| Title | The cost effectiveness of a multidisciplinary care model for elderly living in Dutch residential care homes, design of a cluster randomized trial |
| Publication Type | Journal Article |
| Year of Publication | 2011 |
| Authors | Meerman MBoorsma, van Hout HPJ, Frijters DHM, Ribbe MW, Nijpels G |
| Journal | NEW IN OLD |
| Start Page | Chapter 2 |
| Pagination | 55 |
| Abstract | BACKGROUND The objective of this article is to describe the design of a study to evaluate the clinical and economic effects of a multidisciplinary integrated care model on functional health, quality of care and quality of life of persons living in residential care homes. METHODS This study concerns a cluster randomized controlled clinical trial among five intervention homes and five usual care homes in the North-West of the Netherlands with a total of over 500 residents. All persons who are not terminally ill, are able to be interviewed and sign informed consent are included. For cognitively impaired persons family proxies will be approached to provide outcome information. The Chronic care Model consists of several elements: (1) Trained staff carries out a multidimensional assessment of the patients functional health and care needs with the inter RAI Long Term Care Facilities instrument (LTCF). Computerization of the inter RAI-LTCF produces immediate identification of problem areas and thereby guides individualized care planning. (2) The assessment outcomes are discussed in a multidisciplinary meeting with the nurse-assistant, primary care physician, elderly care physician and Psychotherapist and if necessary other members of the care team. The multidisciplinary meeting presents individualized care plans to manage or treat modifiable disabilities and risk factors. (3) Consultation by an nursing home physician and psychotherapist is offered to the frailest residents at risk for nursing home admission (according to the inter RAI-LTCF). Outcome measures are Quality of Care indicators (LTCF based), Quality Adjusted Life Years (Euroqol), Functional health (SF12, COOP-WONCA), Disability (GARS), Patients care satisfaction (QUOTE), hospital and nursing home days and mortality, health care utilization and costs. |
| Link | https://research.vumc.nl/ws/files/254176/chapter%201%20t%20m%205%20en%20... |
