Effects of Care Information Systems Connectivity on Medication Process Efficiency and Quality (Linked Care): Protocol for a Cluster Allocated Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 70
- 试验地点
- 7
- 主要终点
- Time spent on medication related processes
研究概览
简要总结
Linked Care aims to help healthcare professionals (nurses, doctors, pharmacists) interact efficiently and safely with IT support to improve patient information flows. It focuses on the medication ordering process, which currently involves time-consuming steps like calling doctors and traveling to get prescriptions. The project targets nursing staff, doctors, pharmacists, and patients, with indirect benefits for hospitals, social welfare organizations, and insurance bodies. This study evaluates the Linked Care solution by addressing the research question: Does an electronic ordering system improve the efficiency and quality of the regular medication process?
详细描述
Background and rationale:
Linked Care aims to provide access to information relevant to care and support beyond the boundaries of the various care settings and primarily supports caregivers in the acquisition and transfer of information. The development of essential standards (e.g., a myCare Info) and the involvement of all affected target groups make it possible to develop practical IT tools for standardized networking in mobile care and nursing. The result will be an integrated, affordable, easy-to-use and well-connected IT system for care and support. The portal can be operated via mobile devices, PC, or tablets.
The McKinsey study demonstrates the significant potential of digitalization in the Austrian healthcare sector. According to this study, there is a 4.7-billion-euro opportunity for Austria. Approximately 70% of the potential benefits of increased productivity accrue to service providers, such as physicians and hospitals. The remaining 30% can be attributed to other players in the system, particularly health insurers, who benefit from reduced service utilization and improved care. Key factors in achieving these benefits include the implementation of the Austrian electronic health record (ELGA) and e-prescribing, which enable efficiency gains of EUR 690 million. Digitization is also sought after by regulators, patients, payers, and service providers in the Austrian healthcare system for improved efficiency and quicker access to data.
Helmcke et al. (2021) identify the following areas with the greatest potential for savings and benefits in the Austrian healthcare system:
- Online interactions, especially through teleconsultation.
- Paperless data, emphasizing standardized patient records/exchange and electronic prescriptions.
- Automated workflows, particularly the networking of mobile caregivers.
- Decision support and transparency of outcomes, including performance dashboards.
- Patient self-management, primarily through tools for managing chronic conditions like diabetes.
- Patient self-service for electronic scheduling.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 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
- •Caregivers:
- •Actively pursuing at least one of the following health professions extramurally: nurse, nursing assistant level 1 or level 2 , elderly specialist caregiver, home care assistant
- •Active maintenance of nursing documentation and use of the duty cell phone
- •Age 18+ years
- •Willing to comply with all study-related procedures and provide informed consent
排除标准
- 未提供
结局指标
主要结局
Time spent on medication related processes
时间窗: Baseline, 3-month follow-up, 6-month follow-up
Measure of time efficiency recorded on a project-specific 14-day medication log. / Minimum value: 0 \[minutes\], maximum value: N/A. Higher scores mean a worse outcome. / Analysis metric: difference test vs. control, test group trend analysis. / Method of aggregation: mean.
次要结局
- Overall score from the "Survey on psychological stress in mobile care (BGW miab)(Baseline, 3-month follow-up, 6-month follow-up)
- Overall score from a "Project-specific questionnaire on care-process quality".(Baseline, 3-month follow-up, 6-month follow-up)
- Overall score from the "Usefulness, Satisfaction, and Ease of Use (PSSUQ) Questionnaire"(3-month follow-up, 6-month follow-up)
- Overall score from the "Unified Theory of Acceptance and Use of Technology 2 (UTAUT2) Questionnaire"(3-month follow-up, 6-month follow-up)
研究者
Peter Putz
Head of Research Center
FH Campus Wien, University of Applied Sciences