ISRCTN40295449
Active, not recruiting
未知
Personalised Primary care for Patients with Multimorbidity (PP4M) – a primary care service improvement initiative
niversity of Bristol0 sites70 target enrollmentAugust 3, 2022
Overview
- Phase
- 未知
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- niversity of Bristol
- Enrollment
- 70
- Status
- Active, not recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. Use the EMIS practice computer system
- •2\. Have a subscription to Ardens templates. This applies to most practices within the regions involved in this study.
- •3\. List size of \=5000 patients
- •1\. Have used the intervention to conduct reviews with patients, or will soon be doing so
- •2\. Have been involved in the implementation of the intervention within the practice
- •1\. Registered with a practice that agrees to take part in the evaluation
- •2\. Aged \=18 years
- •3\. Due to be invited by their practice for an annual review (face\-to\-face or remote) of their long\-term conditions at the practice within the next 12 months
- •4\. Fall under at least two of the following 11 groups of long\-term health conditions, including at least one of the conditions asterisked:
- •4\.1\. Cardiovascular disease: Coronary heart disease\*, hypertension\*, heart failure\*, peripheral arterial disease, or chronic kidney disease (stage 3 to 5\)
Exclusion Criteria
- •1\. Not a subscriber to Ardens clinical templates
- •2\. Does not use EMIS clinical software
- •3\. \<5000 registered patients
- •1\. Not likely to be involved in the implementation or use of the intervention
- •1\. On a palliative care register
- •2\. Would be excluded from an annual review for individual reasons. For example, for some patients who are housebound or in a nursing home it may not be possible to conduct the same type of ‘template\-based’ review away from the surgery. In many cases, community nurses undertake a review without a template, so these reviews would not be relevant to this study of implementation of a template. In some cases, practices offer ‘virtual’ reviews for these patients, and in such cases the practice will be encouraged to use the multimorbidity template. The usefulness of a virtual review will depend on the patient’s combination of conditions and this will be left to the discretion of the practice and clinician.
- •3\. Have declined a review OR have been contacted multiple times unsuccessfully
Outcomes
Primary Outcomes
Not specified
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