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SESAM-5 - Sächsische Epidemiologische Studien in der Allgemeinmedizin 5

Inhalte und Rahmenbedingungen von Hausbesuchen

 

Projektkennung VfD_SESAM-5_14_003661
Laufzeit von 05/2014 bis 06/2017
Webseitehttp://www.sesam-studien.de
Status des Projekts laufend

 

Projektbeschreibung

Fragestellung(en) • What are common reasons and results for encounter in home visits? Are there differences depending on region, housing situation, age and gender?
• Which diagnostic and therapeutic services and decisions are conducted during home visits? How do they differ depending on reasons and results for encounter/patients’ morbidity during home visits?
• During which time periods are home visits performed and what time requirement (distance travels and duration of visit) characterize the home visit depending on region? What does this mean for the workload of the FP and the practice staff?
• Who conducts home visits and which tasks are currently delegated to medical assistants and other practice staff? Which tasks are not delegated?
Hintergrund / Ziele Medical care of homebound patients by home visits is an integral part of primary care in Germany and other industrialized countries. Because of the socio-demographic and the changes in the health system, the need for home visits is projected to increase rather than decrease. Our study will provide information on content and organization of home visits. This evidence is needed to assure sufficient medical care for homebound patients. Germany is one of the European nations with highest proportions of elderly age groups, so that the results of our project will be indicative for other European countries with comparable organization of primary care.
Our study intends to provide evidence for discussion and decision-making on the organization of outpatient primary care for patients needing to be cared for in their home. Based on primary data collection, we will generate data regarding content and organizational characteristics of home visits and take several influencing factors into account. With regards to patient characteristics, home visits will be considered in relation to patients’ morbidity, living situation and urgency of the reason for the home visit. Regarding external influencing factors, size of the community and FP density/distribution will be taken into account.
Methodik This cross-sectional study is conducted over a period of 12 months, every participating family practice document all home visits over a one week time period. The anonymous documentation of home visits will be done by the family practitioner or medical assistant conducting the home visit. All Saxon Family practitioners received study information and were personally invited to participate in our study. Almost 303 (of 2677) family practitioners expressed their interest to participate. They generate data on the content and organizational characteristics of more than 4000 home visits. Data analysis will take into account several patient-related and system-related parameters. Descriptive and multivariate analysis will be done by using nonparametric methods. Regarding expected cluster structure of the data, a multilevel analysis will be necessary.
Datenbasis Primärdaten
   Befragung postalisch  (Stichprobengröße: 250)
   Patientendokumentationen  (Stichprobengröße: 4.200)
Studiendesign Querschnittstudie
Untersuchte Geschlechter weiblich und männlich
Untersuchte Altersgruppen nicht untersucht
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Stand: 01.10.2015