ArticleBMJ open2017
Validity and reliability of the Patient Centred Assessment Method for patient complexity and relationship with hospital length of stay: a prospective cohort study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Hospital length of stay prediction tools for all hospital admissions and general medicine populations: systematic review and meta-analysis.Frontiers in medicine · 2023Pooled it
- The extent and improvement of patient complexity in referrals to hospital family physicians from community healthcare-related centers in Japan: a retrospective cohort study.Family practice · 2025Article
- Supporting professionals to implement integrated, person-centered care for people with chronic conditions: the TARGET pilot study.Scandinavian journal of primary health care · 2023Review
- Evaluation of Complexity Measurement Tools for Correlations with Health-Related Outcomes, Health Care Costs and Impacts on Healthcare Providers: A Scoping Review.International journal of environmental research and public health · 2022Article
- Effect of COVID-19 inpatients with cognitive decline on discharge after the quarantine period: A retrospective cohort study.Journal of general and family medicine · 2022Article
- Article
- Definition of patient complexity in adults: A narrative review.Journal of multimorbidity and comorbidity · 2022Review
- The Patient Centered Assessment Method (PCAM) for Action-Based Biopsychosocial Evaluation of Patient Needs: Validation and Perceived Value of the Dutch Translation.International journal of environmental research and public health · 2021Article
- A scoping Review of tools used to assess patient Complexity in rheumatic disease.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Development and validation of a Japanese version of the Patient Centred Assessment Method and its user guide: a cross-sectional study.BMJ open · 2020Article
- Multimorbidity and healthcare resource utilization in Switzerland: a multicentre cohort study.BMC health services research · 2019Article
- Article
- Reducing Emergency Room Visits and In-Hospitalizations by Implementing Best Practice for Transitional Care Using Innovative Technology and Big Data.Worldviews on evidence-based nursing · 2018Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSeveral instruments for evaluating patient complexity have been developed from a biopsychosocial perspective. Although relationships between the results obtained by these instruments and the length of stay in hospital have been examined, many instruments are complicated and not easy to use. The Patient Centred Assessment Method (PCAM) is a candidate for practical use. This study aimed to test the validity and reliability of the PCAM and examine the correlations between length of hospital stay and PCAM scores in a regional secondary care hospital in Japan.
designProspective cohort study. PARTICIPANTS AND
settingTwo hundred and one patients admitted to Ouji Coop Hospital between July 2014 and September 2014. MAIN PREDICTOR: PCAM total score in initial phase of hospital admission. MAIN OUTCOME: Length of stay in hospital.
resultsAmong 201 patients (Female/Male=98/103) with mean (SD) age of 77.4±11.9 years, the mean PCAM score was 25±7.3 and mean (SD) length of stay in hospital (LOS) 34.1±40.9 days. Using exploratory factor analysis to examine construct validity, PCAM evidently has a two-factor structure, comprising medicine-oriented and patient-oriented complexity. The Spearman rank correlation coefficient for evaluating criterion-based validity between PCAM and INTERMED was 0.90. For reliability, Cronbach's alpha was 0.85. According to negative binomial regression analyses, PCAM scores are a statistically significant predictor (p<0.001) of LOS after adjusting for age, gender, Mini Nutritional Assessment Short-Form, Charlson Comorbidity Index, serum sodium concentration, total number of medications and whether public assistance was required. In another model, each factor in PCAM was independently correlated with length of stay in hospital after adjustment (medicine-oriented complexity: p=0.001, patient-oriented complexity: p=0.014).
conclusionPCAM is a reliable and valid measurement of patient complexity and PCAM scores have a significant correlation with hospital length of stay.
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