The impact of patient-held health records on continuity of care among asylum seekers in reception centres

• Verfasst von: Straßner, Cornelia [VerfasserIn]
• Verfasst von: Nöst, Stefan [VerfasserIn]
• Verfasst von: Erdmann, Stella [VerfasserIn]
• Verfasst von: Jahn, Rosa [VerfasserIn]
• Verfasst von: Ziegler, Sandra [VerfasserIn]
• Verfasst von: Wahedi, Katharina [VerfasserIn]
• Verfasst von: Bozorgmehr, Kayvan [VerfasserIn]
• 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
• DOI: doi:10.1136/bmjgh-2019-001610
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: migration
• Sach-SW: asylum seekers
• Sach-SW: cluster randomisation
• Sach-SW: continuity
• Sach-SW: health information
• Sach-SW: health record
• Sach-SW: health services
• Sach-SW: medical record
• Sach-SW: refugees
• Sach-SW: stepped-wedge trial
• K10plus-PPN: 1687948828

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