Related Experiment Video
Updated: Jul 10, 2026
10:38
Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
Using a Triple Aim Approach to Implement "Less-is-More Together" and Smarter Medicine Strategies in an
Monique Lehky Hagen1, René Julen2, Pierre-Alain Buchs3
1Valais Medical Society, Sion, Switzerland.
JMIR Research Protocols
|July 20, 2019
Summary
This study explores "Less-is-more" strategies for proton pump inhibitor (PPI) use, aiming to improve patient care and reduce healthcare costs. Findings will guide sustainable healthcare practices and optimize medication management.
Area of Science:
- Health Services Research
- Pharmacoeconomics
- Interprofessional Healthcare
Background:
- Rising healthcare expenditures and resource shortages necessitate sustainable practices.
- Choosing Wisely initiatives promote resource optimization in medicine.
- The "Less-is-more Together-PPI" project focuses on proton pump inhibitor (PPI) management.
Purpose of the Study:
- To enhance interprofessional collaboration among physicians, pharmacists, and patients for optimal PPI use.
- To reduce unnecessary PPI treatments and improve adherence to indicated therapies.
- To analyze barriers and facilitators of implementing interprofessional "Less-is-more" strategies.
Main Methods:
- Observational study of home-dwelling adults in Valais prescribed PPIs.
- Inclusion of consenting patients, physicians, and pharmacists.
- Data collection and ethical approval by the Human Research Ethics Committee of the Canton Vaud.
Main Results:
- Primary outcomes include population health (patient-reported outcomes), experience of care (patient, pharmacist, physician feedback), and per capita cost (PPI intake changes).
- Secondary outcomes assess participation rates, follow-up, and perceived benefits.
- Analysis of behavioral/physiological factors and potential bias effects on overall drug intake.
Conclusions:
- The project aims to understand patient and provider perceptions of "Less-is-more" strategies.
- It will identify hindrances and facilitators for cultural change towards sustainable healthcare.
- Results will inform the optimization and scaling of Choosing Wisely approaches.
Related Concept Videos
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:11Guidelines for Writing Outcome
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
01:26Methods of Documentation II: POMR
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
01:28Dosage Regimens: Designs and Approaches
Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...