Institute of General Practice and Family Medicine, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
PLoS One. 2022 Sep 6;17(9):e0273212. doi: 10.1371/journal.pone.0273212. eCollection 2022.
General practitioners (GP) increasingly face the challenge of meeting the complex care needs of multi-morbid patients. Previous studies show that GP practices would like support from other institutions in advising on social aspects of care for multi-morbid patients. Already existing counselling services, like community care points, are not sufficiently known by both GPs and patients. The aim of COMPASS II is to investigate the feasibility of cooperation between GP practices and community care points.
During the intervention, GPs send eligible multi-morbid patients with social care needs to a community care point. The community care points report the consultation results back to the GPs. In preparation for the intervention, in a moderated process, GP practices meet with the community care points to agree on information exchange. The primary outcome is the feasibility of the cooperation: Questionnaires will be sent to GPs, medical practice assistances and community care point personnel (focus: practicality, acceptability). Data will be collected on frequency and reasons for GP-initiated consultations at community care points (focus: demand). Qualitative interviews will be conducted with all participating groups (focus: acceptability, satisfaction). The secondary outcome is the assessment of changes in health-related quality of life, social support and satisfaction with care: participating patients complete a questionnaire before and three to six months after their counselling. The results of the study will be incorporated into a manual in which the experiences of the cooperation will be made available to other GP practices and community care points.
In COMPASS II, GP practices establish cooperation with community care points. The latter are already existing institutions that provide independent and free advice on social matters. By using an existing institution, the established cooperation and experiences from the study can be used beyond the end of the study.
The trial is registered with DRKS-ID: DRKS00023798, Coordination of Medical Professions Aiming at Sustainable Support II.
全科医生（GP）越来越面临满足多病共存患者复杂护理需求的挑战。先前的研究表明，GP 实践希望在多病共存患者的社会护理方面得到其他机构的支持。已经存在的咨询服务，如社区护理点，GP 和患者都知之甚少。COMPASS II 的目的是调查 GP 实践与社区护理点之间合作的可行性。
在干预过程中，GP 将有社会护理需求的符合条件的多病共存患者转介到社区护理点。社区护理点将咨询结果报告给 GP。在干预之前，GP 实践与社区护理点进行了 moderator 过程，就信息交流达成一致。主要结果是合作的可行性：将向 GP、医疗实践助理和社区护理点人员发送问卷（重点：实用性、可接受性）。将收集关于 GP 主动到社区护理点咨询的频率和原因的数据（重点：需求）。将对所有参与群体进行定性访谈（重点：可接受性、满意度）。次要结果是评估与健康相关的生活质量、社会支持和护理满意度的变化：参与患者在咨询前和咨询后 3 至 6 个月完成问卷。研究结果将纳入手册中，供其他 GP 实践和社区护理点使用。
在 COMPASS II 中，GP 实践与社区护理点建立合作关系。后者是提供独立和免费社会问题咨询的现有机构。通过利用现有机构，合作的建立和研究经验可以在研究结束后继续使用。
该试验在 DRKS-ID 注册：协调医学专业以实现可持续支持 II。
