| Online-Ressource |
Verfasst von: | Straßner, Cornelia [VerfasserIn]  |
| Nöst, Stefan [VerfasserIn]  |
| Erdmann, Stella [VerfasserIn]  |
| Jahn, Rosa [VerfasserIn]  |
| Ziegler, Sandra [VerfasserIn]  |
| Wahedi, Katharina [VerfasserIn]  |
| 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 |
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 |
¬The¬ impact of patient-held health records on continuity of care among asylum seekers in reception centres / Straßner, Cornelia [VerfasserIn]; August 02, 2019 (Online-Ressource)