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Article

Open Access

The Biopsychosocial Vulnerability in Primary Care

Author(s)

Andrea Pizzini, Walter Marrocco, Antonio PioD’Ingianna and Gallieno Marri

Full-Text PDF Download XML 1268 Views

DOI:10.17265/2328-7136/2017.04.001

Affiliation(s)

FIMMG (Italian Federation of Family Doctors) / SIMPeSV (Italian Society Preventive Medicine and Life Style), Piazza Guglielmo Marconi, Roma 25 - 00144 , Italy

ABSTRACT

The need for early screening of the biopsychosocial vulnerability within primary care is clear in the literature, but there is disagreement on the definition and type of score to be used. Health is influenced by determining not only biological, but also psychological and social. The aims of the study are research and evaluation tools to determine the biopsychosocial vulnerability and the creation of a flow-chart for the establishment of health and socio-personalized care programs, but based on scientific evidence. In our study we have built an original scale of assessment for the general medicine, which could simultaneously analyze the Bio-Psycho-Social aspect of patients. A group of GPs (general practitioners) have tested this tool on a group of complex patients. The results of the study show that a high score on our scale of assessment is not correlated with the age of a patient (R = 0.454); instead there is a straight correlation between the high score and the number of GPs and patient contacts (R = 0.790) and a border-line significant correlation (R = 0.590) between high scores and hospital admissions and resources utilization. In conclusion, with our assessment scale we built a general medicine instrument, simple, integrated with primary care setting and tools, fast in use. In the research and validation phase we showed how this scale would be able to identify patients in need of more attention where there is a necessity to go from a Guideline and EBM-Based approach to a Personalized approach.

KEYWORDS

Chronic disease, comorbidity, primary health care, family practice, outcome and process assessment, screening, patient-centered.

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