Implementation of recommendations for polypharmacotherapy in multimorbid patients Not Applicable
Conditions
Interventions
Practice teams (1 general practitioner, 1 health care assistant per practice) will participate in a workshop about polypharmacotherapy. The practice teams will create an individual concept which descr
Sponsors
European Union (Netherlands)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: For general practitioners: 1. Enrolment in a general practice centred care contract (HZV AOK Baden-Wuerttemberg) 2. Continuous attendance in a specific quality circle every three months in the previous 12 months For patients: 1. Aged over 64 years 2. Enrolment in general practice-centred care contract (HZV AOK Baden-Wuerttemberg) 3. Repeated prescriptions of more than four drugs in one quarter of the year 4. Being diagnosed with at least three chronic conditions 5. Especially in need for intensified medication management (according to the personal assessment of the general practitioner, e.g. non-adherence, hospitalisation due to medication related events).
Exclusion criteria
Exclusion criteria: 1. For physicians: Physicians having participated in another study focusing on multimorbidity or polypharmacotherapy in the last year are excluded 2. For patients: Lacking ability or need for intensified medication management according to the personal assessment of the general practitioner.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The degree of implementation of the three recommendations measured at patient level. The degree of implementation will be expressed by the number of indicators fulfilled per patient included in the study. | — |
Secondary
| Measure | Time frame |
|---|---|
| A comprehensive process evaluation will be performed including questionnaires for intervention fidelity and measures to evaluate the tailoring strategy. | — |
Countries
Germany
Outcome results
None listed