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Clinical Trial
[VIG-Express: Consensus on an express multidimensional/geriatric assessment system in Catalonia].
- Jordi Amblàs-Novellas, Joan Carles Contel, Núria Gutiérrez Jiménez, Conxita Barbeta, Sebastià Santaeugènia, and GRUPO VIG-EXPRESS.
- Departament de Salut,Generalitat de Catalunya, Barcelona, España; Plan de Atención Integrada Social y Sanitaria (PAISS), Generalitat de Catalunya, Barcelona, España; Grupo de Investigación en Cronicidad de la Cataluña Central (C3RG), Centre d'Estudis Sanitaris i Socials (CESS), Universitat de Vic - Universitat Central de Catalunya (UVIC-UCC), Vic, Barcelona, España.
- Aten Primaria. 2021 Apr 1; 53 (4): 101993101993.
ObjectiveTo reach a consensus on an rapid multidimensional/geriatric assessment (RMGA) tool for all health and social professionals of Catalonia as a shared and universal system to assess patients with multimorbidities, frailty, complexity or advanced conditions.DesignThree-phase consensus of professionals, combining in-person sessions with telematics.LocationCatalonia.ParticipantsA group of 27 interdisciplinary professionals from different care settings.MethodThe Design Thinking methodology for an initial consensus on the characteristics of the RMGA tool (Phase 1) has been combined with the Lean Startup methodology to create a new RMGA tool (Phase 2), and then tested in a group of patients (Phase 3).ResultsIn Phase 1, a consensus was reached that the perfect RMGA tool should allow for an ad hoc assessment of patients, be fast and flexible (<10 min), identify altered dimensions using trigger questions and facilitate the diagnosis of the condition (ideally quantified). In Phase 2, a prototype of a new RMGA tool containing 15 + 2 questions (VIG-Express) was developed, which was then tested in 35 patients in Phase 3.ConclusionsBased on preliminary results, the VIG-Express tool seems to facilitate a simple, rapid multidimensional assessment and the customization of interventions, as well as provide a unique look and shared narrative between professionals from different care settings. More studies will be required to corroborate these findings.Copyright © 2021. Publicado por Elsevier España, S.L.U.
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