The Patient Centered Assessment Method (PCAM): integrating the social dimensions of health into primary care

Journal of Comorbidity
Rebekah PrattMargaret Maxwell

Abstract

Social dimensions of health are known to contribute to what is often termed "patient complexity," which is particularly common among patients with multimorbidity. Health-care professionals require tools to help them identify and manage these aspects of patient needs. To examine: (i) the Patient Centered Assessment Method (PCAM), a tool for assessing patient complexity in ways that are sensitive to the biopsychosocial dimensions of health, in primary care settings in Scotland; (ii) the impact of the PCAM on referral patterns and its perceived value; and (iii) the PCAM's perceived applicability for use in a complex patient population. Two studies are described: (i) a mixed-methods prospective cohort study of the implementation of the PCAM in primary care clinics; and (ii) a qualitative exploratory study that evaluated the value of the PCAM in a complex patient population. Use of the PCAM did not impact patient satisfaction or perception of practitioners' empathy, but it did increase both the number of onward referrals per referred patient (9-12%) and the proportion of referrals to non-medical services addressing psychological, social, and lifestyle needs. Nurses valued the PCAM, particularly its ability to help them address psych...Continue Reading

References

Mar 10, 2001·Psychosomatics·P de JongeR O Gans
May 26, 2001·Diabetes Care·R J AndersonP J Lustman
Jan 16, 2002·The Milbank Quarterly·R E GlasgowE H Wagner
Jan 22, 2002·Journal of Psychosomatic Research·Peter de JongeFrits J Huyse
Jul 10, 2007·Journal of the American College of Surgeons·UNKNOWN American College Of Radiology
Oct 2, 2007·Journal of Psychosomatic Research·Tarani ChandolaJohannes Siegrist
Nov 13, 2008·JAMA : the Journal of the American Medical Association·Brett D ThombsRoy C Ziegelstein
Nov 27, 2008·Diabetes Care·Briana MezukSherita Hill Golden
Mar 17, 2009·Family Practice·Stewart W MercerGraham C M Watt
Sep 19, 2009·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Sara MacdonaldPhilip Wilson
Jan 6, 2010·Families, Systems & Health : the Journal of Collaborative Family Healthcare·C J PeekEli Coleman
Jan 30, 2010·Heart & Lung : the Journal of Critical Care·Aurelia Macabasco-O'ConnellErika S Froelicher
May 15, 2010·Journal of General Internal Medicine·Kurt C StangeJames M Gill
Jul 14, 2010·Journal of the American College of Cardiology·Annelieke M RoestJohan Denollet
Jul 31, 2010·The American Journal of Medicine·W Victor R ViewegAnanda K Pandurangi
Aug 2, 2011·Public Health Reports·Anand K ParekhUNKNOWN HHS Interagency Workgroup on Multiple Chronic Conditions

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Citations

Jan 23, 2018·Journal of Comorbidity·Martin FortinJane Gunn
Jun 21, 2017·Journal of Health Care Chaplaincy·Austyn Snowden, Iain Telfer
Dec 29, 2018·International Journal for Equity in Health·Hazel Williams-RobertsNazeem Muhajarine
Jul 10, 2020·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Lindsay Jane CarpenterAnne Pamela Frances Wand
Feb 18, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Kara HawkerClaire E H Barber
Apr 8, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Chris SalisburyFd Richard Hobbs

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Software Mentioned

INTERMED
NVivo9
MCAM
PCAM

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