Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu, Katedra i Klinika Psychiatrii.
Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu, Studenckie Koło Naukowe Psychiatrii.
Psychiatr Pol. 2021 Dec 31;55(6):1449-1471. doi: 10.12740/PP/OnlineFirst/126595.
Clinical complexity of a patient describes the complexity of issues faced by an individual in accordance with the biopsychosocial approach, the main focus of which is the assessment whether the patient experiences difficulties in the biological, psychological and social aspects of life and healthcare system. An effective, comprehensive assessment of apatient during the treatment process is crucial for efficient operation of Public Health Service. Thus, providing patients with an individual, holistic and comprehensive healthcare. Patients, who are not always able to seek help on their own, require assurance of complex help, effective diagnostics at the early stages of a disease and assistance with treatment coordination and continuation. Clinical complexity concerns patients of many fields of medicine but especially emergency medicine, internal medicine, geriatrics, psychiatry, and primary care. Lack of access to complex healthcare with biopsychosocial approach causes a great deal of patient dissatisfaction and reduces the quality of available therapeutic options. There are couple of tools that can be used in screening for clinical complexity, for instance: INTERMED platform, INTERMED Self-Assessment, INTERMED for the Elderly, INTERMED for the Elderly Self-Assessment, and the Probability of Repeated Admission. There are also effective intervention schemes which can be used to manage a complex patient care, such as: Case Management, Information Sharing or Self-Management. Screening tools and interventions combined together can be effective in providing patients with a well-organized, high quality healthcare with a patient-centered biopsychosocial approach.
患者的临床复杂性描述了个体根据生物心理社会方法所面临的问题的复杂性，其主要重点是评估患者在生物、心理和社会生活方面以及医疗保健系统中是否存在困难。在治疗过程中对患者进行有效、全面的评估对于公共卫生服务的高效运作至关重要。因此，为患者提供个性化、全面和综合的医疗保健。有些患者无法自行寻求帮助，他们需要确保获得复杂的帮助、在疾病早期进行有效的诊断以及协助治疗协调和延续。临床复杂性涉及许多医学领域的患者，尤其是急诊医学、内科、老年医学、精神病学和初级保健。缺乏获得具有生物心理社会方法的复杂医疗保健的机会会导致大量患者不满，并降低现有治疗选择的质量。有几种工具可用于筛选临床复杂性，例如：INTERMED 平台、INTERMED 自我评估、INTERMED 老年患者、INTERMED 老年患者自我评估和再次入院概率。还有一些有效的干预方案可用于管理复杂的患者护理，例如：病例管理、信息共享或自我管理。筛选工具和干预措施相结合，可有效为患者提供以患者为中心的生物心理社会方法为基础的组织良好、高质量的医疗保健。
