ArticleJournal of multidisciplinary healthcare2020
Describing Complexity in Palliative Home Care Through HexCom: A Cross-Sectional, Multicenter Study.
Article in Journal of multidisciplinary healthcare, 2020. 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, 23 citations in OpenAlex.
- A systematic review of classifications systems to determine complexity of patient care needs in palliative care.Palliative medicine · 2021Pooled it
- Delphi method validation of a tool for planning home visits in palliative care: palliative care parametrisation tool.Ecancermedicalscience · 2026Article
- Spiritual Complexity in Palliative Home Care in Spain: A Multi-center Prospective Study.Journal of religion and health · 2025Article
- Beyond Diagnosis and Comorbidities-A Scoping Review of the Best Tools to Measure Complexity for Populations with Mental Illness.Diagnostics (Basel, Switzerland) · 2024Article
- Article
- Exploring spirituality, religion and life philosophy among parents of children receiving palliative care: a qualitative study.BMC palliative care · 2024Article
- Validation Study of the PALCOM Scale of Complexity of Palliative Care Needs: A Cohort Study in Advanced Cancer Patients.Cancers · 2023Article
- Key characteristics of patient complexity and patient complexity conceptual models/measurement tools: a scoping review protocol.BMJ open · 2023Article
- Intra-rater reliability and feasibility of the HexCom advanced disease complexity assessment model.Atencion primaria · 2022Article
- The construction of the responsible patient in complex palliative care: interpreting palliative care policies.Palliative care and social practice · 2022Article
- Gender and Observed Complexity in Palliative Home Care: A Prospective Multicentre Study Using the HexCom Model.International journal of environmental research and public health · 2021Observational
- Assessing Face Validity of the HexCom Model for Capturing Complexity in Clinical Practice: A Delphi Study.Healthcare (Basel, Switzerland) · 2021Article
- Glimpsing the raging seas that stop swans: A qualitative look at living with multimorbidity and pain in patients from a tertiary care service.Journal of multimorbidity and comorbidityArticle
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Authors and funding
12 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComplexity has become a core issue in caring for patients with advanced disease and/or at the end-of-life. The Hexagon of Complexity (HexCom) is a complexity assessment model in the process of validation in health-care settings. Our objective is to use the instrument to describe differences in complexity across disease groups in specific home care for advanced disease and/or at the end-of-life patients, both in general and as relates to each domain and subdomain.
methodsCross-sectional study of home care was conducted in Catalonia. The instrument includes 6 domains of needs (clinical, psychological/emotional, social/family, spiritual, ethical, and death-related), 4 domains of resources (intrapersonal, interpersonal, transpersonal, and practical), and 3 levels of complexity (High (H), Moderate (M), and Low (L)). Interdisciplinary home care teams assessed and agreed on the level of complexity for each patient.
resultsForty-three teams participated (74.1% of those invited). A total of 832 patients were assessed, 61.4% of which were cancer patients. Moderate complexity was observed in 385 (47.0%) cases and high complexity in 347 (42.4%). The median complexity score was 51 for cancer patients and 23 for patients with dementia (p<0.001). We observed the highest level of complexity in the social/family domain. Patients/families most frequently used interpersonal resources (80.5%).
conclusionsThis study sheds light on the high-intensity work of support teams, the importance of the social/family domain and planning the place of death, substantial differences in needs and resources across disease groups, and the importance of relationship wellbeing at the end-of-life.
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