Protocol for regional implementation of collaborative self-management services to promote physical activity

Barberan-Garcia, Anael; Gimeno-Santos, Elena; Blanco, Isabel; Cano, Isaac; Martínez-Pallí, Graciela; Burgos, Felip; Miralles, Felip; Coca, Miquel; Murillo, Serafín; Sanz, María; Steblin, Alexander; Ubré, Marta; Benavent, Jaume; Vidal, Josep; Sitges, Marta; Roca, Josep

doi:10.1186/s12913-018-3363-8

BMC Health Services Research

Table 1 Main study outcomes of the implementation protocols

From: Protocol for regional implementation of collaborative self-management services to promote physical activity

Triple Aim	Outcome	Data source & Instrument
Health and well-being	Socio-demographics	Catalan Health Surveillance System & Electronic Medical Records
	Multi-morbidities	Catalan Health Surveillance System & Electronic Medical Records
	Patient Clinical Data	Electronic Medical Records
	Health-related quality of life	SF12 questionnaire
	Healthy lifestyle (Tobacco/Nutrition/Alcohol/Physical Activity)	Electronic Medical Records
	Physical activity	Yale Physical Activity Survey & Monitoring
	Psychological well-being	Hospital Anxiety and Depression scale
	Therapeutic plan (Pharmacological/Others)	Catalan Health Surveillance System & Electronic Medical Records
	Intermediate outcomes (see costs): • Emergency Department visits • General Practitioner visits • Cumulative days per year admitted in hospital • Multiple drugs prescription • Potentially avoidable hospitalizations • Hospital readmissions • Needs for social support	Catalan Health Surveillance System
	Mortality	Catalan Health Surveillance System/Electronic Medical Records
Experience with care	Use of the Personal Health Folder & engagement	Catalan Health Surveillance System
	Home-based technological support	Electronic Medical Records
	Access to integrated care	Catalan Health Surveillance System
	Patient satisfaction & engagement	Electronic Medical Records (non-standard questionnaire)
Costs^a	Total health and social care cost	Catalan Health Surveillance System
	Primary Care	Catalan Health Surveillance System
	Hospital-related Care • Admissions • Emergency Room consultations • Outpatient specialized care	Catalan Health Surveillance System
	Pharmacy	Catalan Health Surveillance System
	Mental Health	Catalan Health Surveillance System
	Socio-sanitary services	Catalan Health Surveillance System
	Other costs • Respiratory therapies • Dialysis • Rehabilitation • Non-urgent patient transport	Catalan Health Surveillance System

^a The Catalan Health Surveillance System registries allow allocation of healthcare expenditure to each patient through the Personal Health Identification Number which facilitates analysis of total healthcare expenditure in complex patients

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ISSN: 1472-6963

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