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Risk Factors for Complex Care Needs in General Medical Inpatients

Results From a European Study

Received March 20, 2000; revised October 10, 2000; accepted October 29, 2000. From From Psychiatric C-L Service, Vrije Universiteit Hospital, Amsterdam; Department of Internal Medicine, University Hospital, Groningen, The Netherlands Hospital, Amsterdam; Department of Psychotherapy and Psychosomatic Medicine, Albert Ludwigs University, Freiburg, Germany; Psychosomatic and C-L Psychiatry Service, Hospital Clinico Universitario, Zaragoza, Spain; Department of Psychiatry, Northwestern University Medical School, Chicago, Illinois; Department of Psychiatry, University of Muenster, Muenster, Germany; Department of Medical Informatics, Institute of Cardiology, Budapest, Hungary; Department of Psychiatry, Hospital Fernando Fonseca, Amadora, Portugal; Research Unit for Functional Disorders, Psychosomatics and C-L Psychiatry, Aarhus University Hospital, Aarhus, Denmark; Department of Psychiatry, University Hospital, Modena, Italy. Address correspondence to Dr. de Jonge, Psychiatrische Consultatieve Dienst, Academisch Ziekenhuis der Vrije Universiteit, Postbus 7057, 1007 MB Amsterdam, The Netherlands. E-mail: p.dejonge{at}azvu.nl

The authors linked admission risk factors to a series of indicators for complex care delivery to enable detection of patients in need of care coordination at the moment of admission to the general hospital. The authors found 13 risk factors to be predictive of more than one indicator of care complexity. An admission risk screening procedure to detect patients in need of care coordination should focus on these risk factors and should include predictions made by doctors and nurses at admission and information collected from the patient and the medical chart.

Key Words: Risk Factors • Care Utilization

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