Abstract

The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)

Highlights

  • In Scotland, around 24% of the population have two or more long-term conditions (multimorbidity)

  • Most risk prediction tools for complex patients are trained on historic data to predict mortality, hospital utilisation or resource use

  • Short description: A Complex Case Finder (CCF) tool was developed to help GPs identify patients who could benefit from a personalised Anticipatory Care Plan (ACP) and management of polypharmacy

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Summary

Introduction

In Scotland, around 24% of the population have two or more long-term conditions (multimorbidity). Tools to support anticipatory care planning and polypharmacy reviews Multimorbidity is associated with complex needs and higher use of resources. Most risk prediction tools for complex patients are trained on historic data to predict mortality, hospital utilisation or resource use.

Results
Conclusion

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