Improving Pharmacological Transition of Palliative Care Patients From Inpatient to Outpatient Care (Optimierung Der Pharmakologischen Überleitung Von Palliativpatient:Innen Von stationär Nach Ambulant)
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 200
- 试验地点
- 2
- 主要终点
- (I) Drug-related problems
研究概览
简要总结
The transition of palliative care patients from inpatient to outpatient care is aimed to be improved through structured pharmaceutical discharge management by a trained pharmacist. This data will be compared with retrospective cases.
详细描述
As part of a prospective observational study with a retrospective comparison group, a pharmacist should, on request, check the discharge medication planned by the primary care physicians before discharge and discuss it with the various colleagues providing (follow-up) care. In addition, the availability in the outpatient "medicine cabinet" and the possibility of prescribing by the responsible GPs (by telephone) should be checked in advance. In addition, longitudinal focus groups with relevant stakeholders are to be conducted to collect quantitative data as well as qualitative data on the views of those providing and receiving treatment.
There will be cooperation with the Specialized Outpatient Palliative Care Service Muenster to ensure sufficient case numbers and a low rate of missing values through partial use of the standard care data from the "Information System Palliative Care" (ISPC) program they use.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 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
- •All individual indications for general and specialised palliative care as part of routine clinical practice (e.g.):
- •advanced, malignant tumour disease
- •advanced, chronic obstructive pulmonary disease
- •Patients with advanced disease and limited life expectancy (approx. 12 months) Further care in the SOPC Muenster (prospective data) Sufficient understanding of the German language to be able to understand the information and consent form
排除标准
- •Impossibility of understanding the information and declaration of consent.
结局指标
主要结局
(I) Drug-related problems
时间窗: 12 months
(I) Number of drug-related problems at the time of discharge according to PCNE (comparison of prospective, actually proposed changes vs. hypothetical number and type of problems at the time of discharge in the retrospective comparison cohort)
(II) Drug-related problems
时间窗: 12 months
(II) Type of drug-related problems at the time of discharge according to PCNE (comparison of prospective, actually proposed changes vs. hypothetical number and type of problems at the time of discharge in the retrospective comparison cohort)
次要结局
- Number of contacts(12 months)
- Number of readmissions / visits(12 months)
- Symptom burden(12 months)
- (I) Medication changes(12 months)
- Adoption rate(12 months)
- (I) GP contact(12 months)
- (I) SOPC contact(12 months)
- Focus groups(12 months)
- (I) Post-discharge medication changes(12 months)
- (I) Further parameters(12 months)
- (II) GP contact(12 months)
- (II) Post-discharge medication changes(12 months)
- (II) Further parameters(12 months)
- (II) Medication changes(12 months)
- (II) SOPC contact(12 months)