为复杂多病症患者提供以患者为中心的护理模式:在全科医院,市政当局和医院进行试点集群随机试验的协议
Sanne Lykke Lundstrøm1,2, Nina Kamstrup-Larsen1,3, Barbara Ann Barrett1,3
1Innovation and Research Centre for Multimorbidity, Slagelse Hospital, Region Zealand, Slagelse, Denmark.
PloS one
|December 4, 2024
概括
本研究协议概述了CIM2的试点RCT,这是一个以患者为中心的干预措施,旨在改善复杂多病症的综合护理. 其目标是提高患者报告的护理质量,并减少初级保健机构的治疗负担.
科学领域:
- 医疗保健管理的管理
- 初级保健研究研究初级保健研究
- 复杂干预研究 复杂干预研究
背景情况:
- 目前对复杂多病症的护理模式往往是分散的和不充分的.
- 需要为患有多种慢性疾病的患者提供优化的医疗保健服务组织.
- 一个以患者为中心的多病症复杂干预 (CIM) 已经开发和完善到CIM版本2 (CIM2).
研究的目的:
- 描述试点集群随机对照试验 (RCT) 的研究方案.
- 评估基于一般实践的CIM2干预对复杂多病症患者的有效性.
- 评估CIM2对患者护理质量体验的影响.
主要方法:
- 一个试点集群RCT涉及350名患有复杂多病症的患者在14个全科医院.
- 接受CIM2 (培训,扩展咨询,护士协调员,后续护理,改善整合) 的干预组与通常护理.
- 主要结果:患者评估慢性疾病护理问卷 (PACIC);次要结果:EQ-5D-5L,MTBQ,医疗保健利用率,成本效益.
主要成果:
- 本节不适用,因为摘要描述的是研究方案,而不是结果.
- 该研究旨在收集有关患者体验,生活质量和治疗负担的数据.
- 成本效益分析将使用增量成本效益比率 (ICER) 进行.
结论:
- 该研究协议详细介绍了CIM2的试点RCT,这是一项旨在改善复杂多病症综合护理的干预措施.
- 调查结果将为CIM2在初级保健中的潜在有效性和实施提供信息.
- 该研究旨在提供证据,以改善复杂需求的患者的医疗保健组织.
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