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Verfasst von:Straßner, Cornelia [VerfasserIn]   i
 Nöst, Stefan [VerfasserIn]   i
 Erdmann, Stella [VerfasserIn]   i
 Jahn, Rosa [VerfasserIn]   i
 Ziegler, Sandra [VerfasserIn]   i
 Wahedi, Katharina [VerfasserIn]   i
 Bozorgmehr, Kayvan [VerfasserIn]   i
Titel:The impact of patient-held health records on continuity of care among asylum seekers in reception centres
Titelzusatz:a cluster-randomised stepped wedge trial in Germany
Verf.angabe:Cornelia Straßner, Stefan Noest, Stella Preussler, Rosa Jahn, Sandra Ziegler, Katharina Wahedi, Kayvan Bozorgmehr
E-Jahr:2019
Jahr:August 02, 2019
Umfang:11 S.
Fussnoten:Gesehen am 21.01.2020
Titel Quelle:Enthalten in: BMJ global health
Ort Quelle:London : BMJ Publishing Group, 2016
Jahr Quelle:2019
Band/Heft Quelle:4(2019,4) Artikel-Nummer e001610, 11 Seiten
ISSN Quelle:2059-7908
Abstract:Introduction The aim of this study was to assess the effectiveness of a patient-held health record (PHR) for asylum seekers on the availability of health-related information. - Methods An explorative, cluster-randomised stepped-wedge trial with reception centres as unit of randomisation was conducted. All reception centres (n=6) in two large administrative areas in South Germany with on-site health services were included. All physicians working at these centres were invited to participate in the study. The intervention was the implementation of a PHR. The primary outcome was the prevalence of written health-related information. Secondary outcomes were the physicians’ dissatisfaction with the available written information and the prevalence of missing health-related information. All outcomes were measured at the level of patient–physician contacts by means of a standardised questionnaire, and analysed in logistic multi-level regression models. - Results We obtained data on 2308 patient–physician contacts. The presence of the PHR increased the availability of health-related information (adjusted OR (aOR), 20.3, 95% CI: 12.74 to 32.33), and tended to reduce missing essential information (aOR 0.71, 95% CI: 0.39 to 1.26) and physicians’ dissatisfaction with available information (aOR 0.5, 95% CI: 0.24 to 1.04). The availability of health-related information in the post-intervention period was higher (aOR 4.22, 95% CI: 2.64 to 6.73), missing information (aOR 0.89, 95% CI: 0.42 to 1.88) and dissatisfaction (aOR 0.43, 95% CI: 0.16 to 1.14) tended to be lower compared with the pre-intervention period. - Conclusions Healthcare planners should consider introducing PHRs in reception centres or comparable facilities. Future research should focus on the impact of PHRs on clinical outcomes and on intersectoral care. - Trial registration ISRCTN13212716. Registered 24 November 2016. Retrospectively registered. http://www.isrctn.com/ISRCTN13212716
DOI:doi:10.1136/bmjgh-2019-001610
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1136/bmjgh-2019-001610
 Verlag: https://gh.bmj.com/content/4/4/e001610
 DOI: https://doi.org/10.1136/bmjgh-2019-001610
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:migration
 asylum seekers
 cluster randomisation
 continuity
 health information
 health record
 health services
 medical record
 refugees
 stepped-wedge trial
K10plus-PPN:1687948828
Verknüpfungen:→ Zeitschrift

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