Patient complexity assessment tools containing inquiry domains important for Indigenous patient care: A scoping review

Patient complexity assessment tools (PCATs) are utilized to collect vital information to effectively deliver care to patients with complexity. Indigenous patients are viewed in the clinical setting as having complex health needs, but there is no existing PCAT developed for use with Indigenous patien...

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Bibliographic Details
Published in:PloS one 2022-08, Vol.17 (8), p.e0273841-e0273841
Main Authors: Sehgal, Anika, Barnabe, Cheryl, Crowshoe, Lynden (Lindsay)
Format: Article
Language:English
Subjects:
Biology and Life Sciences
Care and treatment
Collaboration
Complexity
Culture
Domains
Education
Evaluation
Health aspects
Health risks
Indigenous peoples
Medical tests
Medicine and Health Sciences
Native peoples
Older people
Patients
Questionnaires
Social Sciences
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Summary:Patient complexity assessment tools (PCATs) are utilized to collect vital information to effectively deliver care to patients with complexity. Indigenous patients are viewed in the clinical setting as having complex health needs, but there is no existing PCAT developed for use with Indigenous patients, although general population PCATs may contain relevant content. Our objective was to identify PCATs that include the inquiry of domains relevant in the care of Indigenous patients with complexity. A scoping review was performed on articles published between 2016 and 2021 to extend a previous scoping review of PCATs. Data extraction from existing frameworks focused on domains of social realities relevant to the care of Indigenous patients. The search resulted in 1078 articles, 82 underwent full-text review, and 9 new tools were identified. Combined with previously known and identified PCATs, only 6 items from 5 tools tangentially addressed the domains of social realities relevant to Indigenous patients. This scoping review identifies a major gap in the utility and capacity of PCATs to address the realities of Indigenous patients. Future research should focus on developing tools to address the needs of Indigenous patients and improve health outcomes.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0273841