The impact of including a medication review in an integrated care pathway: A pilot study

Payen, Anaïs; Godard‐Sebillotte, Claire; Sourial, Nadia; Soula, Julien; Verloop, David; Defebvre, Marguerite-Marie; Dupont, Céline; Dambre, Delphine; Lamer, Antoine; Beuscart, Jean-Baptiste

doi:10.1111/bcp.15543

Cited by 3 publications

(2 citation statements)

References 86 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It can serve for the health care providers as a promising tool to improve the interdisciplinary and multiprofessional collaboration, especially as a digital solution that can realize its full potential [ 50 ]. Similar results have been reported in other countries [ 51 , 52 ]. In this study, participants suggested transferring medication-related information electronically and always in the format of the national medication plan.…”

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

Designing and Implementation of a Digitalized Intersectoral Discharge Management System and Its Effect on Readmissions: Mixed Methods Approach

Strumann,

Pfau,

Wahle

et al. 2024

J Med Internet Res

View full text Add to dashboard Cite

Background Digital transformation offers new opportunities to improve the exchange of information between different health care providers, including inpatient, outpatient and care facilities. As information is especially at risk of being lost when a patient is discharged from a hospital, digital transformation offers great opportunities to improve intersectoral discharge management. However, most strategies for improvement have focused on structures within the hospital. Objective This study aims to evaluate the implementation of a digitalized discharge management system, the project “Optimizing instersectoral discharge management” (SEKMA, derived from the German Sektorübergreifende Optimierung des Entlassmanagements), and its impact on the readmission rate. Methods A mixed methods design was used to evaluate the implementation of a digitalized discharge management system and its impact on the readmission rate. After the implementation, the congruence between the planned (logic model) and the actual intervention was evaluated using a fidelity analysis. Finally, bivariate and multivariate analyses were used to evaluate the effectiveness of the implementation on the readmission rate. For this purpose, a difference-in-difference approach was adopted based on routine data of hospital admissions between April 2019 and August 2019 and between April 2022 and August 2022. The department of vascular surgery served as the intervention group, in which the optimized discharge management was implemented in April 2022. The departments of internal medicine and cardiology formed the control group. Results Overall, 26 interviews were conducted, and we explored 21 determinants, which can be categorized into 3 groups: “optimization potential,” “barriers,” and “enablers.” On the basis of these results, 19 strategies were developed to address the determinants, including a lack of networking among health care providers, digital information transmission, and user-unfriendliness. On the basis of these strategies, which were prioritized by 11 hospital physicians, a logic model was formulated. Of the 19 strategies, 7 (37%; eg, electronic discharge letter, providing mobile devices to the hospital’s social service, and generating individual medication plans in the format of the national medication plan) have been implemented in SEKMA. A survey on the fidelity of the application of the implemented strategies showed that 3 of these strategies were not yet widely applied. No significant effect of SEKMA on readmissions was observed in the routine data of 14,854 hospital admissions (P=.20). Conclusions This study demonstrates the potential of optimizing intersectoral collaboration for patient care. Although a significant effect of SEKMA on readmissions has not yet been observed, creating a digital ecosystem that connects different health care providers seems to be a promising approach to ensure secure and fast networking of the sectors. The described intersectoral optimization of discharge management provides a structured template for the implementation of a similar local digital care networking infrastructure in other care regions in Germany and other countries with a similarly fragmented health care system.

show abstract

Section: Discussionsupporting

confidence: 92%

“…In the participating hospital, this strategy has been implemented during the project. For older patients in particular, shared medication records have the potential to reduce hospital readmissions [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Designing and Implementation of a Digitalized Intersectoral Discharge Management System and Its Effect on Readmissions: Mixed Methods Approach

Strumann,

Pfau,

Wahle

et al. 2024

J Med Internet Res

View full text Add to dashboard Cite

show abstract

Effective communications by interprofessional teams and behavioral change techniques: How they are affecting health and are interrelated

Dankoub

Fayaz-Bakhsh

2023

Research in Social and Administrative Pharmacy

View full text Add to dashboard Cite

‘It would nearly put the life back into you’ Older adults’ experiences of a Community Specialist Team for Older People (CSTOP) service model in Ireland: A Qualitative Descriptive Study

Condon,

Griffin,

Delvin

et al. 2024

Preprint

View full text Add to dashboard Cite

IntroductionIn Ireland, there has been a substantial recent investment in the Community Specialist Team for Older People (CST OP) service model. This approach provides timely integrated assessment and intervention for older adults in the community by a specialist multidisciplinary team. To inform the ongoing development and refinement of the CST OP service model, and ensure it is responsive to the needs and preferences of older adults, it is important to understand how older adults experience this new model of care. This qualitative descriptive study aims to resolve a research gap by exploring older adults’ experiences of the CST OP service model.MethodsA qualitative descriptive study design was employed to explore older adults’ experiences of the CST OP service model. Purposive non-probability sampling was used to recruit 13 older adults who had completed intervention with a CST OP intervention. All interviews were completed in participants own homes, audio recorded and transcribed verbatim. A reflexive approach to thematic analysis guided data analysis.FindingsThree themes were identified; older adults were uncertain about what to expect from the CST OP service and encountered accessibility barriers (theme1); the CST OP team provided coordinated, comprehensive care and built strong relationships with older adults (theme 2); CST OP intervention enabled older adults to better manage everyday activities and long-term conditions, thereby improving their wellbeing (theme 3).Discussion/ conclusionOur findings highlight the importance of CGA in community-based care for older adults. Further research is needed to address access barriers and evaluate older adults’ experiences with case management and care coordination in the CST OP service model.

show abstract

The impact of including a medication review in an integrated care pathway: A pilot study

Cited by 3 publications

References 86 publications

Designing and Implementation of a Digitalized Intersectoral Discharge Management System and Its Effect on Readmissions: Mixed Methods Approach

Designing and Implementation of a Digitalized Intersectoral Discharge Management System and Its Effect on Readmissions: Mixed Methods Approach

Effective communications by interprofessional teams and behavioral change techniques: How they are affecting health and are interrelated

‘It would nearly put the life back into you’ Older adults’ experiences of a Community Specialist Team for Older People (CSTOP) service model in Ireland: A Qualitative Descriptive Study

Contact Info

Product

Resources

About