Accounting dialogues as a means to promote patient-oriented primary care and improve quality of care in people with chronic disease

Accounting dialogues as a means to promote patient-oriented primary care and improve quality of care in people with chronic disease - BILANZ

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

DRKS

Registry ID

DRKS00004442

Enrollment

2080

Registered

2012-12-10

Start date

2012-05-21

Completion date

Unknown

Last updated

2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

chronic diseases

Interventions

Group 1: Intervention group: 1040 patients (n=52 general practitioners with 20 patients each). Accounting dialogues at 4 times: t1 = at the beginning

t2 = after 3 months

t3 = after another 3 months

t4 = after 1 year (final consultation) Group 2: control group: 1040 patients (n=52 general practitioners with 20 patients each). Accounting dialogues at 2 times: t1 = at the beginning

t4 = after 1 year (final consultation) Group 3: Subsample (qualitative part): video-taped consultations of 200 patients (IG = 130

CG = 70) from 40 general practitioners (IG: n = 26

CG: n = 14)

Eligibility

Sex/Gender

All

Age

18 Years to 70 Years

Inclusion criteria

Inclusion criteria: with at least one chronical disease

Exclusion criteria

Exclusion criteria: inadequate knowledge of German; lack of cognitive abilities (p.ex. dementia)

Design outcomes

Primary

Measure	Time frame
sustainable achievement of agreed goals of patient and physician point of view: It is measuerd by a sheet for goal achievement which was generated by the project's stuff (5 stage likert scaling) Measuring time: at t4 (after 1 year)	—

Secondary

Measure	Time frame
The salutogenic resources of the patients will be measured by the SOC 13 questionnaire at t1 and after t4 (after 1 year). The subjective perception of the patients will be detected by the WONCA-Coop-charts at t1 and after t4; The successive interaction analysis of videotaped accounting dialogues will be done by RLI (= Rating Inventary of solution oriented interventions) and also by Roter’s Interaction Analysis System (RIAS). Some of the interviews will be analysed by qualitative methods (sequential analysis). After t4 narrative interviews with GPs and patients will be conducted and analysed by qualitative methods (Grounded Theory).	—

Measure

Time frame

The salutogenic resources of the patients will be measured by the SOC 13 questionnaire at t1 and after t4 (after 1 year). The subjective perception of the patients will be detected by the WONCA-Coop-charts at t1 and after t4; The successive interaction analysis of videotaped accounting dialogues will be done by RLI (= Rating Inventary of solution oriented interventions) and also by Roter’s Interaction Analysis System (RIAS). Some of the interviews will be analysed by qualitative methods (sequential analysis). After t4 narrative interviews with GPs and patients will be conducted and analysed by qualitative methods (Grounded Theory).

—

Countries

Germany

Contacts

Public ContactStefan Wilm

Universitätsklinikum Düsseldorf, Institut für Allgemeinmedizin

Stefan.Wilm@med.uni-duesseldorf.de+49 (0)211-81-17771

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026