Exploring patients' perspectives: a mixed methods study on Outpatient Parenteral Antimicrobial Therapy (OPAT) experiences.

Humans Female Male Patient Satisfaction Middle Aged Germany Ambulatory Care Aged Adult Anti-Infective Agents / administration & dosage Infusions, Parenteral Surveys and Questionnaires Anti-Bacterial Agents / administration & dosage Interviews as Topic Qualitative Research Aged, 80 and over Pilot Projects
Bacterial/viral infections Intravenous therapy OPAT Outpatient Parenteral Antimicrobial Therapy Patient Reported Outcome Measures Patient satisfaction

Journal

BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677

Informations de publication

Date de publication:
29 Apr 2024
Historique:
received: 20 02 2024
accepted: 19 04 2024
medline: 30 4 2024
pubmed: 30 4 2024
entrez: 29 4 2024
Statut: epublish

Résumé

Outpatient Parenteral Antimicrobial Therapy (OPAT), an alternative to inpatient intravenous antibiotic therapy, has shown benefits in international studies such as increased patient satisfaction. Because OPAT has been used only sporadically in Germany so far, no structured results on patients' experiences and concerns regarding OPAT have yet been available. This study therefore aims to explore the experiences of OPAT patients in a pilot region in Germany. This is an observational study in a German pilot region, including a survey of 58 patients on their experiences with OPAT, and in-depth interviews with 12 patients (explanatory-sequential mixed-methods design). Patients reported that they were satisfied with OPAT. That a hospital discharge was possible and anti-infective therapy could be continued in the home environment was rated as being particularly positive. In the beginning, many patients in the interviews were unsure about being able to administer the antibiotic therapy at home on their own. However, healthcare providers (doctors and pharmacy service provider staff) were able to allay these concerns. Patients appreciated regular contact with care providers. There were suggestions for improvement, particularly concerning the organization of the weekly check-up appointments and the provision of information about OPAT. Patients were generally satisfied with OPAT. However, the treatment structures in Germany still need to be expanded to ensure comprehensive and high-quality OPAT care. NCT04002453, https://www. gov/ , (registration date: 2019-06-21).

Sections du résumé

BACKGROUND BACKGROUND
Outpatient Parenteral Antimicrobial Therapy (OPAT), an alternative to inpatient intravenous antibiotic therapy, has shown benefits in international studies such as increased patient satisfaction. Because OPAT has been used only sporadically in Germany so far, no structured results on patients' experiences and concerns regarding OPAT have yet been available. This study therefore aims to explore the experiences of OPAT patients in a pilot region in Germany.
METHODS METHODS
This is an observational study in a German pilot region, including a survey of 58 patients on their experiences with OPAT, and in-depth interviews with 12 patients (explanatory-sequential mixed-methods design).
RESULTS RESULTS
Patients reported that they were satisfied with OPAT. That a hospital discharge was possible and anti-infective therapy could be continued in the home environment was rated as being particularly positive. In the beginning, many patients in the interviews were unsure about being able to administer the antibiotic therapy at home on their own. However, healthcare providers (doctors and pharmacy service provider staff) were able to allay these concerns. Patients appreciated regular contact with care providers. There were suggestions for improvement, particularly concerning the organization of the weekly check-up appointments and the provision of information about OPAT.
CONCLUSIONS CONCLUSIONS
Patients were generally satisfied with OPAT. However, the treatment structures in Germany still need to be expanded to ensure comprehensive and high-quality OPAT care.
TRIAL REGISTRATION BACKGROUND
NCT04002453, https://www.
CLINICALTRIALS RESULTS
gov/ , (registration date: 2019-06-21).

Identifiants

DOI: 10.1186/s12913-024-11017-9 PMID: 38685017
pubmed: 38685017
doi: 10.1186/s12913-024-11017-9
pii: 10.1186/s12913-024-11017-9
doi:

Substances chimiques

Anti-Infective Agents 0
Anti-Bacterial Agents 0

Banques de données

ClinicalTrials.gov
['NCT04002453']

Types de publication

Journal Article Observational Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

544

Informations de copyright

© 2024. The Author(s).

Références

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Auteurs

Sophie Peter (S)

Chair of General Practice II and Patient-Centredness in Primary Care, Institute of General Practice and Primary Care, Faculty of Health, Witten/Herdecke University, Witten, Germany. sophie.peter@uni-wh.de.
University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Chair of Health Services Research, Cologne, Germany. sophie.peter@uni-wh.de.

Charlotte Oberröhrmann (C)

University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Chair of Health Services Research, Cologne, Germany.

Holger Pfaff (H)

University of Cologne, Faculty of Human Sciences and Faculty of Medicine and University Hospital Cologne, Institute of Medical Sociology, Health Services Research and Rehabilitation Science Cologne, Cologne, Germany.
Center for Health Services Research Cologne, Cologne, Germany.

Clara Lehmann (C)

Department I of Internal Medicine, Medical Faculty, University Hospital Cologne, University of Cologne, Cologne, Germany.
Center for Molecular Medicine Cologne (CMMC), University of Cologne, Cologne, Germany.
German Center for Infection Research (DZIF), Bonn-Cologne, Germany.

Kirsten Schmidt-Hellerau (K)

Department I of Internal Medicine, Medical Faculty, University Hospital Cologne, University of Cologne, Cologne, Germany.

Vanessa Brandes (V)

Department I of Internal Medicine, Medical Faculty, University Hospital Cologne, University of Cologne, Cologne, Germany.

Charlotte Leisse (C)

Department I of Internal Medicine, Medical Faculty, University Hospital Cologne, University of Cologne, Cologne, Germany.

Christoph Heinrich Lindemann (CH)

Department II of Internal Medicine and Center for Molecular Medicine Cologne (CMMC),, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.

Peter Ihle (P)

PMV forschungsgruppe, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.

Jutta Küpper-Nybelen (J)

PMV forschungsgruppe, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.

Anna Hagemeier (A)

Institute of Medical Statistics and Computational Biology (IMSB), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.

Nadine Scholten (N)

University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Chair of Health Services Research, Cologne, Germany.

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Classifications MeSH

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questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Satisfaction des patients › Exploring patients' perspectives: a mixed...
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questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Exploring patients' perspectives: a mixed...
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