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dc.contributor.authorBatista, Joanna d'Arc Lyrapt_BR
dc.contributor.authorFurtado, Mariana Vargaspt_BR
dc.contributor.authorKatz, Natanpt_BR
dc.contributor.authorAgostinho, Milena Rodriguespt_BR
dc.contributor.authorSilva Neto, Brasilpt_BR
dc.contributor.authorHarzheim, Ernopt_BR
dc.contributor.authorPolanczyk, Carisi Annept_BR
dc.date.accessioned2016-10-05T02:15:08Zpt_BR
dc.date.issued2016pt_BR
dc.identifier.issn1472-6963pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/148850pt_BR
dc.description.abstractBackground: Many Brazilian patients with complex diseases who are treated in tertiary referral clinics have been stable for long periods. The main needs of these patients involve monitoring of risk factors and review of drug prescriptions, which could be satisfactorily done in primary care facilities. The goal of this protocol is to evaluate the safety and effectiveness of telemedicine services to support the transition of patients with stable chronic coronary artery disease from the tertiary to the primary level of care. Methods/design: We designed a randomized non-inferiority protocol that will include 280 patients with stable coronary artery disease (for at least 12 months). Patients will be selected from the Ischemic Heart Disease Clinic in a tertiary care hospital in southern Brazil. Enrolled participants will be randomized into one of two groups: 12 months of follow-up at the same clinic; or 12 months of follow-up at a primary care facility with clinical support from a telemedicine platform including a toll-free line for physicians (intervention group). In the intervention group, decisions to refer patients to tertiary care during follow-up will be made jointly by primary physicians and medical teleconsultants. The groups will be compared in terms of the primary outcome—maintenance of baseline functional class 1 or 2 after 12 months. Secondary outcomes include control of risk factors and instability of the disease. Discussion: We intend to determine the effectiveness of using telemedicine to qualify the transition of patients with chronic coronary disease from the tertiary to the primary level of care. This should facilitate the access of patients to the healthcare system, since care will be provided closer to their homes, and provide more opportunities for treatment of severe cases at tertiary care hospitals that are often overcrowded.en
dc.format.mimetypeapplication/pdf
dc.language.isoengpt_BR
dc.relation.ispartofBMC health services research. London. Vol. 16, n. 227 (2016), [6 p.]pt_BR
dc.rightsOpen Accessen
dc.subjectDoença da artéria coronarianapt_BR
dc.subjectCoronary artery diseaseen
dc.subjectTelemedicinapt_BR
dc.subjectTelemedicineen
dc.subjectRandomized clinical trialen
dc.titleTelemedicine-supported transition of stable coronary artery disease patients from tertiary to primary health care facilities : protocol for a randomized non-inferiority trialpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb000998332pt_BR
dc.description.originTelemedicinapt_BR
dc.type.originEstrangeiropt_BR


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