Multi-pathological condition. According with Working Group of the Sociedad Española de Medicina Interna (SEMI), a patients are defined as multi-pathological or polypathological when they have chronic diseases that belong to two or more of the eight next categories: - Category A: NYHA heart failure class II (slight limitation of physical activity, in which ordinary physical activity causes dyspnea, angina, fatigue or palpitations). Ischemic heart disease. - Category B: Vasculitis and systemic au
Conditions
Interventions
The recruitment process will follow 2 ways: 1.Based on the characterization, the target population recorded in the database of the insurance health company will be invited to participate until the est
Comprehensive Health Care
Patient Care Management
Long-Term Care
Delivery of Health Care
Progressive Patient Care
Caregivers
Sponsors
Health Sciences Universitary Foundation
National University of Colombia
Bogotá Surgery Society, San Jose Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1- Adults characterized as multi-pathological patients. 2- Primary caregivers of legal age. 3- People who decide to participate voluntarily. 4- Residents in the city of Bogotá. 5- Patients of the contributory health care scheme, insured by a health promoting entity of the contributory health care scheme in the city of Bogotá.
Exclusion criteria
Exclusion criteria: 1- Patients with an altered state of consciousness or communication disorder will not be included. 2- Patients who voluntarily do not want to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Demand for health care services. (Frequency of use of health services for causes related to multi-pathological clinical categories, Measurement tool: Patients Database). Measurement time: At baseline and, 6 months. 2. Admission and re-admission (Frequency of unscheduled admissions and re-admissions related to multi-pathological clinical categories, Measurement tool: Patients Database). Measurement time: At baseline and, 6 months. 3. Pharmaceutical prescription (Medications prescribed to the patient,Measurement tool: drug-dispending database). Measurement time: At baseline and, 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Dependency (State in which are people who for reasons linked to the lack or loss of physical, mental or intellectual autonomy, need assistance and / or important aid in order to perform the basic activities of daily life, Measurement tool: Barthel Index and Lawton and Brody Scale). Measurement time: At baseline and, 6 months. 2. Quality of Life (Subjective perception, influenced by the current state of health, of the ability to perform those activities that are important for the individual,Measurement tool: SF-36). Measurement time: At baseline and, 6 months. 3. Caregiver burden (Degree of subjective burden of the main caregivers of multi-pathological patients, Measurement tool: ZARIT Scale) Measurement time: At baseline and, 6 months. | — |
Countries
Colombia
Contacts
Public ContactSandra Hernández Zambrano
Health Sciences Universitary Foundation
Outcome results
None listed