The study does not focus on specific conditions Not Applicable
Conditions
Interventions
The intervention consists of the introduction and routine use of a patient-held health-record (PHR) for asylum-seekers in reception centres. The PHR is a paper-based structured document (DIN A5) consi
information for the treating physicians
a flap to insert other documents (e.g. vaccination cards)
a form for pre-existing conditions
a medication plan
a form for reasons of encounter, assessment results, diagnoses and therapies
a form for vital parameters
and a personal schedule for appointments. Once the PHR is introduced, it is used continuously in the respective health care setting.
The PHR will be introduced by cluster-randomisatio
Sponsors
University Hospital Heidelberg
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria for reception centres: The centres must provide health care services Inclusion criteria for physicians: Working in the reception centres Qualitative evaluation: Health professionals and asylum-seekers (aged over 18) using the PHR
Exclusion criteria
Exclusion criteria: Exclusion criteria for reception-centres: The centres do not provide health care services on spot Exclusion criteria for physicians: Not working in the reception centres
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of health-related information in patient-physician encounters, assessed by physician questionnaire throughout the whole evaluation period twice per week at randomly determined days (Monday to Friday +/- 2 days). Measurement occasions are chosen randomly using a simple random procedure. Time-points for each measurement occasion remain concealed until the randomly chosen day and health care providers are not informed in advance of all measurement points. Sentinel practices are asked to measure the primary outcomes for each patient-physician encounter with an asylum-seeker during the 15 weeks. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Prevalence of "missing essential health-related information" 2. Physician satisfaction with the prevalence of health-related information Secondary outcomes will be measured throughout the whole evaluation period twice per week at randomly determined days (Monday to Friday +/- 2 days). Measurement occasions are chosen randomly using a simple random procedure. Secondary outcomes are measured at the level of patient-physician encounters (physician-rated measurement). Time-points for each measurement occasion remain concealed until the randomly chosen day and health care providers are not informed in advance of all measurement points. Sentinel practices are asked to measure the secondary outcomes for each patient-physician encounter with an asylum-seeker during the 15 weeks. | — |
Countries
Germany
Outcome results
None listed