neurological diseases
Conditions
Interventions
Group 1: Standard care
Group 2: Telemedicine, Telemedicine consultation at the general practice
Sponsors
Innovationsausschuss beim G-BA
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Included are general practitioners in Western Pomerania and meet the technical and spatial requirements for the establishment of teleconsultations. The following patients are included: Patients = 18 years of age who present themselves in the participating general practitioners' practices, for whom the symptoms result in a neurological question.
Exclusion criteria
Exclusion criteria: General practitioners' practices outside the catchment area of the University Medical Center Greifswald (UMG), which do not meet the necessary technical and spatial requirements are excluded. The districts of Vorpommern-Rügen, Vorpommern Greifswald and the Mecklenburg Lake District are defined as the catchment area of the UMG. The following patients are not included: Patients and patients incapable of giving consent; Patients who, in the opinion of the GP, appear to have a neurological emergency that requires prompt inpatient clarification.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of resolved neurolog. problems at outpatient GP clinics (indicator referral to a neurological specialist - without Teleconsultation) (intervention group (IG) vs. control group (CG); | — |
Secondary
| Measure | Time frame |
|---|---|
| Health system (A2) A2/1: Number of hospital stays (N) (3 months Follow-up) A2/2: hospital stays (length of stay) (3 months observation period) A3: patients Just in-time care A3/1: Time (days) until the consultation with a neurological specialist (3 months follow-up) A3/2: Time (days) until indicated initial diagnostics (defined as cMRI, cCT, electrophysiology of nerves / muscles; ultrasound of brain-supplying vessels, EEG) (3 months follow-up) A3/3: Quality of life (EQ-5D-5L 18, after the family doctor's appointment and 3 months Follow-up) A3/4: State of health (EQ-5D-5L VAS, after the family doctor's appointment and 3 Months follow-up) A4: General Practitioners (GP) A4/1: Type of further treatment (triage): GP / referral to a outpatient neurological specialist / other outpatient specialist / patient admission (after the family doctor's appointment) B: Outputs (process parameters) B1: Number of requested and actually carried out teleconsults B2: Duration from request to start of the teleconsultation B3: duration of teleconsultation B4: Symptoms B5: Satisfaction / acceptance with teleconsultation (patients) B6: Satisfaction / acceptance with teleconsultation (GP) B7: Planned adherence to tele-neurologist's recommendation B8: Number of advances training courses C: Implementation C1: Number of recruited (reached) patients C2: Number of participating GPs C3: Number of GP participating in advanced training C4: Number of teleconsults requested by the GP C5: sustainable integration in workflow processes | — |
Countries
Germany
Contacts
Public ContactFelix von Podewils
Universitätsmedizin Greifswald, Klinik und Poliklinik für Neurologie
Outcome results
None listed