环境的专业人员之间提供独特视角和共同描述。需要更多研究来证实这些发现。
