Cargando…

Home visits in primary care: contents and organisation in daily practice. Study protocol of a cross-sectional study

INTRODUCTION: Medical care of homebound patients by home visits is an integral part of primary care in Germany and other industrialised countries. Owing to the sociodemography and changes in the health system, the need for home visits is projected to increase rather than decrease. Our study will pro...

Descripción completa

Detalles Bibliográficos
Autores principales: Voigt, Karen, Bojanowski, Stefan, Taché, Stephanie, Voigt, Roger, Bergmann, Antje
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4769432/
https://www.ncbi.nlm.nih.gov/pubmed/26920438
http://dx.doi.org/10.1136/bmjopen-2015-008209
_version_ 1782418106396704768
author Voigt, Karen
Bojanowski, Stefan
Taché, Stephanie
Voigt, Roger
Bergmann, Antje
author_facet Voigt, Karen
Bojanowski, Stefan
Taché, Stephanie
Voigt, Roger
Bergmann, Antje
author_sort Voigt, Karen
collection PubMed
description INTRODUCTION: Medical care of homebound patients by home visits is an integral part of primary care in Germany and other industrialised countries. Owing to the sociodemography and changes in the health system, the need for home visits is projected to increase rather than decrease. Our study will provide information on content and organisation of home visits. This evidence is needed to assure sufficient medical care for homebound patients. Germany is one of the European nations with highest proportions of elderly age groups, so that our results will be indicative for other European countries with comparable organisation of primary care. METHODS AND ANALYSIS: This cross-sectional study is conducted over a period of 12 months. All home visits of each participating family practice are documented within a 1-week time period. The anonymous documentation of home visits is carried out by the family practitioner or medical assistant conducting the home visit. All Saxon Family practitioners received study information and were personally invited to participate in our study. Almost 303 (of 2677) family practitioners expressed their interest to participate to generate data on the content and organisational characteristics of home visits. Data analysis of more than 4000 home visits will take into account several patient-related and system-related parameters. Descriptive and multivariate analysis will be carried out by using non-parametric methods. Regarding expected cluster structure of the data, a multilevel analysis will be necessary. ETHICS AND DISSEMINATION: The study received ethical approval by the Ethical Commission of the TU Dresden and adheres to the Declaration of Helsinki. Considering that the results of our project will be indicative for ageing societies with comparable organisation of primary care, we will publish them in international open access journals concerned with healthcare and primary care research and disseminate them by a final symposium and at national/international scientific events.
format Online
Article
Text
id pubmed-4769432
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-47694322016-03-01 Home visits in primary care: contents and organisation in daily practice. Study protocol of a cross-sectional study Voigt, Karen Bojanowski, Stefan Taché, Stephanie Voigt, Roger Bergmann, Antje BMJ Open General practice / Family practice INTRODUCTION: Medical care of homebound patients by home visits is an integral part of primary care in Germany and other industrialised countries. Owing to the sociodemography and changes in the health system, the need for home visits is projected to increase rather than decrease. Our study will provide information on content and organisation of home visits. This evidence is needed to assure sufficient medical care for homebound patients. Germany is one of the European nations with highest proportions of elderly age groups, so that our results will be indicative for other European countries with comparable organisation of primary care. METHODS AND ANALYSIS: This cross-sectional study is conducted over a period of 12 months. All home visits of each participating family practice are documented within a 1-week time period. The anonymous documentation of home visits is carried out by the family practitioner or medical assistant conducting the home visit. All Saxon Family practitioners received study information and were personally invited to participate in our study. Almost 303 (of 2677) family practitioners expressed their interest to participate to generate data on the content and organisational characteristics of home visits. Data analysis of more than 4000 home visits will take into account several patient-related and system-related parameters. Descriptive and multivariate analysis will be carried out by using non-parametric methods. Regarding expected cluster structure of the data, a multilevel analysis will be necessary. ETHICS AND DISSEMINATION: The study received ethical approval by the Ethical Commission of the TU Dresden and adheres to the Declaration of Helsinki. Considering that the results of our project will be indicative for ageing societies with comparable organisation of primary care, we will publish them in international open access journals concerned with healthcare and primary care research and disseminate them by a final symposium and at national/international scientific events. BMJ Publishing Group 2016-02-26 /pmc/articles/PMC4769432/ /pubmed/26920438 http://dx.doi.org/10.1136/bmjopen-2015-008209 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle General practice / Family practice
Voigt, Karen
Bojanowski, Stefan
Taché, Stephanie
Voigt, Roger
Bergmann, Antje
Home visits in primary care: contents and organisation in daily practice. Study protocol of a cross-sectional study
title Home visits in primary care: contents and organisation in daily practice. Study protocol of a cross-sectional study
title_full Home visits in primary care: contents and organisation in daily practice. Study protocol of a cross-sectional study
title_fullStr Home visits in primary care: contents and organisation in daily practice. Study protocol of a cross-sectional study
title_full_unstemmed Home visits in primary care: contents and organisation in daily practice. Study protocol of a cross-sectional study
title_short Home visits in primary care: contents and organisation in daily practice. Study protocol of a cross-sectional study
title_sort home visits in primary care: contents and organisation in daily practice. study protocol of a cross-sectional study
topic General practice / Family practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4769432/
https://www.ncbi.nlm.nih.gov/pubmed/26920438
http://dx.doi.org/10.1136/bmjopen-2015-008209
work_keys_str_mv AT voigtkaren homevisitsinprimarycarecontentsandorganisationindailypracticestudyprotocolofacrosssectionalstudy
AT bojanowskistefan homevisitsinprimarycarecontentsandorganisationindailypracticestudyprotocolofacrosssectionalstudy
AT tachestephanie homevisitsinprimarycarecontentsandorganisationindailypracticestudyprotocolofacrosssectionalstudy
AT voigtroger homevisitsinprimarycarecontentsandorganisationindailypracticestudyprotocolofacrosssectionalstudy
AT bergmannantje homevisitsinprimarycarecontentsandorganisationindailypracticestudyprotocolofacrosssectionalstudy