<> "The repository administrator has not yet configured an RDF license."^^ . <> . . . "Improving continuity of patient care across sectors: study protocol of a quasi-experimental multi-centre study regarding an admission and discharge model in Germany (VESPEERA)"^^ . "Background: Hospitalisations are a critical event in the care process. Insufficient communication and uncoordinated follow-up care often impede the recovery process of the patient resulting in a high number of rehospitalisations and increased health care costs. The overall aim of this study is the development, implementation and evaluation of a structured programme (VESPEERA) to improve the admission and discharge process.\r\n\r\nMethods: We will conduct an open quasi-experimental multi-centre study with four intervention arms. A cohort selected from insurance claims data will serve as a control group reflecting usual care. The intervention will be implemented in 25 hospital departments and 115 general practices in 9 districts in Baden-Wurttemberg. Eligibility criteria for patients are: age > 18 years, hospital admission or hospitalisation, insurance at the sickness fund “AOK Baden-Wurttemberg”, enrolment in general practice-centred care contract. Each study arm will receive different intervention components based on the point of study enrolment and the patient’s medical need. The interventions comprise a) a structured assessment in the general practice prior to admission resulting in an admission letter b) a discharge conversation by phone between hospital and general practice, c) a structured assessment and care plan post-discharge and d) telephone monitoring for patients with a high risk of rehospitalisation. The assessments are supported by a software tool (“CareCockpit”), originally developed for structured case management programmes. The primary outcome (rehospitalisation due to the same indication within 90 days) and a range of secondary outcomes (rehospitalisation due to the same indication within 30 days; hospitalisations due to ambulatory care-sensitive conditions; delayed prescription of medication and medical products/ devices and referral to other health practitioner/s after discharge; utilisation of emergency or rescue services within 3 months; average care cost per year and patient participating in the VESPEERA programme) and quality indicators will be determined based on insurance claims data and CareCockpit data. Additionally, a patient survey on satisfaction with cross-sectoral care and health related quality of life will be conducted.\r\n\r\nDiscussion: Based on the results, area-wide implementation in usual care is well sought. This study will contribute to an improvement of cross-sectoral care during the admission and discharge process.\r\n\r\nTrial registration: DRKS00014294 on DRKS / Universal Trial Number (UTN): U1111–1210-9657, Date of registration 12/06/2018."^^ . "2019" . . "19" . "206" . . "BioMed Central"^^ . . . "BMC Health Services Research"^^ . . . "14726963" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "Stephanie"^^ . "Kümmel"^^ . "Stephanie Kümmel"^^ . . "Lorenz"^^ . "Uhlmann"^^ . "Lorenz Uhlmann"^^ . . "Aline"^^ . "Kunz"^^ . "Aline Kunz"^^ . . "Frank"^^ . "Peters-Klimm"^^ . "Frank Peters-Klimm"^^ . . "Cornelia"^^ . "Straßner"^^ . "Cornelia Straßner"^^ . . "Joachim"^^ . "Szecsenyi"^^ . "Joachim Szecsenyi"^^ . . "Ronja"^^ . "Rück"^^ . "Ronja Rück"^^ . . "Michel"^^ . "Wensing"^^ . "Michel Wensing"^^ . . "Tobias"^^ . "Freund"^^ . "Tobias Freund"^^ . . "Johanna"^^ . "Forstner"^^ . "Johanna Forstner"^^ . . "Bärbel"^^ . "Handlos"^^ . "Bärbel Handlos"^^ . . "Nadja"^^ . "El-Kurd"^^ . "Nadja El-Kurd"^^ . . . . . . "Improving continuity of patient care across sectors: study protocol of a quasi-experimental multi-centre study regarding an admission and discharge model in Germany (VESPEERA) (PDF)"^^ . . . "12913_2019_Article_4022.pdf"^^ . . . "Improving continuity of patient care across sectors: study protocol of a quasi-experimental multi-centre study regarding an admission and discharge model in Germany (VESPEERA) (Other)"^^ . . . . . . "lightbox.jpg"^^ . . . "Improving continuity of patient care across sectors: study protocol of a quasi-experimental multi-centre study regarding an admission and discharge model in Germany (VESPEERA) (Other)"^^ . . . . . . "preview.jpg"^^ . . . "Improving continuity of patient care across sectors: study protocol of a quasi-experimental multi-centre study regarding an admission and discharge model in Germany (VESPEERA) (Other)"^^ . . . . . . "medium.jpg"^^ . . . "Improving continuity of patient care across sectors: study protocol of a quasi-experimental multi-centre study regarding an admission and discharge model in Germany (VESPEERA) (Other)"^^ . . . . . . "small.jpg"^^ . . . "Improving continuity of patient care across sectors: study protocol of a quasi-experimental multi-centre study regarding an admission and discharge model in Germany (VESPEERA) (Other)"^^ . . . . . . "indexcodes.txt"^^ . . "HTML Summary of #26244 \n\nImproving continuity of patient care across sectors: study protocol of a quasi-experimental multi-centre study regarding an admission and discharge model in Germany (VESPEERA)\n\n" . "text/html" . . . "610 Medizin"@de . "610 Medical sciences Medicine"@en . .