Academic Journal
Effects of care of multimorbid patients in general practices by advanced practice nurses (FAMOUS): study protocol for a nonrandomized controlled trial
| العنوان: | Effects of care of multimorbid patients in general practices by advanced practice nurses (FAMOUS): study protocol for a nonrandomized controlled trial |
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| المؤلفون: | Stemmer, Renate, Büchler, Britta, Büttner, Matthias, Dera-Ströhm, Christina, Klein, Joachim, Gianicolo, Emilio |
| المساهمون: | German Innovation Fund of the Federal Joint Committee, Katholische Hochschule Mainz |
| المصدر: | BMC Health Services Research ; volume 23, issue 1 ; ISSN 1472-6963 |
| بيانات النشر: | Springer Science and Business Media LLC |
| سنة النشر: | 2023 |
| الوصف: | Background Multimorbidity is a common phenomenon among patients treated in general practices. Key challenges within this group include functional difficulties, polypharmacy, treatment burden, fragmentation of care, reduced quality of life and increased health care utilization. These problems cannot be solved in the short consultation time of a general practitioner (GP) since there is an increasing shortage of GPs. In many countries, advanced practice nurses (APNs) are successfully integrated into primary health care for multimorbid patients. The objective of this study is to examine whether the integration of APNs in the primary care of multimorbid patients in Germany leads to optimized care of the target group and to a reduction in the workload of the GPs. Methods The intervention includes the integration of APNs into the care for multimorbid patients in general practice for twelve months. Qualifications for APNs include a master's level academic degree and 500 hours of project-specific training. Their tasks include in-depth assessment, preparation, implementation, monitoring and evaluation of a person-centred and evidence-based care plan. In this nonrandomized controlled trial, a prospective multicentre mixed methods study will be performed. The main inclusion criterion was the cooccurrence of three chronic diseases. For data collection in the intervention group ( n = 817), routine data from health insurance companies and association of statutory health insurance physicians (ASHIP) will be used, as well as qualitative interviews. In addition, the intervention will be assessed through documentation of the care process and standardized questionnaires using a longitudinal design. The control group ( n = 1634) will receive standard care. For the evaluation, routine data from health insurance companies are matched at a ratio of 1:2. Outcomes will be measured using emergency contacts and GP visits, treatment costs, health status of the patients and the satisfaction of parties involved. The statistical ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1186/s12913-023-09460-1 |
| DOI: | 10.1186/s12913-023-09460-1.pdf |
| DOI: | 10.1186/s12913-023-09460-1/fulltext.html |
| الاتاحة: | http://dx.doi.org/10.1186/s12913-023-09460-1 https://link.springer.com/content/pdf/10.1186/s12913-023-09460-1.pdf https://link.springer.com/article/10.1186/s12913-023-09460-1/fulltext.html |
| Rights: | https://creativecommons.org/licenses/by/4.0 ; https://creativecommons.org/licenses/by/4.0 |
| رقم الانضمام: | edsbas.DA4FB485 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s12913-023-09460-1 |
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