E-Health-based, trans-sectoral, geriatric health service - Geriatric Network (GerNe).
Case file
Consil
Elderly
Geriatric care
Rehospitalization
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
27 Jul 2024
27 Jul 2024
Historique:
received:
05
12
2023
accepted:
15
07
2024
medline:
28
7
2024
pubmed:
28
7
2024
entrez:
27
7
2024
Statut:
epublish
Résumé
Currently, exchange of information between the geriatric clinic and the attending general practitioner (GP) occurs primarily through the doctor's letter after discharging from the clinic. The aim of our study was to reduce readmissions of multimorbid, geriatric patients to the clinic by establishing a new form of care via an electronic case file (ECF) and a consultation service (CS). The discharging geriatric clinic filled out an online ECF. The patient's GP should document quarterly follow-ups in the ECF. The case file was monitored by the discharging clinic due to a consultation service. The primary efficacy endpoint was the rehospitalization rate within one year. The hospitalization rate for patients managed in the project was 83.1/100 person years (PY), while the control group from insurance data had a rate of 69.0/100 PY. The primary endpoint did not show a statistically significant difference (p = 0.15). A total of 195 contacts were documented via CS for 171 participants, mostly initiated by the clinics. The clinical queries primarily concerned drug therapy. The Covid pandemic had an overall impact on hospitalizations. There are many approaches to reducing hospital readmissions after discharge of older patients. Supporting the transition from inpatient to outpatient care by different professional groups or care systems has been shown to have a positive effect. Furthermore, the utilisation of an ECF can also be beneficial in this regard.
Identifiants
pubmed: 39068175
doi: 10.1038/s41598-024-67624-3
pii: 10.1038/s41598-024-67624-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
17326Subventions
Organisme : German Innovation Fund
ID : 01NVF17030
Organisme : German Innovation Fund
ID : 01NVF17030
Organisme : German Innovation Fund
ID : 01NVF17030
Organisme : German Innovation Fund
ID : 01NVF17030
Organisme : German Innovation Fund
ID : 01NVF17030
Organisme : German Innovation Fund
ID : 01NVF17030
Organisme : German Innovation Fund
ID : 01NVF17030
Organisme : German Innovation Fund
ID : 01NVF17030
Organisme : German Innovation Fund
ID : 01NVF17030
Organisme : German Innovation Fund
ID : 01NVF17030
Organisme : German Innovation Fund
ID : 01NVF17030
Organisme : German Innovation Fund
ID : 01NVF17030
Informations de copyright
© 2024. The Author(s).
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