Table 1

Criteria for the identification of the complex chronic patient, grouped by domains of complexity

Clinical status
  • Multimorbidity or chronic severity pathology

  • Advanced chronic disease

  • Geriatric syndromes

  • Persistent symptoms

  • High utilisation of health services

  • >5% risk by morbidity group

Social statusSocial risk
Healthcare system criteria
  • Benefit from multidisciplinary management

  • Discrepancies among professionals in patient management

  • Benefit in integrated care