Carmel Mary Martin

Analysis file for R

Carmel Mary Martin

au (code pays fourni par la source)

Analysis file for R

Carmel Mary Martin

au (code pays fourni par la source)

Systemic path to global health 2050

Joachim Sturmberg, Maru Mormina, Holger Pfaff, Federica Russo et autres

Commission on Investing in Health proposed targeting investment in 15 priority conditions through 19 modular interventions to improve global health by 2050. While pragmatic, this approach may not fully capture the complex-adaptive nature of health and health systems, nor their social, economic …

au, it, de, nl, ca, Afrique du Sud, fr, gb, no, us, at, be (code pays fourni par la source)

Knowledge Engine, Wisdom System: Aligning Generative AI With the Relational and Epistemic Foundations of Primary Care

Joachim Peter Sturmberg, Carmel Mary Martin

Many patients now turn to generative AI for health advice before seeing a doctor. However, there is little evidence about how well it works in primary care. Research focused on general practice is limited, and real-world harms are often missed because there …

gb, au (code pays fourni par la source)

Detecting and Redirecting Critical Transitions in High-Need, High-Cost Patient Trajectories: An Instability–Plasticity Theory for Longitudinal Care

Carmel Mary Martin, Donald Campbell, Keith Stockman, ishbel henderson

Background: Patients described as high-need, high-cost (HNHC) represent a subset of individuals with complex multimorbidity whose healthcare trajectories are characterised by recurrent instability and intensive use of acute care services. Concepts such as trajectory disruption, resilience, and complex adaptive behaviour are widely …

au, gb (code pays fourni par la source)

Most Instability Phases Resolve: Empirical Evidence for Trajectory Plasticity in Multimorbidity Care from Longitudinal Relational Monitoring

Carmel Mary Martin, Keith Stockman, D Campbell, ishbel henderson

Abstract Background The instability plasticity framework proposes that multimorbidity trajectories periodically enter instability phases that are vulnerable to escalation but also potentially modifiable through relational intervention. Whether such phases commonly resolve without acute care, or predominantly progress to hospitalisation, has not been …

au, gb (code pays fourni par la source)

Instability and Plasticity in High Need High-Cost Multimorbidity Care Trajectories Complex Systems Theory Framework for Detecting and Nudging Critical Transitions Grounded in Relational Monitoring

Carmel Mary Martin, Keith Stockman, Donald Campbell, Ishbel L. Henderson

Background: Patients described as high-need, high-cost (HNHC) represent a subset of individuals with complex multimorbidity whose healthcare trajectories are char-acterised by recurrent instability and intensive use of acute care services. Concepts such as trajectory disruption, resilience, and complex adaptive behaviour are widely …

Dynamic Phenotyping in complex multimordity cohorts

Carmel Mary Martin

The Personal Health Care Journey Record (PaJR) system: An implementation case study of complex systems-based telehealth model. (Preprint)

Carmel Mary Martin, Narelle Hinkley, Keith Stockman, Donald Campbell

UNSTRUCTURED Background: Avoidable rehospitalisation and frequent emergency department use in those with complicated chronic conditions are increasingly recognized as a complex, nonlinear process shaped by dynamic interactions between clinical, psychosocial, and contextual factors. The Patient Journey Record (PaJR) system was developed to …

Reframing Super-Utilization: A Complex Systems Review of Cost-Focused Interventions in High-Need, High-Cost Care—Radical Transformation Is Needed

Carmel Mary Martin

Super-utilization, defined as frequent and often avoidable use of emergency departments and hospital admissions, has attracted significant policy and research attention due to its impact on healthcare costs. Over the past decade, care management and integrated care interventions have been promoted as …

au (code pays fourni par la source)

Reframing Super-Utilization: A Complex Systems Review of Cost-Focused Interventions in High-Need, High-Cost Care. Radical Transformation is Needed

Carmel Mary Martin

Super-utilization, defined as frequent and often avoidable use of emergency departments and hospital admissions, has attracted significant policy and research attention due to its impact on healthcare costs. Over the past decade, care management and integrated care interventions have been promoted as …

au (code pays fourni par la source)

Super-utilization interventions - failing or evolving in complex systems? A scoping literature review

Carmel Mary Martin

Introduction: Super-utilization (frequent acute hospital care use or frequent emergency department (ED) utilization and readmissions) describes high rates of emergency department visits and hospital admissions by some individuals. Reducing healthcare costs per capita has focused on reducing Super-utilization using system transformation and …