NCT05906927

Telemedicine for Home-based Management of Patients With Chronic Kidney Diseases and Comorbidities (NET-2018-12367206)

Telemedicine for Home-based Management of Patients With Chronic Kidney Diseases and Comorbidities: Analysis of Current Models and Design of Innovative Strategies to Improve Quality of Care and Optimise Resource Utilization

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 8 (actual)
• Sponsor: Azienda USL Toscana Nord Ovest · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

This project is aimed to analyze the current models and to design innovative strategies to improve quality of care and optimise resource utilization of telemedicine (TM) in home-based management for the global care of patients with chronic kidney diseases (CKD). The main focus is on the prevention of complications, recurrence of unstabilization and optimal therapy for the global management of chronic pts through TM and e-Health. Reducing avoidable/unnecessary hospitalisation of pts with chronic conditions, through the effective implementation of a health care network, offering integrated care programs and applying chronic disease management models, should ultimately contribute to the improved efficiency of health systems.

Detailed description

The investigators will design, test and evaluate innovative models for applying TM to the management of pts with chronic kidney diseases . New models will be characterized by the followings: * flexible adaptation to pts subgroups/ individual pts characteristics, including pts (and caregivers) expectation and willingness to participate actively in the process of care * identification of technical components which are essential, accessory, useful or futile for different pts subgroups, including evaluation of pts abilities and preferences. * definition of the team of care and the roles and responsibilities of each components: case manager, clinical manager etc * pre-definition of outcome measures, that should include at least the evaluation of quality of life, perceived quality of care by the pts and caregivers, number and duration of hospitalizations. * definition of Quality Assurance (QA) derived indicators related to risk and performance of TM implementation where needed Finally, the investigators will collect a set of data allowing to analyse and validate the care model and to measure the patient adherence to the care plan as well as measure the performance of the predictive models based on this data.

Conditions

• Chronic Kidney Diseases

Timeline

• Start date: 2022-08-01
• Primary completion: 2024-08-30
• Completion: 2024-09-30
• First posted: 2023-06-18
• Last updated: 2023-10-26

Locations

1 site across 1 country: Italy