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Decision Support for Improving Primary Care of Elderly Patients.

User-centered Decision-Support based on the ACOVE quality indicators for Improving Delivery of Primary Care of Elderly Patients.

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON26187
Enrollment
3000
Registered
2012-08-08
Start date
2013-09-23
Completion date
Unknown
Last updated
2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Medical and geriatric conditions of elderly patients including: depression, dementia, falls, and diabetes.

Interventions

A subset of clinical rules originating from the ACOVE-3 (Assessing care of Vulnerable Elders) complete set of rules has been selected based on surveys and focus groups with General Practitioners (GPs)

Sponsors

Academic Medical Center (AMC)
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Patients: All patients 65 years or older visiting their general practitioner. Physicians: All primary care physicians in the practices of GAZO (Gezondheidscentra in Amsterdam Zuid-Oost).

Exclusion criteria

Exclusion criteria: None, as the rules apply to all patients 65 years and older.

Design outcomes

Primary

MeasureTime frame
Adherence to the clinical rules. In particular adherence will be calculated in the following ways: 1. We will calculate the pass rates for each rule. The pass rate of a rule is the proportion of times that a rule was followed when it was triggered; 2. We will calculate the pass rate without distinction to specific rules (the proportion of times any rules was followed when it was triggered); 2. We will calculate the number of rules for which there was positive effect (that is, the pass rate of a rule its corresponding intervention group was larger that in its control group). The outcomes in "1" and "2" will be tested using proportion tests. The outcome in "3" will be tested using the binomial test. We will also calculate the abovementioned measures per patient.

Contacts

Public ContactAmeen Abu-Hanna

Department of Medical Informatics Academic Medical Center - University of Amsterdam Meibergdreef 15

a.abu-hanna@amc.uva.nl+31 (0)20 5665959

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)