[✍️ NEW TERM] Cumulative Complexity Model (CuCoM)

[WBarneyJones]

Term

Cumulative Complexity Model (CuCoM)

Definition

The model emphasizes a core, patient-level mechanism whereby complicating factors impact care and outcomes: the balance between patient workload of demands and patient capacity to address demands. Workload encompasses the demands on the patient's time and energy, including demands of treatment, self-care, and life in general. Capacity concerns ability to handle work (e.g., functional morbidity, financial/social resources, literacy). Workload-capacity imbalances comprise the mechanism driving patient complexity. Treatment and illness burdens serve as feedback loops, linking negative outcomes to further imbalances, such that complexity may accumulate over time.

Citation

Cumulative complexity: a functional, patient-centered model of patient complexity can improve research and practice
Nathan D Shippee 1 , Nilay D Shah, Carl R May, Frances S Mair, Victor M Montori, National Library of Medicine https://pubmed.ncbi.nlm.nih.gov/22910536/

Extra Information

added by MELD-B team

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