Defining Patient Complexity
Authors: Steven P. Cohen, Ronald L. White, Connie Kurihara, Thomas M. Larkin, Audrey Chang, Scott R. Griffith, Christopher Gilligan, Ralph Larkin, Benny Morlando, Paul F. Pasquina, Tony L. Yaksh, Conner Nguyen
Journal: Annals of Internal Medicine (2012)

Letters17 April 2012Defining Patient ComplexityJoseph M. Cerimele, MD and Lauren A. Peccoralo, MD, MPHJoseph M. Cerimele, MDFrom Mount Sinai School of Medicine, New York, NY 10029.Search for more papers by this author and Lauren A. Peccoralo, MD, MPHFrom Mount Sinai School of Medicine, New York, NY 10029.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-156-8-201204170-00002 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Grant and colleagues (1) highlighted the substantial role of psychiatric and substance use disorders in moderating PCPs' impressions of patient complexity. Furthermore, they noted that the binary presence of a disorder (for example, the presence or absence of diabetes) did not contribute to patient complexity as much as the “complex interplay among disease severity, medical treatment, and patient self-management behaviors.” The Agency for Healthcare Research and Quality (2) has also recognized the factors contributing to patient complexity and noted the need for and importance of integrating psychiatric services into primary care settings to address these factors.Collaborative ...References1. Grant RW, Ashburner JM, Hong CC, Chang Y, Barry MJ, Atlas SJ. Defining patient complexity from the primary care physician's perspective: a cohort study. Ann Intern Med. 2011;155:797-804. [PMID: 22184686] LinkGoogle Scholar2. Croghan TW, Brown JD. Integrating Mental Health Treatment into the Patient Centered Medical Home. (Prepared by Mathematica policy research under contract HHSA290200900019ITO2. AHRQ publication.) 10-0084-EF. Rockville, MD: Agency for Healthcare Research and Quality; 2010. Google Scholar3. Katon WJ, Lin EH, Von Korff M, Ciechanowski P, Ludman EJ, Young B, et al. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010;363:2611-20. [PMID: 21190455] CrossrefMedlineGoogle Scholar4. Simon GE, Katon WJ, Lin EH, Rutter C, Manning WG, Von Korff M, et al. Cost-effectiveness of systematic depression treatment among people with diabetes mellitus. Arch Gen Psychiatry. 2007;64:65-72. [PMID: 17199056] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Mount Sinai School of Medicine, New York, NY 10029.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDefining Patient Complexity From the Primary Care Physician's Perspective Richard W. Grant , Jeffrey M. Ashburner , Clemens S. Hong , Yuchiao Chang , Michael J. Barry , and Steve J. Atlas Defining Patient Complexity Marcel G.M. Olde Rikkert , Henk J. Schers , and Rene J.F. Melis Defining Patient Complexity Richard W. Grant , Clemens S. Hong , and Steven J. Atlas Metrics Cited ByClinically Excellent Use of the Electronic Health Record: ReviewANMCO/ISS/AMD/ANCE/ARCA/FADOI/GICR-IACPR/SICI-GISE/SIBioC/SIC/SICOA/SID/SIF/SIMEU/SIMG/SIMI/SISA Joint Consensus Document on cholesterol and cardiovascular risk: diagnostic–therapeutic pathway in ItalyThe complex patient: A concept clarificationDevelopment of an instrument for the identification of frail older people as a target population for integrated careDelivering Psychiatric Services in Primary-Care Setting 17 April 2012Volume 156, Issue 8Page: 606-607KeywordsHealth services researchHemoglobinNursesPatientsPrimary carePsychiatry and mental healthQuality of lifeResearch quality assessmentSystolic pressure ePublished: 17 April 2012 Issue Published: 17 April 2012 CopyrightCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...