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Screening tools to identify patients with complex health needs at risk of high use of health care services : a scoping review

Marcoux Valérie, Chouinard Maud-Christine, Diadiou Fatoumata, Dufour Isabelle et Hudon Catherine. (2017). Screening tools to identify patients with complex health needs at risk of high use of health care services : a scoping review. PLoS ONE, 12, (11), e0188663.

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Background : Many people with chronic conditions have complex health needs often due to multiple chronic conditions, psychiatric comorbidities, psychosocial issues, or a combination of these factors. They are at high risk of frequent use of healthcare services. To offer these patients interventions adapted to their needs, it is crucial to be able to identify them early.

Objective : The aim of this study was to find all existing screening tools that identify patients with complex health needs at risk of frequent use of healthcare services, and to highlight their principal characteristics. Our purpose was to find a short, valid screening tool to identify adult patients of all ages.

Methods : A scoping review was performed on articles published between 1985 and July 2016, retrieved through a comprehensive search of the Scopus and CINAHL databases, following the methodological framework developed by Arksey and O’Malley (2005), and completed by Levac et al. (2010).

Results : Of the 3,818 articles identified, 30 were included, presenting 14 different screening tools. Seven tools were self-reported. Five targeted adult patients, and nine geriatric patients. Two tools were designed for specific populations. Four can be completed in 15 minutes or less. Most screening tools target elderly persons. The INTERMED self-assessment (IM-SA) targets adults of all ages and can be completed in less than 15 minutes.

Conclusion : Future research could evaluate its usefulness as a screening tool for identifying patients with complex needs at risk of becoming high users of healthcare services.

Type de document:Article publié dans une revue avec comité d'évaluation
Version évaluée par les pairs:Oui
Date:Novembre 2017
Sujets:Sciences de la santé
Sciences de la santé > Sciences infirmières
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Module des sciences infirmières
Mots-clés:Health Services, multiple chronic conditions, aged, screening tool, services de santé, maladies chroniques multiples, personnes âgées, outil de dépistage
Déposé le:07 févr. 2018 23:18
Dernière modification:07 févr. 2018 23:18
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