Development and Testing of an Interprofessional, Person-centered Care Concept for People Living at Home With Care Needs.

Development and Testing of an Interprofessional, Person-centered Care Concept for People Living at Home With Care Needs.

The aim of the project is to develop and pilot measures to optimize the person-centered cooperation between nursing services, general practitioners and members of the therapeutic professions in the care of people living at home with care needs, so that hospital admissions and the use of unplanned medical and rescue services are avoided, the quality of life is improved and a deterioration in the need for long-term care can be stopped.

This is done by developing an interprofessional person-centered collaboration-concept, perform an explorative mixed-methods-study: interviews, focus groups, expert workshops, survey of best practices, shadowing, questionnaires.

Description of mixed-methods-study:

1. Interviews with

   • 20 patients,
   • 20 relatives,
   • 5 experts of health insurance professionals,
   • and 3 focus groups à 8 persons with general practioniers, nurses, therapists.

2. investigation of best practice cases

3. explorative survey of 100 cases in each group:

   • general practitioner
   • nursing services
   • therapists
   • persons in need of care
   • family members of persons in need of care

The mixed-methods-study is analysed in different ways:

• structured content analysis
• case-based qualitative analysis of interviews
• descriptive analysis

The mixed-methods-study has been approved by the ethics committee and is recruiting.

Inclusion Criteria:

• years of age >18
• receipt of benefits in the form of outpatient care according to SGB XI,
• preliminary / final classification of care ≥level 2
• expected life expectancy >6 months
• informed consent
• sufficient opportunity to answer answering questions about patient-reported outcomes

Exclusion Criteria:

• Living in nursing home / planned move-in within the following 6 months
• claim acceptance of SAPV
• participation in scientific study