外界:初级保健中尿失禁治疗的结果 - APP联合管理和电子咨询
C Pangelina1, J Bergman2, T Cheng1
1Department of Urology, University of California San Diego, 4311 3(rd) Ave, San Diego, CA 92103, USA.
Contemporary clinical trials
|April 23, 2025
概括
本研究将电子咨询 (E-consult) 与高级实践提供者 (APP) 联合管理进行比较,以改善尿失禁 (UI) 护理质量. OUTPACE试验将确定哪种转诊方法最能改善UI管理和患者的治疗结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尿失禁管理的护理质量 (QOC) 研究是有限的.
- 电子咨询 (E-consult) 和先进实践提供商 (APP) 联合管理模式显示了改善UI QOC的潜力.
- 本研究详细介绍了对这些初级保健提供者 (PCP) 转诊实践进行比较的设计和方法.
研究的目的:
- 为了比较电子咨询与APP联合管理在改善UI护理方面的有效性.
- 评估患者报告的结果 (PRO),知识和共享决策.
- 根据种族,种族和语言来确定UI QOC中的潜在差异.
主要方法:
- 在初级保健中尿失禁治疗的结果 - APP联合管理和电子咨询 (OUTPACE) 是一个务实的集群随机试验.
- 在60个PCP办公室中,大约300个提供商将被随机分配到电子咨询或APP联合管理中.
- 数据收集包括图表审查,验证的PRO仪器和六个月的知识调查.
主要成果:
- 自2024年2月以来,提供者和患者的入学正在进行中.
- 基线QOC通过对UI诊断的回顾性图表审查来评估.
- 在基线,3个月和6个月测量了PRO,患者知识和共享决策.
结论:
- OUTPACE试验将确定电子咨询和APP联合管理推机制的比较有效性.
- 结果将阐明哪种转诊策略最有效地改善提供者的QOC和以患者为中心的UI结果.
- 该研究旨在提高UI护理质量,减少初级保健机构的差异.
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