[ { "key": "SCQI4A46", "version": 7792, "library": { "type": "group", "id": 31471, "name": "PALLIATIVE CARE: CLINICAL ASSESMENT-COMPLEXITY", "links": { "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/31471/items/SCQI4A46", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity/items/SCQI4A46", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2575252, "username": "tonygross", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/tonygross", "type": "text/html" } } }, "creatorSummary": "Rajendran et al.", "parsedDate": "2012-09-01", "numChildren": 0 }, "data": { "key": "SCQI4A46", "version": 7792, "itemType": "journalArticle", "title": "Factors Involved in Making Decisions to Prescribe Medications for Psychiatric Disorders by Psychiatrists: A Survey Study", "creators": [ { "creatorType": "author", "firstName": "Somasundaram", "lastName": "Rajendran" }, { "creatorType": "author", "firstName": "Terrie A.", "lastName": "Sajbel" }, { "creatorType": "author", "firstName": "Timothy J.", "lastName": "Hartman" } ], "abstractNote": "The objective of this study is to understand psychiatrist’s decisions to prescribe psychiatric medications. A survey questionnaire was prepared consisting of 15 factors. Each factor had a five-point Likert scale, rating the importance of each factor in making decisions to prescribe medications. Twenty-six psychiatrists at a state psychiatric hospital completed the questionnaire. The data analysis involved the frequencies of responses for each factor being compared using Chi square goodness-of-fit tests with null hypothesis that the response distribution will be centered around average score of three on the Likert scale. All the participants rated patient’s symptom, severity, and diagnosis as the most important. This was followed by the patient’s past experience with medications, then medication side effects, concurrent physical health problems, and medication interactions. Psychiatrist’s experience with medications rated as more important than evidence from clinical trials. Finally, psychiatrists integrate evidence from research findings with personal experience, patient preferences, and clinical context in making decisions in prescribing medications for psychiatric disorders.", "publicationTitle": "Psychiatric Quarterly", "publisher": "", "place": "", "date": "2012-09-01", "volume": "83", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "271-280", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Psychiatric Quarterly", "DOI": "10.1007/s11126-011-9197-8", "citationKey": "", "url": "https://doi.org/10.1007/s11126-011-9197-8", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1573-6709", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2024-10-20T18:56:20Z", "dateModified": "2024-10-20T18:56:20Z" } }, { "key": "UAMT4UNC", "version": 7793, "library": { "type": "group", "id": 31471, "name": "PALLIATIVE CARE: CLINICAL ASSESMENT-COMPLEXITY", "links": { "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/31471/items/UAMT4UNC", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity/items/UAMT4UNC", "type": "text/html" } }, "meta": { "createdByUser": { "id": 266687, "username": "ragomgar", "name": "Rafael Gómez", "links": { "alternate": { "href": "https://www.zotero.org/ragomgar", "type": "text/html" } } }, "lastModifiedByUser": { "id": 2575252, "username": "tonygross", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/tonygross", "type": "text/html" } } }, "creatorSummary": "Claessen et al.", "parsedDate": "2013-03-25", "numChildren": 2 }, "data": { "key": "UAMT4UNC", "version": 7793, "itemType": "journalArticle", "title": "How do GPs identify a need for palliative care in their patients? An interview study", "creators": [ { "creatorType": "author", "firstName": "Susanne JJ", "lastName": "Claessen" }, { "creatorType": "author", "firstName": "Anneke L.", "lastName": "Francke" }, { "creatorType": "author", "firstName": "Yvonne", "lastName": "Engels" }, { "creatorType": "author", "firstName": "Luc", "lastName": "Deliens" } ], "abstractNote": "Little is known about how GPs determine whether and when patients need palliative care. Little research has been done regarding the assumption underpinning Lynn and Adamson’s model that palliative care may start early in the course of the disease. This study was conducted to explore how GPs identify a need for palliative care in patients.", "publicationTitle": "BMC Family Practice", "publisher": "", "place": "", "date": "2013-03-25", "volume": "14", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "42", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1186/1471-2296-14-42", "citationKey": "", "url": "http://www.biomedcentral.com/1471-2296/14/42/abstract", "accessDate": "2013-07-11T23:40:52Z", "PMID": "23530627", "PMCID": "", "ISSN": "1471-2296", "archive": "", "archiveLocation": "", "shortTitle": "How do GPs identify a need for palliative care in their patients?", "language": "en", "libraryCatalog": "www.biomedcentral.com", "callNumber": "", "rights": "2013 Claessen et al.; licensee BioMed Central Ltd.", "extra": "", "tags": [ { "tag": "End-of-life care", "type": 1 }, { "tag": "General practice", "type": 1 }, { "tag": "Palliative Care", "type": 1 }, { "tag": "Primary care", "type": 1 }, { "tag": "Qualitative Research", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-07-11T23:40:52Z", "dateModified": "2013-07-11T23:40:52Z" } }, { "key": "DAWJK5VZ", "version": 7789, "library": { "type": "group", "id": 31471, "name": "PALLIATIVE CARE: CLINICAL ASSESMENT-COMPLEXITY", "links": { "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/31471/items/DAWJK5VZ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity/items/DAWJK5VZ", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/31471/items/UAMT4UNC", "type": "application/json" } }, "meta": { "createdByUser": { "id": 266687, "username": "ragomgar", "name": "Rafael Gómez", "links": { "alternate": { "href": "https://www.zotero.org/ragomgar", "type": 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"https://api.zotero.org/groups/31471/items/UAMT4UNC", "type": "application/json" } }, "meta": { "createdByUser": { "id": 266687, "username": "ragomgar", "name": "Rafael Gómez", "links": { "alternate": { "href": "https://www.zotero.org/ragomgar", "type": "text/html" } } } }, "data": { "key": "PQCKDXBC", "version": 7789, "parentItem": "UAMT4UNC", "itemType": "attachment", "linkMode": "linked_url", "title": "Full Text PDF", "accessDate": "2013-07-11T23:40:52Z", "url": "http://www.biomedcentral.com/content/pdf/1471-2296-14-42.pdf", "note": "", "contentType": "application/pdf", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-07-11T23:40:52Z", "dateModified": "2013-07-11T23:40:52Z" } }, { "key": "QBDSC6BU", "version": 7793, "library": { "type": "group", "id": 31471, "name": "PALLIATIVE CARE: CLINICAL ASSESMENT-COMPLEXITY", "links": { "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/31471/items/QBDSC6BU", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity/items/QBDSC6BU", "type": "text/html" } }, "meta": { "createdByUser": { "id": 266687, "username": "ragomgar", "name": "Rafael Gómez", "links": { "alternate": { "href": "https://www.zotero.org/ragomgar", "type": "text/html" } } }, "lastModifiedByUser": { "id": 2575252, "username": "tonygross", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/tonygross", "type": "text/html" } } }, "creatorSummary": "Min et al.", "parsedDate": "2013-04", "numChildren": 1 }, "data": { "key": "QBDSC6BU", "version": 7793, "itemType": "journalArticle", "title": "When comorbidity, aging, and complexity of primary care meet: development and validation of the Geriatric CompleXity of Care Index", "creators": [ { "creatorType": "author", "firstName": "Lillian", "lastName": "Min" }, { "creatorType": "author", "firstName": "Neil", "lastName": "Wenger" }, { "creatorType": "author", "firstName": "Anne M", "lastName": "Walling" }, { "creatorType": "author", "firstName": "Caroline", "lastName": "Blaum" }, { "creatorType": "author", "firstName": "Christine", "lastName": "Cigolle" }, { "creatorType": "author", "firstName": "David A", "lastName": "Ganz" }, { "creatorType": "author", "firstName": "David", "lastName": "Reuben" }, { "creatorType": "author", "firstName": "Paul", "lastName": "Shekelle" }, { "creatorType": "author", "firstName": "Carol", "lastName": "Roth" }, { "creatorType": "author", "firstName": "Eve A", "lastName": "Kerr" } ], "abstractNote": "OBJECTIVES: To develop and validate the Geriatric CompleXity of Care Index (GXI), a comorbidity index of medical, geriatric, and psychosocial conditions that addresses disease severity and intensity of ambulatory care for older adults with chronic conditions.\nDESIGN: Development phase: variable selection and rating by clinician panel. Validation phase: medical record review and secondary data analysis.\nSETTING: Assessing the Care of Vulnerable Elders-2 study.\nPARTICIPANTS: Six hundred forty-four older (≥75) individuals receiving ambulatory care.\nMEASURES: Development: 32 conditions categorized according to severity, resulting in 117 GXI variables. A panel of clinicians rated each GXI variable with respect to the added difficulty of providing primary care for an individual with that condition. Validation: Modified versions of previously validated comorbidity measures (simple count, Charlson, Medicare Hierarchical Condition Category), longitudinal clinical outcomes (functional decline, survival), intensity of ambulatory care (primary, specialty care visits, polypharmacy, number of eligible quality indicators (NQI)) over 1 year of care.\nRESULTS: The most-morbid individuals (according to quintiles of GXI) had more visits (7.0 vs 3.7 primary care, 6.2 vs 2.4 specialist), polypharmacy (14.3% vs 0% had ≥14 medications), and greater NQI (33 vs 25) than the least-morbid individuals. Of the four comorbidity measures, the GXI was the strongest predictor of primary care visits, polypharmacy, and NQI (P < .001, controlling for age, sex, function-based vulnerability).\nCONCLUSION: Older adults with complex care needs, as measured by the GXI, have healthcare needs above what previously employed comorbidity measures captured. Healthcare systems could use the GXI to identify the most complex elderly adults and appropriately reimburse primary providers caring for older adults with the most complex care needs for providing additional visits and coordination of care.", "publicationTitle": "Journal of the American Geriatrics Society", "publisher": "", "place": "", "date": "Apr 2013", "volume": "61", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "542-550", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Am Geriatr Soc", "DOI": "10.1111/jgs.12160", "citationKey": "", "url": "", "accessDate": "", "PMID": "23581912", "PMCID": "", "ISSN": "1532-5415", "archive": "", "archiveLocation": "", "shortTitle": "When comorbidity, aging, and complexity of primary care meet", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Aged", "type": 1 }, { "tag": "Aged, 80 and over", "type": 1 }, { "tag": "COMPLEJIDAD" }, { "tag": "Chronic Disease", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Geriatric Assessment", "type": 1 }, { "tag": "Health Services Research", "type": 1 }, { "tag": "Health Services for the Aged", "type": 1 }, { "tag": "Health Status Indicators", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Primary Health Care", "type": 1 }, { "tag": "Quality Assurance, Health Care", "type": 1 }, { "tag": "Severity of Illness Index", "type": 1 }, { "tag": "TESIS" }, { "tag": "aging", "type": 1 }, { "tag": "comorbidity", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-07-11T23:34:57Z", "dateModified": "2013-07-11T23:34:57Z" } }, { "key": "IVJR389H", "version": 7789, "library": { "type": "group", "id": 31471, "name": "PALLIATIVE CARE: CLINICAL ASSESMENT-COMPLEXITY", "links": { "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/31471/items/IVJR389H", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity/items/IVJR389H", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/31471/items/QBDSC6BU", "type": "application/json" } }, "meta": { "createdByUser": { "id": 266687, "username": "ragomgar", "name": "Rafael Gómez", "links": { "alternate": { "href": "https://www.zotero.org/ragomgar", "type": "text/html" } } } }, "data": { "key": "IVJR389H", "version": 7789, "parentItem": "QBDSC6BU", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-07-09T06:27:47Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23581912", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-07-11T23:34:57Z", "dateModified": "2013-07-11T23:34:57Z" } }, { "key": "2TPFB8UG", "version": 7793, "library": { "type": "group", "id": 31471, "name": "PALLIATIVE CARE: CLINICAL ASSESMENT-COMPLEXITY", "links": { "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/31471/items/2TPFB8UG", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity/items/2TPFB8UG", "type": "text/html" } }, "meta": { "createdByUser": { "id": 266687, "username": "ragomgar", "name": "Rafael Gómez", "links": { "alternate": { "href": "https://www.zotero.org/ragomgar", "type": "text/html" } } }, "lastModifiedByUser": { "id": 2575252, "username": "tonygross", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/tonygross", "type": "text/html" } } }, "creatorSummary": "Claessen et al.", "parsedDate": "2013", "numChildren": 1 }, "data": { "key": "2TPFB8UG", "version": 7793, "itemType": "journalArticle", "title": "How do GPs identify a need for palliative care in their patients? An interview study", "creators": [ { "creatorType": "author", "firstName": "Susanne J J", "lastName": "Claessen" }, { "creatorType": "author", "firstName": "Anneke L", "lastName": "Francke" }, { "creatorType": "author", "firstName": "Yvonne", "lastName": "Engels" }, { "creatorType": "author", "firstName": "Luc", "lastName": "Deliens" } ], "abstractNote": "BACKGROUND: Little is known about how GPs determine whether and when patients need palliative care. Little research has been done regarding the assumption underpinning Lynn and Adamson's model that palliative care may start early in the course of the disease. This study was conducted to explore how GPs identify a need for palliative care in patients.\nMETHODS: A qualitative interview study was performed among 20 GPs in the Netherlands.\nRESULTS: GPs reported that a combination of several signals, often subtle and not explicit, made them identify a need for palliative care: signals from patients (increasing care dependency and not recuperating after intercurrent diseases) and signals from relatives or reports from medical specialists. GPs reported differences in how they identified a need for palliative care in cancer patients versus those with other diseases. In cancer patients, the need for palliative care was often relatively clear because of a relatively strict demarcation between the curative and palliative phase. However, in patients with e.g. COPD or in the very old, GPs' awareness of palliative care needs often arises gradually, relatively late in the disease trajectory.GPs consider the diagnosis of a life-threatening illness as a key point in the disease trajectory. However, this does not automatically mean that a patient needs palliative care at that point.\nCONCLUSIONS: GPs recognize a need for palliative care on the basis of various signals. They do not support the idea underlying Lynn and Adamson's model that palliative care always starts early in the course of the disease.", "publicationTitle": "BMC family practice", "publisher": "", "place": "", "date": "2013", "volume": "14", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "42", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "BMC Fam Pract", "DOI": "10.1186/1471-2296-14-42", "citationKey": "", "url": "", "accessDate": "", "PMID": "23530627", "PMCID": "", "ISSN": "1471-2296", "archive": "", "archiveLocation": "", "shortTitle": "How do GPs identify a need for palliative care in their patients?", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Adult", "type": 1 }, { "tag": "Aged", "type": 1 }, { "tag": "COMPLEJIDAD" }, { "tag": "Female", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Interviews as Topic", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Needs Assessment", "type": 1 }, { "tag": "Netherlands", "type": 1 }, { "tag": "Outcome and Process Assessment (Health Care)", "type": 1 }, { "tag": "Palliative Care", "type": 1 }, { "tag": "Physician's Practice Patterns", "type": 1 }, { "tag": "Physicians, Family", "type": 1 }, { "tag": "Professional Practice Location", "type": 1 }, { "tag": "Qualitative Research", "type": 1 }, { "tag": "Workload", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-07-11T23:33:35Z", "dateModified": "2013-07-11T23:33:35Z" } }, { "key": "RRRDDJSP", "version": 7789, "library": { "type": "group", "id": 31471, "name": "PALLIATIVE CARE: CLINICAL ASSESMENT-COMPLEXITY", "links": { "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/31471/items/RRRDDJSP", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity/items/RRRDDJSP", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/31471/items/2TPFB8UG", "type": "application/json" } }, "meta": { "createdByUser": { "id": 266687, "username": "ragomgar", "name": "Rafael Gómez", "links": { "alternate": { "href": "https://www.zotero.org/ragomgar", "type": "text/html" } } } }, "data": { "key": "RRRDDJSP", "version": 7789, "parentItem": "2TPFB8UG", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-07-11T23:33:35Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23530627", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-07-11T23:33:35Z", "dateModified": "2013-07-11T23:33:35Z" } }, { "key": "KKM7R2BJ", "version": 7789, "library": { "type": "group", "id": 31471, "name": "PALLIATIVE CARE: CLINICAL ASSESMENT-COMPLEXITY", "links": { "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/31471/items/KKM7R2BJ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity/items/KKM7R2BJ", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/31471/items/5I7QNWKR", "type": "application/json" } }, "meta": { "createdByUser": { "id": 520932, "username": "JohannPopp", "name": "Johann Popp", "links": { "alternate": { "href": "https://www.zotero.org/johannpopp", "type": "text/html" } } }, "lastModifiedByUser": { "id": 266687, "username": "ragomgar", "name": "Rafael Gómez", "links": { "alternate": { "href": "https://www.zotero.org/ragomgar", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "KKM7R2BJ", "version": 7789, "parentItem": "5I7QNWKR", "itemType": "note", "note": "M3: 10.1191/0269216305pm1031oa", "tags": [], "relations": {}, "dateAdded": "2011-02-18T09:44:15Z", "dateModified": "2011-02-18T09:44:15Z" } }, { "key": "5I7QNWKR", "version": 1, "library": { "type": "group", "id": 31471, "name": "PALLIATIVE CARE: CLINICAL ASSESMENT-COMPLEXITY", "links": { "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/31471/items/5I7QNWKR", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/palliative_care_clinical_assesment-complexity/items/5I7QNWKR", "type": "text/html" } }, "meta": { "createdByUser": { "id": 520932, "username": "JohannPopp", "name": "Johann Popp", "links": { "alternate": { "href": "https://www.zotero.org/johannpopp", "type": "text/html" } } }, "creatorSummary": "Holen et al.", "parsedDate": "2005", "numChildren": 1 }, "data": { "key": "5I7QNWKR", "version": 1, "itemType": "journalArticle", "title": "The Norwegian 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