My 31 ideas on this are here, but since I'm not medically trained these are completely worthless.
The psychosocial issues could be handled if our doctors had protocols to get you 100% recovered.
http://jcomorbidity.com/index.php/test/article/view/63
Abstract
Background: Approximately 80% of people who
survive a stroke have on average five other conditions and a wide range
of psychosocial issues. Attention to biopsychosocial issues has led to
the identification of ‘complex patients’. No single definition of
‘patient complexity’ exists, therefore applied health researchers seek
to understand ‘patient complexity’ as it relates to a specific clinical
context.
Objective: To understand how ‘patient complexity’ is conceptualized by clinicians, and to position the findings within the existing literature on patient complexity.
Methods: A qualitative descriptive approach was utilized. Twenty-three rehabilitation clinicians participated in four focus groups.
Results: Five elements of patient complexity were identified: medical/functional issues, social determinant factors, social/family support, personal characteristics, and health system factors. Using biopsychosocial factors to identify complexity results in all patients being complex; operationalization of the definition led to the identification of systemic elements. A disconnect between acute, inpatient rehabilitation and community services was identified as a trigger for increased complexity.
Conclusions: Patient complexity is not a dichotomous state. If applying existing complexity definitions, all patients are complex. This study extends the understanding by suggesting a structural element of complexity from manageable to less manageable complexity based on ability to discharge.
Journal of Comorbidity 2016;6(2):35–41
Objective: To understand how ‘patient complexity’ is conceptualized by clinicians, and to position the findings within the existing literature on patient complexity.
Methods: A qualitative descriptive approach was utilized. Twenty-three rehabilitation clinicians participated in four focus groups.
Results: Five elements of patient complexity were identified: medical/functional issues, social determinant factors, social/family support, personal characteristics, and health system factors. Using biopsychosocial factors to identify complexity results in all patients being complex; operationalization of the definition led to the identification of systemic elements. A disconnect between acute, inpatient rehabilitation and community services was identified as a trigger for increased complexity.
Conclusions: Patient complexity is not a dichotomous state. If applying existing complexity definitions, all patients are complex. This study extends the understanding by suggesting a structural element of complexity from manageable to less manageable complexity based on ability to discharge.
Journal of Comorbidity 2016;6(2):35–41
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