My Health - My Medication. A Controlled Investigation of Patient Involvement in Administration of Medication in Hospitalized Medical Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 329
- 试验地点
- 2
- 主要终点
- Change in adherence to medical treatment
研究概览
简要总结
The primary purpose of this study is to investigate if patient involvement in the medication procedures through elements of the medication system One-Stop Dispensing (use of own medication, placed in bedside locker, partly or self-administration of medication) and focused dialogue about medication can maintain or improve the patients' health literacy to perform the prescribed medical treatment during and after hospitalization.
The hypothesis is, that involving the patient in the medication procedure and focused dialogue about the medicine during hospitalization will improve the patients' health literacy measured by patient adherence, patient knowledge and perceptions of safety about the medication. It is further expected that more time will be spent together with the patient, and that the new medication procedures will be cost-neutral.
详细描述
More people live with chronic diseases and therefore it is important for the healthcare system to develop and organize initiatives that involve patients in their treatment.
In Denmark dispensing and administration of medication during hospitalization is a process where the health staff has completely taken the responsibility from the patient, leaving unused resources among patients and their relatives.
In general non-adherence to medication in patients with chronic medical diseases is a common problem, which contributes to adverse health outcomes, increase healthcare expenditures and reduce quality of life.
One-Stop Dispensing (use of own medication, placed in bedside locker, partly or self-administration of medication during hospitalization), which is a medication system developed in United Kingdom in the 1990s, could be an important part of a shift in the healthcare system toward increasing patient involvement. Use of own medication and self-administration aims, among other things, to increase adherence and the patient's knowledge and understanding of their medication. One-Stop Dispensing has so far only been tested on elective surgical patients in Denmark, which is why this study set out to investigate acute hospitalized medical patients.
To investigate the effect of the medication system One-Stop Dispensing in Danish medical patients the investigators planned a study including two designs. An observational before and after implementing One-Stop Dispensing study and a randomized controlled study for the intervention period.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
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
- •Hospitalized patients at Diagnostic Center, Regional Hospital Silkeborg, Denmark ≥ age 18 years, who understand, speak and are able to read Danish.
排除标准
- •Patients admitted for elective procedures, where admission is expected to be <24 hours
- •Patients with significant cognitive problems (dementia, dying, psychotic etc.)
- •Patients who abuse medicine or narcotics.
- •Patients who have participated in the project during a previous admission.
- •Patients who do not use prescribed medicine.
- •Patients admitted in the period monday from 8 a.m. until friday 3 p.m.
结局指标
主要结局
Change in adherence to medical treatment
时间窗: From baseline (admission) to one month after discharge
Ability to adhere to medical recommendations in general, assessed by questionnaire at baseline (admission to hospital) and 1 month after discharge.
次要结局
- Knowledge of own medication(Days admitted, an average of 3 days)
- Patient satisfaction(The day at discharge, after admission of an average of 3 days)
- Change in patient's perception of security and safety regarding medication(From baseline (admission) to one month after discharge)
- Time spent per patient(Days admitted, an average of 3 days)
- Cost per patient(Days admitted, an average of 3 days)
研究者
Charlotte Appel
Research Nurse
Central Jutland Regional Hospital