改善心力衰竭患者的转变和结果在家庭健康CaRe (I-TRANSFER-HF):一种1型混合疗效实施试验:研究协议
Madeline R Sterling1, Cisco G Espinosa2, Daniel Spertus2
1Department of Medicine, Weill Cornell Medicine, 420 East 70th Street, LH-357, New York, 10065, NY, USA. mrs9012@med.cornell.edu.
BMC health services research
|October 1, 2024
概括
这项研究测试了改善心力衰竭的转变和结果在家庭医疗机构的患者 (I-TRANSFER-HF) 干预措施,以减少心力衰竭 (HF) 患者的再入院. 目标是通过及时的家庭医疗保健和医疗随访来改善护理和结果.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 心力衰竭 (HF) 再入院是一个重大问题,只有12%的医疗保险受益者接受了推的退院后护理.
- 在为HF患者提供及时的家庭医疗保健 (HHC) 和门诊随访方面存在实施差距.
研究的目的:
- 为了测试I-TRANSFER-HF干预的有效性和实施.
- 减少接受HHC.HC.的HF患者的30天再入院和急诊室 (ED) 访问.
- 增加HF患者出院后在家呆的时间.
主要方法:
- 一个混合型1,一步形随机试验设计,涉及四个医院-家庭卫生机构 (HHA) 双.
- 有效性将通过使用Medicare索赔数据进行30天的再入院,急救诊所访问和在家呆几天来衡量.
- 实施将使用混合方法方法进行评估,包括定性访谈和流程措施,以"实施研究综合框架2.0 (CFIR 2.0) "为指导.
主要成果:
- 这项研究旨在确定I-TRANSFER-HF是否可以减少30天的再入院和急救访问.
- 二次结果包括HF患者在家中的日数增加.
- 该研究将确定实施干预的障碍和促进者.
结论:
- 这项实用性试验是第一个促进HHC及时和门诊随访HF患者的实用性试验.
- 这项研究有可能显著改善HF患者的护理和结果.
- 预计将对HHC在全国范围内实施的新见解.
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