• Ana Isabel González González, Ana María Miquel Gómez, David Rodríguez Morales, Montserrat Hernández Pascual, Luis Sánchez Perruca, Inmaculada Mediavilla Herrera, and Grupo de Trabajo GMA y Grupo de Estratificación del Servicio Madrileño de Salud.
• Unidad de Apoyo Técnico, Gerencia Adjunta de Planificación y Calidad (GAPYC), Gerencia de Atención Primaria (GAP), REDISSEC, Madrid, España. Electronic address: aisabel.gonzalezg@salud.madrid.org.
• Aten Primaria. 2017 Apr 1; 49 (4): 240247240-247.

Objectives1) To analyse concordance between the level of risk classification using the Adjusted Groups Morbidity (GMA) tool and the assigned level of intervention by general practitioners (GP). 2) To study the usefulness of the GMA tool as an aid in electronic medical records (EMR) for decision making.DesignCross-sectional observational study of concordance.LocationPrimary Care. Madrid Health Service.ParticipantsTwenty eight GPs. A sample of 840 patients assigned to participating GPs was selected by disproportionate stratified random sampling (0.65 kappa, 0.125 precision, 5% positive rate, 95% confidence level).Main MeasurementsWeighted Cohen Kappa index for the degree of concordance between the GMA tool and the GPs. The usefulness of the tool was assessed using an ad hoc developed questionnaire.ResultsKappa weighted index obtained was 0.60 (95%CI: 0.55-0.65). In 3% of cases the disagreement was maximum. The GPs found that the grouping tool had been useful in 76% of cases.ConclusionModerate strength/good concordance; incorporating a grouping tool in the EMR helps as a reminder for taking more proactive/integrated decisions based on social and health needs of people with chronic diseases.Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

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