The Effect of a Medication Coordinator on the Quality of Patients Medication Treatment (MEDCOOR) - Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 141
- 试验地点
- 2
- 主要终点
- Change in potentially inappropriate medication according to Potentially Inappropriate Medication List
研究概览
简要总结
To examine the effect of a Medication Coordinator, who facilitates medication reviews in close collaboration with patients using My Medication Plan to reduce the risk of post-hospital inappropriate medication usage.
详细描述
Patients' safety can be compromised in the transition of care between healthcare sectors. Optimal information flow across healthcare sectors and individualized medication treatment tailored to each patient is key to prevent adverse events and optimize patient treatment. Particularly, the inclusion of the general practitioner is important in this process; it could become a challenge to keep medication changes if this communication link is missing. The framework for complex intervention allows flexibility and adaption in meeting patients' needs by implementing tailored, possibly complex interventions in different healthcare settings. To examine the effect of a Medication Coordinator, who facilitates medication reviews in close collaboration with patients using My Medication Plan. The primary outcome is the proportion of potentially inappropriate medications. Secondary outcomes include patient-reported outcomes i.e., quality of life and medication burden. Additional outcomes include the patient's individual Medication Risk Score, if the patients are readmitted, and if the patients have contacted the staff at the hospital unit after the hospital discharge.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Care Provider)
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •all hospitalized patients, who are prescribed at least five medications specified in the Electronic Patient Journal (EPJ) used at ward
排除标准
- •unable to communicate in Danish, cognitively impaired e.g. suffering from dementia or Alzheimer's, or cannot cooperate due to e.g. hallucination or aggressive behavior
研究组 & 干预措施
Interventions group
The Medication Coordinator facilitates the medication reviews in close collaboration with the patients by applying concepts of motivational interview in combination with My Medication Plan
干预措施: Medication Coordinator (Behavioral)
Control group
Usual treatment from a team consisting of hospital physicians, nurses, nurse assistants, and as needed occupational therapists, physiotherapist, and clinical dieticians. Medication reconciliation might be a part of the patients' usual care performed by physicians or pharmacologist present at the acute ward. Hospital physicians and/or nurses might perform patient counselling about medication treatment during hospitalization
结局指标
主要结局
Change in potentially inappropriate medication according to Potentially Inappropriate Medication List
时间窗: Baseline and 6 months
Evaluating the patients drug treatment to assess if a drug is a potentially inappropriate medication
次要结局
- Evaluation of patients experiences quality of life with the EQ-5D and EQ-VAS.(Baseline and 3 months)
- Evaluation of patients experienced treatment burden with the questionnaire Multimorbidity treatment burden questionnaire (MTBQ).(Baseline and 3 months)
- Patient readmission 30 days after hospital discharge(30 days after the patient has been discharged from the hospital.)
- Evaluation of patients experienced quality of life with visual analogue scale (VAS).(Baseline and 3 months)
- Evaluation of patients experienced medication burden with visual analogue scale (VAS).(Baseline and 3 months)
- Patient contact to the ward 30 days after hospital discharge(30 days after the patient has been discharged from the hospital.)
