Table 2 Project outcomes and outcome measures in the PATINA study
Outcome | Outcome measure | |
|---|---|---|
Primary outcome | ||
Outcome 1 | Acute admission | Proportion of acute hospital admissions after being identified at risk by the algorithm |
Secondary outcomes | ||
Outcome 2 | Preventable admission | Preventable admission after being identified at risk by the algorithm |
Outcome 3 | Readmission (30-days) | Readmission to a Danish hospital within 30 days from a hospital discharge |
Outcome 4 | Outpatient contacts | Proportion of contacts to outpatient clinics after being identified at risk by the algorithm |
Outcome 5 | Primary care physicians contacted | Contacts to a primary care physician after being identified at risk by the algorithm |
Outcome 6 | Death (90-days) | Proportion of diseased citizens identified at risk by the algorithm within 90 days |
Health care utilization and economic outcomes | ||
Outcome 7 | Changes in utilization and costs of municipal home, nursing and social care services | Information on municipal home, nursing and social care services will be collected as part of the data used in the PATINA algorithm. Costs will be summed from the first date a citizen is identified at risk by the algorithm |
Outcome 8 | Changes in utilization and costs of planned and unplanned hospital treatment | Information on hospital treatment (planned and unplanned) will be collected from the Danish National Patient Registry. Costs will be summed from the first date a citizen is identified at risk by the algorithm |
Outcome 9 | Changes in utilization and costs of contacts to primary care physicians | Information on contacts to primary care physicians will be collected from the Danish National Health Insurance Service Register. Costs will be summed from the first date a citizen is identified at risk by the algorithm |
Outcome 10 | Cost of implementation of the PATINA algorithm and decision support tool | The cost of implementing the algorithm and decision support tool will be calculated as time total time spent for introduction and working with the algorithm for each nurse |
Process outcomes | ||
Outcome 11 | Barriers and facilitators for nurse’s acceptance and use of the algorithm | Data will be collected as a three-wave survey, which will be integrated in SW-CRT design and follow the step-wise implementation of the algorithm in each of the tree municipalities |