ArticleHealthcare (Basel, Switzerland)2021
Assessing Face Validity of the HexCom Model for Capturing Complexity in Clinical Practice: A Delphi Study.
Article in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Spiritual Complexity in Palliative Home Care in Spain: A Multi-center Prospective Study.Journal of religion and health · 2025Article
- Article
- Validation Study of the PALCOM Scale of Complexity of Palliative Care Needs: A Cohort Study in Advanced Cancer Patients.Cancers · 2023Article
- Intra-rater reliability and feasibility of the HexCom advanced disease complexity assessment model.Atencion primaria · 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
Corrections and comments
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Authors and funding
15 authors.
Funding
Abstract
Capturing complexity is both a conceptual and a practical challenge in palliative care. The HexCom model has proved to be an instrument with strong reliability and to be valid for describing the needs and strengths of patients in home care. In order to explore whether it is also perceived to be helpful in enhancing coordinated and patient-centred care at a practical level, a methodological study was carried out to assess the face validity of the model. In particular, a Delphi method involving a group of 14 experts representing the full spectrum of healthcare professionals involved in palliative care was carried out. The results show that there is a high level of agreement, with a content validity index-item greater than 0.92 both with regard to the complexity model and the HexCom-Red, HexCom-Basic, and the HexCom-Clin instruments, and higher than 0.85 regarding the HexCom-Figure and the HexCom-Patient instruments. This consensus confirms that the HexCom model and the different instruments that are derived from it are valued as useful tools for a broad range of healthcare professional in coordinately capturing complexity in healthcare practice.
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Registered trials
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