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eeds, requirements and cross-sectoral patient journeys of people with out-of-hospital mechanical ventilation and intensive care

Conditions
People with out-of-hospital mechanical ventilation and intensive care
Registration Number
DRKS00030891
Lead Sponsor
aQua – Institut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen GmbH
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
512
Inclusion Criteria

People with invasive and non-invasive mechanical ventilation of any age who receive permanent out-of-hospital intensive care (home-based 1:1 care, residential group, ventilation residential community, long-term care facilities).

Medical and nursing care providers:
Nursing care facilities that have
- concluded a care contract according to § 132a Social Code Book V including a supplementary agreement according to § 4 of the relevant framework recommendation of the GKV-SV and who demonstrably care for the above-mentioned patient group,
- provide out-of-hospital intensive care to patients based on § 37c subsection 2 Social Code Book V (or, before November 2020, based on § 37 subsection 2 Social Code Book V) or
- have a care contract pursuant to § 132l, subsection 5 of the German Social Code Book V (or prior to May 2019 based on § 132a, subsection 1, sentence 5 of the German Social Code Book V).

Outpatient medical, medical technology and therapeutic provider:
Health care provider for out-of-hospital mechanical ventilation (e. g. Speech Therapists, Occupational Therapists, outpatient specialists and general practitioners, home care provider who care for people with out-of-hospital mechanical ventilation and intensive care.

Exclusion Criteria

People
- who are not out-of-hospital ventilated
- with out-of-hospital mechanical ventilation and with-out out-of-hospital intensive care

Medical and nursing care providers:
Nursing care facilities that
- have not concluded a care contract according to § 132a Social Code Book V including a supplementary agreement according to § 4 of the relevant framework recommendation of the GKV-SV and who demonstrably care for the abovementioned patient group
- do not provide out-of-hospital intensive care to patients on the basis of § 37c subsection 2 Social Code Book V (or, before November 2020, on the basis of § 37 subsection 2 Social Code Book V),
- have no care contract pursuant to § 132l, subsection 5 of the German Social Code Book V (or prior to May 2019 based on § 132a, subsection 1, sentence 5 of the German Social Code Book V) or
- do not provide care for invasively or non-invasively ventilated people.

Outpatient medical, medical technology and therapeutic providers:
- who do not care for people with out-of-hospital mechanical ventilation and intensive care

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome of the ATME project is to describe and analyse cross-sectional patient journeys and care structures of people with out-of-hospital mechanical ventilation and intensive care. Based on the knowledge gained, recommendation for action will be developed for further development of health care in line with needs and requirements.
Secondary Outcome Measures
NameTimeMethod
- Epidemiological and socio-demographic description of the population<br>- Description of the medical, rehabilitative-therapeutic and nursing care <br>- Description of the needs and requirements of the population<br>- Description of the current care structures with a focus on out-of-hospital care<br>- Suitability of care structures to avoid long-term ventila-tion<br>- Suitability of care structures to meet needs and re-quirements of the population<br>- Suitability of care structures to reach the primary goals of GKV-IPReG<br>- Analyse the impact of changes due to GKV-IPReG on care<br>- Prioritization of problems in care and options to develop care structures
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