Telemedicine Clinical Trial
Official title:
Hospital@Home: Telemedical Care After Inpatient Hospital Stay
This pilot study is to investigate a patient transfer path from the hospital to Hospital@Home to their general practitioners (GPs) using telemedical procedures. Telemedical support will be executed by Medgate who will refer the patients to their GPs after the telemedical consultations are completed. Inclusion criteria is the need for short time follow up procedures that can be handled by telemedicine. Throughout the study, patient and stakeholder satisfaction will be measured and data-based methods will be developed to assess patient transfer success. Overall, new information flow and communication between the stakeholders (hospital, telemedicine and general practitioners) are defined and tested. The Hospital@Home pilot study is intended to become a flagship project for new healthcare models.
Status | Recruiting |
Enrollment | 1200 |
Est. completion date | December 2024 |
Est. primary completion date | December 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Written informed consent as documented by signature from the patient - Planned hospital discharge - Intended follow-up care, that is manageable with telemedicine Exclusion Criteria: - Significant mental or cognitive impairment - Unable or not willing to sign informed consent - Unable to understand German - No possibility of telecommunication or use of such (app or phone) |
Country | Name | City | State |
---|---|---|---|
Switzerland | University Hospital Basel, Division of Internal Medicine | Basel |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Basel, Switzerland | Innosuisse - Swiss Innovation Agency |
Switzerland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Change in self-care index (Selbstpflegeindex (SPI)) | The SPI shows the need for care in each patient. The SPI ranges from values between 0 - 40, whereas a low SPI corresponds to more extensive need for care. It is the numeric score outcome of the ePA-AC, which is calculated from 10 ePA-AC questions. | From Visit 1 (Screening) up to Visit 3 (Telecare), approx. 1 week | |
Other | Change in result-oriented patient assessment (ergebnisorientiertes Patientenassessment - AcuteCare (ePA-AC)) | The ePA-AC is focused on the nursing process and sub classifies activities of daily life. | From Visit 1 (Screening) up to Visit 2 (Transfer) assessed daily at the hospital, approx. 1 week | |
Primary | Change in PROMS (patient-reported outcome measures survey) | PROMS (patient-reported outcome measures survey): measure to asses a patient's quality of life affected by state of health. 6 standardized questions for self-assessment of the patient's state of health by the patient. The content of the questions relates to mobility, self-care, general activities, pain, anxiety and health in general. Questions are answered using Likert scales and qualitative free text answers. Scoring: 5 multiple choice questions (example pain: no pain, mild -, moderate -, severe -, extreme pain); (example general health: Scale from 0 - 100 (0 = worst health, 100 = best health imaginable)). | From Visit 2 (Transfer) up to Visit 4 (Follow up), approx. 2 weeks | |
Primary | PREMS (patient reported experience measure survey) conducted by patients | PREMS (patient reported experience measure survey): satisfaction related questionnaire. Questions are answered using Likert scales (Format: 1: You completely disagree with this statement. 2: - not to. 3: - rather not to. 4: - neither accept nor reject them. 5: - a little too. 6: - majority to 7: You very much agree with this statement) | From Visit 2 (Transfer) up to Visit 4 (Follow up), approx. 2 weeks | |
Primary | PREMS (patient reported experience measure survey) conducted by physicians | PREMS (patient reported experience measure survey): satisfaction related questionnaire. Questions are answered using Likert scales (Format: 1: You completely disagree with this statement. 2: - not to. 3: - rather not to. 4: - neither accept nor reject them. 5: - a little too. 6: - majority to 7: You very much agree with this statement) | From Visit 2 (Transfer) up to Visit 4 (Follow up), approx. 2 weeks |
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