Care complexity in the general hospital: Results from a European study

Peter D. De Jonge, Frits J. Huyse, Joris P.J. Slaets, Thomas Herzog, Antonio Lobo, John S. Lyons, Brent C. Opmeer, Barbara Stein, Volker Arolt, Nandor Balogh, Graca Cardoso, Per Fink, Marco Rigatelli, Richard Van Dijck, Gideon J. Mellenbergh

Research output: Contribution to journalArticlepeer-review

38 Scopus citations


There is increasing pressure to effectively treat patients with complex care needs from the moment of admission to the general hospital. In this study; the authors developed a measurement strategy for hospital-based care complexity. The authors' four-factor model describes the interrelations between complexity indicators, highlighting differences between length of stay (LOS), objective complexity (such as medications or consultations), complexity ratings by the nurse, and complexity ratings by the doctor. Their findings illustrate limitations in the use of LOS as a sole indicator for care complexity. The authors show how objective and subjective complexity indicators can be used for early and valid detection of patients needing interdisciplinary care.

Original languageEnglish
Pages (from-to)204-212
Number of pages9
Issue number3
StatePublished - 2001

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Applied Psychology
  • Psychiatry and Mental health


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