获得有效的远程医疗,以帮助优化医疗复杂性儿童的多学科团队参与 (GET2HOME):实用随机对照试验的协议
Amanda Warniment1, Hadley Sauers-Ford1, Patrick W Brady1,2,3
1Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Journal of hospital medicine
|August 21, 2023
概括
这项研究评估了一套远程医疗包,以减少医疗复杂的儿童的住院再诊. GET2HOME干预旨在改善护理过渡,减少紧急医疗保健的使用.
科学领域:
- 提供儿科医疗保健服务.
- 医疗服务研究 医疗服务研究
- 护理干预措施的过渡期
背景情况:
- 患有医疗复杂性的儿童和年轻人 (CMC) 面临着高水平的退院后医疗再利用率.
- 过渡过程中的失败 (药物,技术,财务,医疗服务提供者混) 都会导致再录取.
- 只有很少的干预措施在医院到家庭过渡期间支持CMC.
研究的目的:
- 将GET2HOME远程医疗捆绑干预与CMC的标准护理协调进行比较.
- 评估对医疗保健再利用和以患者/家庭为中心的结果的影响.
主要方法:
- 在两个儿科医疗中心进行实用随机对照试验 (RCT).
- 参与者:在2022年11月至2025年2月期间住院的CMC.
- 干预:GET2HOME捆绑 (远程医疗聚集,护理管理追踪器) 与标准放弃.
主要成果:
- 主要结局:为期30天的紧急医疗再利用 (重新入院,ED,紧急护理访问).
- 二次结果:7天的再利用,过渡质量,生活质量,恢复到基线.
- 分析:治疗意图,后勤回归,GEE.
结论:
- 这项研究将评估CMC的增强放电过渡支持战略.
- 调查结果将为改善护理协调和减少再接收的干预措施提供信息.
- 预计结果将于2025年7月公布.
更多相关视频
08:54Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke
Published on: June 6, 2025
351
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.1K
相关概念视频
Clinical Trials: Overview
3.0K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
3.0K
Blinding
2.5K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
2.5K
Clinical Trials
6.8K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.8K
Randomized Experiments
7.0K
The randomization process involves assigning study participants randomly to experimental or control groups based on their probability of being equally assigned. Randomization is meant to eliminate selection bias and balance known and unknown confounding factors so that the control group is similar to the treatment group as much as possible. A computer program and a random number generator can be used to assign participants to groups in a way that minimizes bias.
Simple randomization
Simple...
Simple randomization
Simple...
7.0K
Interdisciplinary Care: The Health Care Team-I
1.7K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.7K
Methods of Documentation VI: Case Management Model
598
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...
For example, a patient with a chronic...
598
