While Gone Homes experience is rather short, its characters will stay with you for days after youve finished the game - despite you never meeting them. Evaluating outcomes from an integrated health service for older patients. Video gaming meets 90s family drama in a finely-crafted piece of interactive fiction whose atmospheric story is intelligently articulated in a very compelling way. Severinsen KD, Tufton A, Hannan E, et al. The association between multimorbidity and hospitalization is modified by individual demographics and physician continuity of care: a retrospective cohort study. Gruneir A, Bronskill SE, Maxwell CJ, et al. Predicting poorer health outcomes in older community-dwelling patients with multimorbidity: prospective cohort study assessing the accuracy of different multimorbidity definitions. New horizons in multimorbidity in older adults. Published by BMJ.Įurostat Ageing Europe_Looking at the lives of older people in the EU, 2019. Results will be published in peer-reviewed, open-access scientific journals and disseminated at national and international research conferences and through public presentations in the geriatric and healthcare community.Ĭ identifier: NCT03513159.Ĭlinical trials geriatric medicine internal medicine public health quality in health care risk management. Additionally, the economic efficiency of the intervention will be evaluated.Įthics approval for the trial was obtained from the Ethics Committee of the Friedrich-Alexander-Universität Erlangen-Nürnberg. They are assessed at baseline, after 1 month, 3 months, 6 months, and at the end of study visit. Secondary outcomes include care quality, mobility, nutritional and wound situation, and health-related quality of life. In contrast, the control group receives only usual discharge planning in the hospital and usual ambulatory care.The primary outcome is the all-cause readmission rate assessed using health insurance data within a follow-up of up to 12 months after hospital discharge. Patients and their caregivers are actively engaged in the care planning and execution. In supervising the care plan, the care professionals do not administer active care services themselves but coordinate them. All necessary care actions regarding, for example, mobility, residence adjustments, or nutrition, are initiated to be executed by ambulant care services, and are monitored, evaluated and adapted if necessary. The plan is advanced in the domestic situation via personal visits and telephone contacts. Based on TCM, the intervention includes an individual care plan according to a patient's symptoms, risks, needs and values. The intervention group is supported by care professionals in the transition process from hospital to home for up to 12 months. Randomised controlled clinical trial, recruiting between 25 April 2018 and 31 December 2019 in one German hospital in the city of Regensburg. The study investigates whether the intervention ensures continuous care during transition and stabilises the care situation of patients at home. Based on the transitional care model (TCM), this study aims to reduce preventable readmissions of patients ≥75 years of age with a transitional care intervention performed by geriatric-experienced care professionals. In Germany, an efficient and feasible transition from hospital to home for older patients, ensuring continuous care across healthcare settings, has not yet been applied and evaluated.
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