title: [Identification of people with chronic advanced diseases and need of palliative care in sociosanitary services: elaboration of the NECPAL CCOMS-ICO© tool].
abstract: OBJECTIVE
  Around 75% of the population in our country will die as a consequence of chronic advanced diseases. Advanced chronic care is one of the major challenges for public health systems. This study describes the development of a tool to identify patients with advanced chronic diseases and life limited prognosis that might require some type of palliative intervention in our health and social environment.
  
  
  METHODS
  Spanish translation of PIG/GSF, cultural and clinical adaptation, identification of indicators of severity and progression -general and specific-; study of content validity and pre-test.
  
  
  RESULTS
  The NECPAL CCOMS-ICO(©) tool proposes a quantitative-qualitative, multifactorial, indicative and not dichotomous evaluation combining subjective perception assessment (surprise question) with demand and perceived needs; parameters of severity and progression, geriatric syndromes, emotional aspects, comorbidity and use of resources; and indicators for selected pathologies.
  
  
  CONCLUSIONS
  The NECPAL CCOMS-ICO(©) tool, feasible and easy to use, would identify patients with advanced chronic palliative needs of any cause, early and in all resources.
authors.affiliation: Observatorio QUALY-Centro Colaborador de la OMS para Programas Públicos de Cuidados Paliativos (CCOMS-ICO), Institut Català d'Oncologia (ICO), Cátedra de Cuidados Paliativos, Universitat de Vic, Vic, Barcelona, España. xgomez.WHOCC@iconcologia.net
authors.forename: Xavier
authors.initials: X
authors.lastname: Gómez-Batiste
authors.forename: Marisa
authors.initials: M
authors.lastname: Martínez-Muñoz
authors.forename: Carles
authors.initials: C
authors.lastname: Blay
authors.forename: Jordi
authors.initials: J
authors.lastname: Amblàs
authors.forename: Laura
authors.initials: L
authors.lastname: Vila
authors.forename: Xavier
authors.initials: X
authors.lastname: Costa
mesh_terms: D002908:Chronic Disease / Q000453:epidemiology / Q000628:therapy; D015897:Comorbidity; D004644:Emotions; D006301:Health Services Needs and Demand; D006305:Health Status Indicators; D006801:Humans; D008017:Life Expectancy; D010166:Palliative Care; D018579:Patient Selection; D011379:Prognosis; D012720:Severity of Illness Index; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires