Can Telephone Contact After Discharge Between Geriatrician, Clinical Pharmacist and General Practitioner About Medication Review in Hospital Improve the Medication in Older Patients? A Feasibility Study.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 232
- 试验地点
- 3
- 主要终点
- Parts of the intervention completed
研究概览
简要总结
In this trial, the feasibility of cooperation between clinical pharmacists and physicians by conducting a telephone follow-up conversation between the hospital geriatrician, the general practitioner and the clinical pharmacist is evaluated. During hospital stay the clinical pharmacist and the geriatrician will review older patients' medication and discuss the future treatment with the general practitioner after discharge by telephone or medico-technology.
The first part of the feasibility study will be a qualitative baseline measure of characteristics of the participants and work flow. The second part will be a pilot randomized controlled study where participants will be allocated to either usual care or medication review and follow up contact
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 (Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •* 5 drugs or more
排除标准
- •Terminal illness
- •Not able to speak and understand Danish
研究组 & 干预措施
Intervention
Medication history by pharmaconomist. Medication review by pharmacist, patient interview, and conference with physician in hospital, telephone contact to general practitioner after discharge, medication report sent to primary care.
干预措施: Medication review (Behavioral)
Control
Medication history by pharmaconomist. Usual care by physicians.
结局指标
主要结局
Parts of the intervention completed
时间窗: Day 1 after discharge
In the intervention Group only, it is measured, how many of the elements of the intervention the patient actually have received
Changes in number of medications
时间窗: At admission and at discharge
Increase or decrease in number of medications from admission to discharge
Changes in the Electronic Medication Profile (FMK)
时间窗: 14 days after discharge
How many changes have been Applied to the Electronic Medication Profile
次要结局
- Changes in patient-experienced quality of life(At admission and 14 days after discharge)
- Number of readmissions(within 30 days after discharge)
- Number of visits at general practitioner(within 30 days after discharge)
- Number of emergency visits(within 30 days after discharge)
- Patient satisfaction with the discharge(14 days after discharge)
- Health care professionals satisfaction(3 months after implementation)
研究者
Lene V. Ravn-Nielsen
Pharmacist
Odense University Hospital