G20-G26 G35-G37 G30-G32 G40-G47 F01 F03 R42 G61 G56 G57 G50
Conditions
Interventions
Group 1: TENEAM – Intervention arm (according to TIDieR)
1. Name of the intervention
Teleneurological care (TENEAM).
2. Why (rationale, theory, goal)
Addressing the lack of specialist neurological c
patients do not have to travel to the neurologist themselves.
8. When and how often (dosage, duration)
At least one teleneurological consultation per patient as needed, supplemented by additional ses
Sponsors
Charité - Univeristätsmedizin Berlin
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: -Unclear neurological symptoms or confirmed neurological diseases requiring specialist neurological assessment or treatment (e.g., balance disorders, peripheral neuropathies, primary headaches, epilepsy, dementia syndromes, movement disorders, cerebral circulatory disorders, inflammatory CNS syndromes; ; ICD-10 Codes G20-26, G35-37, G30-32, G40-47, G50-54, G56-59, G61.1-G61.9, G62-64, G70-72, H8182, R42, F01, F03) -No specialist appointment available in the near future and close to home (= no appointment within 3 weeks at a specialist neurological practice within =30 min. travel time) -Legal age (= 18 years) -Written consent to participate in the study and use of routine data
Exclusion criteria
Exclusion criteria: - Patients receiving care from a family doctor at another practice and referred to the cooperating practice solely on the basis of a practice substitution
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of outpatient-sensitive hospital treatments with neurological diagnoses within 6 months of inclusion in the evaluation (at least one of the defined outpatient-sensitive neurological ICD-10 diagnoses must be present as a confirmed primary or secondary diagnosis, e.g., G20-26, G35-37, G30-32, G40-47, G50-54, G56-59, G61.1-G61.9, G62-64, G70-72, H8182, R42, F01, F03) | — |
Secondary
| Measure | Time frame |
|---|---|
| Outcome quality - Outpatient-sensitive inpatient hospital cases with neurological diagnoses (up to 24 months) - Outpatient-sensitive emergency room cases with neurological diagnoses (up to 24 months) - Outpatient-sensitive hospital treatments with neurological diagnoses (emergency room + inpatient) during the entire observation period (up to 24 months) - Health-related quality of life (EQ-5D-5L) after 6 months - Well-being (ICECAP-A) after 6 months - Patient satisfaction with timely and appropriate neurological care after 6 months - Access to care (subdomain of EPAT-64 outpatient) after 6 months Structural quality - Time from clarification/treatment need to specialist neurological consultation - Number of specialist neurological consultations per patient year (6–24 months) (GP consultations are also taken into account) Process quality - Completion of guideline-based diagnostics within 6 months - Time to completion of guideline-based diagnostics (from randomization) In a random sample evaluation, the following parameters are collected from project participants: - Satisfaction of family doctors with regard to timely and professional neurological care and acceptance of the new form of care (visual analog scale) - Satisfaction of general practitioners with regard to referral and care costs (visual analog scale) - Satisfaction of neurologists in the region with regard to task distribution and involvement (visual analog scale) Structural quality - Time from clarification/treatment need to specialist neurological consultation - Number of specialist neurological consultations per patient year (6–24 months) (GP consultations are also taken into account) In addition, semi-structured interviews with project participants will be conducted to assess • the degree of implementation of the new form of care • the acceptance of the new form of care • barriers and facilitating factors for the new form of care | — |
Countries
Germany
Contacts
Public ContactChristiane Franke
Charité - Universitätsmedizin Berlin
Outcome results
None listed