VIG-Express: Consenso de un sistema de valoración multidimensional/geriátrica rápida en Cataluña.
Por:
Amblàs-Novellas J, Contel JC, Gutiérrez Jiménez N, Barbeta C and Sebastià Santaeugènia Gonzàlez
Publicada:
1 abr 2021
Ahead of Print:
19 mar 2021
Resumen:
OBJECTIVE: 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. DESIGN: Three-phase consensus of professionals, combining in-person sessions with telematics. LOCATION: Catalonia. PARTICIPANTS: A group of 27 interdisciplinary professionals from different care settings. METHOD: 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). RESULTS: 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. CONCLUSIONS: 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.
Filiaciones:
Amblàs-Novellas J:
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
Contel JC:
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. Electronic address:
Gutiérrez Jiménez N:
Hospital Universitari de Bellvitge, Gerència Territorial Metropolitana sud, Institut Català de la Salut. Generalitat de Catalunya, L'Hospitalet de Llobregat, Barcelona, España
Barbeta C:
Plan de Atención Integrada Social y Sanitaria (PAISS), Generalitat de Catalunya, Barcelona, España
Departament de Treball, Afers socials i Famílies, Generalitat de Catalunya, Barcelona, España
Sebastià Santaeugènia Gonzàlez:
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
Open Access
|