Recipients in outpatient and (semi-)inpatient long-term care
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Group A (staff of facilities/medical practices): Adult age; participation in at least one teleconsultation during the data collection period; membership in the target population; health status permits participation; consent has been given. Group B (care recipients): Adult age; participation in at least one teleconsultation during the data collection period (intervention cohort) or no teleconsultation at the same facility (comparison cohort); consent has been given (either directly or through legal representation).
Exclusion criteria
Exclusion criteria: Group A: Failure to meet an inclusion criterion Group B: Health status does not permit study participation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| What: Rate and number of nursing-home-sensitive hospital admissions among care recipients with vs. without a teleconsultation. When: t0–t12, continuously (12-month observation period). How: Standardized questionnaire on diagnosis, length of stay, and admitting institution. | — |
Secondary
| Measure | Time frame |
|---|---|
| Nursing quality indicators according to § 113 SGB XI (German Social Code Book XI) (including pressure ulcers, falls, nutritional status, catheter care); standardized questionnaire – no direct survey, but evaluation of existing nursing documentation; t0, t4, t8, t12 Health economic indicators (costs of hospital/emergency medical service utilization, implementation and operating costs, cost-effectiveness); structural data sheet on implementation and operating costs; t0 (once) Acceptance and use (UTAUT2) among nursing staff, physicians, and other medical staff; standardized questionnaire; t0, t6, t12 months Implementation processes and framework conditions (newly implementing projects); qualitative focus groups, period t1–t6 and t6–t12 Satisfaction of care recipients with the teleconsultation; standardized, Likert-scaled short questionnaire on paper; t0–t12, continuously following each teleconsultation. | — |
Countries
Germany
Contacts
Institut für Allgemeinmedizin und Interprofessionelle Versorgung, Universitätsklinikum Tübingen