Multimorbidity Not Applicable
Conditions
Interventions
The intervention consists of three special consultations by GPs for patients with multimorbidity.
The consultations comprise of:
1. Performing a narrative doctor-patient-dialogue aimed at carving ou
Sponsors
German Federal Ministry of Education and Research (Germany)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age 65 ? 85 years at time of recruitment 2. At least one contact with the GP within the most recent quarter (3 months period)
Exclusion criteria
Exclusion criteria: 1. Poorly known patients to the general practitioner (GP) because of accidental consultation 2. Patients that are treated by the GP for less than 12 months 3. Patients with less than 3 diagnoses out of a list of 42 groups of chronic diseases and syndromes 4. Insufficient ability to consent (e.g. dementia) 5. Insufficient ability to participate in studies (e.g. severe psychic illness) 6. Severe illness probably fatal within 3 months according to the GP 7. Residence in a nursing home 8. Deafness 9. Insufficient ability to speak and read German 10. Participation in other scientific trials
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Number of pharmaceutical agents taken by the patient 2. Health related quality of life as measured by the EuroQoL EQ-5D, UK value set Measured at baseline and post intervention (12 months) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. GPs knowledge of the medication taken by patient 2. Patient satisfaction with GP services as measured by the EUROPEP questionnaire 3. Patient empowerment as measured by the Health Care Empowerment Questionnaire 4. Health care utilization (e.g. contacts with GP and specialists, hospital admissions) Measured at baseline and post intervention (12 months) | — |
Countries
Germany
Outcome results
None listed