个性化,跨学科的患者途径,用于跨部门的多病患者的护理 (eliPfad试验):随机对照试验的研究协议
Christoph Heinrich Lindemann1, Volker Burst1, Linus Alexander Völker1
1Department II of Internal Medicine and Center for Molecular Medicine Cologne (CMMC), Faculty of Medicine, University of Cologne, University Hospital Cologne, Cologne, Germany.
Trials
|March 12, 2024
概括
这项研究调查了eliPfad干预措施,以减少多种慢性疾病的老年患者的再入院. 如果成功,eliPfad可能会成为德国的护理新标准.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 临床试验 临床试验
背景情况:
- 多病症和脆弱的老年患者面临着高的治疗负担,往往由住院和随后的再入院加剧.
- 目前德国的护理模式是分散的,缺乏协调和跨学科的方法,导致对这个弱势群体的护理不足.
- 住院扰乱了脆弱老年患者的平衡,增加了再入院的风险,并进一步加重了医疗保健系统的负担.
研究的目的:
- 评估eliPfad干预措施在减少多病老年患者再入院的有效性.
- 评估eliPfad干预对与健康相关的生活质量,治疗负担,生存和以患者为中心的护理的影响.
- 确定eliPfad干预措施的成本效益和过程结果,以改善护理协调.
主要方法:
- 一项随机对照试验 (RCT) 涉及6家德国医院的948名多病症老年患者 (≥55岁).
- 干预组接受eliPfad干预,包括病例管理,全科医生参与,跨部门治疗计划,电子患者记录 (e-ePA),坚持支持,早期康复和远程监测.
- 对照组接受标准的临床护理. 首要的结果是减少在下放后6个月内重新接收的数量.
主要成果:
- 这项研究正在进行中,结果尚未公布.
- 首要目标是防止或减少在释放后的前6个月内重新接收.
- 二次结果包括改善生活质量,减少治疗负担和加强自我管理.
结论:
- eliPfad干预措施有可能显著改善多病症老年患者的护理.
- 如果有效性和成本效益得到证明,eliPfad可能会在德国实施,成为新的护理标准.
- 成功实施可以减少再入院并减轻脆弱老年患者的治疗负担.
相关概念视频
01:15Methods of Documentation VI: Case Management Model
573
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...
573
01:29Documentation in Long-Term and Home Healthcare Setting
890
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
890
01:18Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K
01:16Crossover Experiments
2.8K
Crossover experiments, also called the repeated-measurements design, is a study design in which all experimental units are exposed to all treatments in different periods. Crossover experiments are generally used in psychology, the pharmaceutical industry, agriculture, and medicine.
Crossover designs are performed even with smaller sample sizes since the samples can act as their controls. These are better than simple randomized trials since patients are exposed to all the treatments.
Crossover designs are performed even with smaller sample sizes since the samples can act as their controls. These are better than simple randomized trials since patients are exposed to all the treatments.
2.8K
01:13Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
01:21Interdisciplinary Care: The Health Care Team-I
1.6K
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...
1.6K