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Study protocol: optimization of complex palliative care at home via telemedicine. A cluster randomized controlled trial

BACKGROUND: Due to the growing number of elderly with advanced chronic conditions, healthcare services will come under increasing pressure. Teleconsultation is an innovative approach to deliver quality of care for palliative patients at home. Quantitative studies assessing the effect of teleconsulta...

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Autores principales: Duursma, Froukje, Schers, Henk J, Vissers, Kris CP, Hasselaar, Jeroen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3176474/
https://www.ncbi.nlm.nih.gov/pubmed/21827696
http://dx.doi.org/10.1186/1472-684X-10-13
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author Duursma, Froukje
Schers, Henk J
Vissers, Kris CP
Hasselaar, Jeroen
author_facet Duursma, Froukje
Schers, Henk J
Vissers, Kris CP
Hasselaar, Jeroen
author_sort Duursma, Froukje
collection PubMed
description BACKGROUND: Due to the growing number of elderly with advanced chronic conditions, healthcare services will come under increasing pressure. Teleconsultation is an innovative approach to deliver quality of care for palliative patients at home. Quantitative studies assessing the effect of teleconsultation on clinical outcomes are scarce. The aim of this present study is to investigate the effectiveness of teleconsultation in complex palliative homecare. METHODS/DESIGN: During a 2-year recruitment period, GPs are invited to participate in this cluster randomized controlled trial. When a GP refers an eligible patient for the study, the GP is randomized to the intervention group or the control group. Patients in the intervention group have a weekly teleconsultation with a nurse practitioner and/or a physician of the palliative consultation team. The nurse practitioner, in cooperation with the palliative care specialist of the palliative consultation team, advises the GP on treatment policy of the patient. The primary outcome of patient symptom burden is assessed at baseline and weekly using the Edmonton Symptom Assessment Scale (ESAS) and at baseline and every four weeks using the Hospital Anxiety and Depression Scale (HADS). Secondary outcomes are self-perceived burden from informal care (EDIZ), patient experienced continuity of medical care (NCQ), patient and caregiver satisfaction with the teleconsultation (PSQ), the experienced problems and needs in palliative care (PNPC-sv) and the number of hospital admissions. DISCUSSION: This is one of the first randomized controlled trials in palliative telecare. Our data will verify whether telemedicine positively affects palliative homecare. TRIAL REGISTRATION: The Netherlands National Trial Register NTR2817
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spelling pubmed-31764742011-09-21 Study protocol: optimization of complex palliative care at home via telemedicine. A cluster randomized controlled trial Duursma, Froukje Schers, Henk J Vissers, Kris CP Hasselaar, Jeroen BMC Palliat Care Study Protocol BACKGROUND: Due to the growing number of elderly with advanced chronic conditions, healthcare services will come under increasing pressure. Teleconsultation is an innovative approach to deliver quality of care for palliative patients at home. Quantitative studies assessing the effect of teleconsultation on clinical outcomes are scarce. The aim of this present study is to investigate the effectiveness of teleconsultation in complex palliative homecare. METHODS/DESIGN: During a 2-year recruitment period, GPs are invited to participate in this cluster randomized controlled trial. When a GP refers an eligible patient for the study, the GP is randomized to the intervention group or the control group. Patients in the intervention group have a weekly teleconsultation with a nurse practitioner and/or a physician of the palliative consultation team. The nurse practitioner, in cooperation with the palliative care specialist of the palliative consultation team, advises the GP on treatment policy of the patient. The primary outcome of patient symptom burden is assessed at baseline and weekly using the Edmonton Symptom Assessment Scale (ESAS) and at baseline and every four weeks using the Hospital Anxiety and Depression Scale (HADS). Secondary outcomes are self-perceived burden from informal care (EDIZ), patient experienced continuity of medical care (NCQ), patient and caregiver satisfaction with the teleconsultation (PSQ), the experienced problems and needs in palliative care (PNPC-sv) and the number of hospital admissions. DISCUSSION: This is one of the first randomized controlled trials in palliative telecare. Our data will verify whether telemedicine positively affects palliative homecare. TRIAL REGISTRATION: The Netherlands National Trial Register NTR2817 BioMed Central 2011-08-09 /pmc/articles/PMC3176474/ /pubmed/21827696 http://dx.doi.org/10.1186/1472-684X-10-13 Text en Copyright ©2011 Duursma et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Duursma, Froukje
Schers, Henk J
Vissers, Kris CP
Hasselaar, Jeroen
Study protocol: optimization of complex palliative care at home via telemedicine. A cluster randomized controlled trial
title Study protocol: optimization of complex palliative care at home via telemedicine. A cluster randomized controlled trial
title_full Study protocol: optimization of complex palliative care at home via telemedicine. A cluster randomized controlled trial
title_fullStr Study protocol: optimization of complex palliative care at home via telemedicine. A cluster randomized controlled trial
title_full_unstemmed Study protocol: optimization of complex palliative care at home via telemedicine. A cluster randomized controlled trial
title_short Study protocol: optimization of complex palliative care at home via telemedicine. A cluster randomized controlled trial
title_sort study protocol: optimization of complex palliative care at home via telemedicine. a cluster randomized controlled trial
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3176474/
https://www.ncbi.nlm.nih.gov/pubmed/21827696
http://dx.doi.org/10.1186/1472-684X-10-13
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