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ID
Source
Brief title
Health condition
Acute patients
What matters most to you
Communication
Flash Mob research
Ned:
Acute patienten
Wat is er belangrijk voor u
Communicatie
Flash Mob onderzoek
Sponsors and support
Intervention
Outcome measures
Primary outcome
Wat matters most to patients
Secondary outcome
To determine if communication between the patient and doctor covers what is most important to the patient.
To explore the differences between different countries in what matters most to patients.
Study objective
One of the priorities for improving the quality of care is to make care more patient centred. Current acute medical practice focuses strongly on the medical diagnosis and treatment of the medical condition. Many of the conversations in these settings are about the patients and not actually with them. This medical focus often does not address the patient’s needs, values and preferences. It also provides little opportunity for patients and their loved ones to actively participate in designing a treatment plan with outcomes that are most relevant for them. A doctor’s focus is for example often on ‘treating the infection’, while the patient might be more concerned about ‘will I be able to be back at work next week?’
To illustrate, Lee at al. found that in only seven percent of patients with breast cancer avoiding mastectomy was the main priority, whereas medical doctors predicted this to be the main concern in more than seventy percent of their patients. These communication gaps may lead to poorly informed patients, doctors and suboptimal medical care. In some studies decisions on treatments choices have proven to change once a patient is well informed about the possibilities, risks and expectations of the treatment. Focusing more on what actually matters to patients may lead to better outcomes and patient satisfaction because it goes beyond the ‘sick role’ of the patient and contributes to patient involvement.
Study design
During a 50 hours flash mob, each participating hospital will approach all patients of 18 years and older who have been admitted with an acute medical condition.
Intervention
Digital questionnaire
De Boelelaan 1117
P.W.B. Nanayakkara
Amsterdam 1081 HV
The Netherlands
+31 (0)20 4440596
p.nanayakkara@vumc.nl
De Boelelaan 1117
P.W.B. Nanayakkara
Amsterdam 1081 HV
The Netherlands
+31 (0)20 4440596
p.nanayakkara@vumc.nl
Inclusion criteria
- 18 years and older
- Unplanned admission due to an acute medical condition
- Medical specialties are: cardiology, geriatrics, gastroenterology, haematology, internal medicine, nephrology, oncology, pulmonary medicine, rheumatology
- Inclusion within 24 hours after arriving at a regular ward
- Patient is mentally competent, able to understand the study and give written informed consent
Exclusion criteria
- <18 years old
- Lack of ability to give informed consent
- Patients with known cognitive impairment (eg. Alzheimer's disease, delirium)- Planned admission
- Patient not reached within 24 hours after decision to admit to regular ward
- Surgical/trauma patient (because of difference in healthcare systems worldwide)
- Patients who are admitted for childbearing
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
NTR-new | NL7322 |
NTR-old | NTR7538 |
Other | : VUmc_2018-2946 |