liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Proactive healthcare for frail elderly persons: study protocol for a prospective controlled primary care intervention in Sweden
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Acute Internal Medicine and Geriatrics.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Activity and Health.ORCID iD: 0000-0003-4166-7269
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences.
Show others and affiliations
2019 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, no 5, article id e027847Article in journal (Refereed) Published
Abstract [en]

Introduction The provision of healthcare services is not dedicated to promoting maintenance of function and does not target frail older persons at high risk of the main causes of morbidity and mortality. The aim of this study is to evaluate the effects of a proactive medical and social intervention in comparison with conventional care on a group of persons aged 75 and older selected by statistical prediction.

Methods and analysis In a pragmatic multicentre primary care setting (n=1600), a prediction model to find elderly (75+) persons at high risk of complex medical care or hospitalisation is used, followed by proactive medical and social care, in comparison with usual care. The study started in April 2017 with a run-in period until December 2017, followed by a 2-year continued intervention phase that will continue until the end of December 2019. The intervention includes several tools (multiprofessional team for rehabilitation, social support, medical care home visits and telephone support). Primary outcome measures are healthcare cost, number of hospital care episodes, hospital care days and mortality. Secondary outcome measures are number of outpatient visits, cost of social care and informal care, number of prescribed drugs, health-related quality of life, cost-effectiveness, sense of security, functional status and ability. We also study the care of elderly persons in a broader sense, by covering the perspectives of the patients, the professional staff and the management, and on a political level, by using semistructured interviews, qualitative methods and a questionnaire.

Ethics and dissemination Approved by the regional ethical review board in Linköping (Dnr 2016/347-31). The results will be presented in scientific journals and scientific meetings during 2019–2022 and are planned to be used for the development of future care models.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2019. Vol. 9, no 5, article id e027847
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-158828DOI: 10.1136/bmjopen-2018-027847ISI: 000471192800310PubMedID: 31122995Scopus ID: 2-s2.0-85066870821OAI: oai:DiVA.org:liu-158828DiVA, id: diva2:1337516
Note

Funding Agencies|County Council of Ostergotland; Linkoping University [2016186-14]

Available from: 2019-07-15 Created: 2019-07-15 Last updated: 2019-11-07Bibliographically approved

Open Access in DiVA

fulltext(678 kB)6 downloads
File information
File name FULLTEXT01.pdfFile size 678 kBChecksum SHA-512
1546127e30f9fa9d746ca315b01352c76be1be07e7ad4f22f6e4be46a5cac8f6b6d1232ceca2fa03dc9f7e23470cc696b92f2ebbcda8f817fbeb4b1d9e45149a
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records BETA

Sverker, Annette M.

Search in DiVA

By author/editor
Marcusson, JanNord, MagnusJohansson, MariaAlwin, JennyLevin, Lars-ÅkeDannapfel, PetraThomas, KristinPoksinska, BozenaSverker, Annette M.Olaison, AnnaCedersund, ElisabetKelfve, SusanneMotel-Klingebiel, AndreasKullberg, AgnetaBöttiger, YlvaDong, Huan-JiPeolsson, AnneliWass, MalinLyth, JohanAndersson, Agneta
By organisation
Division of Neuro and Inflammation ScienceFaculty of Medicine and Health SciencesDepartment of Acute Internal Medicine and GeriatricsDepartment of Activity and HealthDivision of Health Care AnalysisDivision of Community MedicineLogistics & Quality ManagementFaculty of Science & EngineeringSocial WorkFaculty of Arts and SciencesDivision Ageing and Social ChangeDivision of Drug ResearchDepartment of Clinical PharmacologyPain and Rehabilitation CenterDivision of PhysiotherapyEducation, Teaching and LearningThe Swedish Institute for Disability ResearchResearch and Development Unit
In the same journal
BMJ Open
Health Care Service and Management, Health Policy and Services and Health Economy

Search outside of DiVA

GoogleGoogle Scholar
Total: 6 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 151 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf