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Needs-based provision of medical care to nursing home residents: protocol for a mixed-methods study
INTRODUCTION: Nursing home residents typically have greater needs for medical care than community-dwelling elderly. However, restricted cognitive abilities and limited mobility may impede their access to general practitioners and medical specialists. The provision of medical care in nursing homes ma...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6720143/ https://www.ncbi.nlm.nih.gov/pubmed/31471429 http://dx.doi.org/10.1136/bmjopen-2018-025614 |
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author | Czwikla, Jonas Schulz, Maike Heinze, Franziska Kalwitzki, Thomas Gand, Daniel Schmidt, Annika Tsiasioti, Chrysanthi Schwinger, Antje Kloep, Stephan Schmiemann, Guido Wolf-Ostermann, Karin Gerhardus, Ansgar Rothgang, Heinz |
author_facet | Czwikla, Jonas Schulz, Maike Heinze, Franziska Kalwitzki, Thomas Gand, Daniel Schmidt, Annika Tsiasioti, Chrysanthi Schwinger, Antje Kloep, Stephan Schmiemann, Guido Wolf-Ostermann, Karin Gerhardus, Ansgar Rothgang, Heinz |
author_sort | Czwikla, Jonas |
collection | PubMed |
description | INTRODUCTION: Nursing home residents typically have greater needs for medical care than community-dwelling elderly. However, restricted cognitive abilities and limited mobility may impede their access to general practitioners and medical specialists. The provision of medical care in nursing homes may therefore be inappropriate in some areas of medical care. The purpose of this mixed-methods study is to systematically assess, evaluate and explain met and unmet medical care needs in German nursing homes and to develop solutions where medical care is found to be inappropriate. METHODS AND ANALYSIS: First, statutory health insurance claims data are analysed to identify differences in the utilisation of medical care between nursing home residents and community-dwelling elderly with and without need for long-term care. Second, the health status and medical care of 500 nursing home residents are assessed and evaluated to quantify met and unmet medical care needs. Third, qualitative expert interviews and case conferences and, fourth, quantitative analyses of linked data are used to provide structural, case-specific and generalisable explanations of inappropriate medical care among nursing home residents. Fifth, a modified Delphi study is employed to develop pilot projects aiming to improve medical care in nursing homes. ETHICS AND DISSEMINATION: This study was approved by the Ethics Committee of the University of Bremen on 23 November 2017. Research findings are disseminated through presentations at national and international conferences and publications in peer-reviewed scientific journals. TRIAL REGISTRATION NUMBER: DRKS00012383. |
format | Online Article Text |
id | pubmed-6720143 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-67201432019-09-17 Needs-based provision of medical care to nursing home residents: protocol for a mixed-methods study Czwikla, Jonas Schulz, Maike Heinze, Franziska Kalwitzki, Thomas Gand, Daniel Schmidt, Annika Tsiasioti, Chrysanthi Schwinger, Antje Kloep, Stephan Schmiemann, Guido Wolf-Ostermann, Karin Gerhardus, Ansgar Rothgang, Heinz BMJ Open Health Services Research INTRODUCTION: Nursing home residents typically have greater needs for medical care than community-dwelling elderly. However, restricted cognitive abilities and limited mobility may impede their access to general practitioners and medical specialists. The provision of medical care in nursing homes may therefore be inappropriate in some areas of medical care. The purpose of this mixed-methods study is to systematically assess, evaluate and explain met and unmet medical care needs in German nursing homes and to develop solutions where medical care is found to be inappropriate. METHODS AND ANALYSIS: First, statutory health insurance claims data are analysed to identify differences in the utilisation of medical care between nursing home residents and community-dwelling elderly with and without need for long-term care. Second, the health status and medical care of 500 nursing home residents are assessed and evaluated to quantify met and unmet medical care needs. Third, qualitative expert interviews and case conferences and, fourth, quantitative analyses of linked data are used to provide structural, case-specific and generalisable explanations of inappropriate medical care among nursing home residents. Fifth, a modified Delphi study is employed to develop pilot projects aiming to improve medical care in nursing homes. ETHICS AND DISSEMINATION: This study was approved by the Ethics Committee of the University of Bremen on 23 November 2017. Research findings are disseminated through presentations at national and international conferences and publications in peer-reviewed scientific journals. TRIAL REGISTRATION NUMBER: DRKS00012383. BMJ Publishing Group 2019-08-30 /pmc/articles/PMC6720143/ /pubmed/31471429 http://dx.doi.org/10.1136/bmjopen-2018-025614 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 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, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Health Services Research Czwikla, Jonas Schulz, Maike Heinze, Franziska Kalwitzki, Thomas Gand, Daniel Schmidt, Annika Tsiasioti, Chrysanthi Schwinger, Antje Kloep, Stephan Schmiemann, Guido Wolf-Ostermann, Karin Gerhardus, Ansgar Rothgang, Heinz Needs-based provision of medical care to nursing home residents: protocol for a mixed-methods study |
title | Needs-based provision of medical care to nursing home residents: protocol for a mixed-methods study |
title_full | Needs-based provision of medical care to nursing home residents: protocol for a mixed-methods study |
title_fullStr | Needs-based provision of medical care to nursing home residents: protocol for a mixed-methods study |
title_full_unstemmed | Needs-based provision of medical care to nursing home residents: protocol for a mixed-methods study |
title_short | Needs-based provision of medical care to nursing home residents: protocol for a mixed-methods study |
title_sort | needs-based provision of medical care to nursing home residents: protocol for a mixed-methods study |
topic | Health Services Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6720143/ https://www.ncbi.nlm.nih.gov/pubmed/31471429 http://dx.doi.org/10.1136/bmjopen-2018-025614 |
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