Lixia Bao, Kim Geok Soh, Nasnoor Juzaily Mohd Nasiruddin, Huijuan Xie, Junlong Zhang
Unveiling the Impact of Metacognition on Academic Achievement in Physical Education and Activity Settings: A Comprehensive Systematic Review and Meta-Analysis of Qualitative Insights
Psychology research and behavior management
multimorbid frail elderly patients often carry high burden treatment hospitalization due onset acute illness disrupt fragile balance resulting readmissions hospital discharge current models care germany meet needs patient group rather lack coordination integration care combined lack interdisciplinary approaches result fragmented inadequate care increase burden treatment even elipfad randomized controlled trial conducted 6 hospitals germany multimorbid elderly patients aged 55 older randomly assigned intervention control group patients intervention group receive elipfad intervention additional standard care core components elipfad early assessment patients individual treatment burden support specially trained case manager involvement patients general practitioner gp right beginning hospital stay preparation individual crosssectoral treatment plan interdisciplinary hospital team involvement patients gp establishment crosssectoral electronic patient record eepa documentation crosssectoral exchange supportpromote patient adherence tailored early rehabilitation hospital stay continued home closetelemonitoring medically meaningful vital parameters use tablets digital devices personal contacts home environment intervention period begins hospital continues 6 weeks discharge patients control group treated according standard clinical care discharged according current discharge management primary aim preventionreduction readmissions first 6 months discharge addition impact healthrelated quality life burden treatment survival selfmanagement medication prescription health literacy patientcentered care costeffectiveness process evaluation examined nine hundred fortyeight patients randomized 11 intervention control group elipfad leads fewer readmissions proves costeffective lowers treatment burden introduced new standard care german healthcare system trial registered german clinical trials registry deutsches register klinischer studien drks 08142023 id drks00031500