Akzeptanz eines Patientenpasses in der Sekundärprävention der koronaren Herzkrankheit

Völler, Heinz; Dovifat, C.; Schulz, T; Lötsch, M; Müller-Nordhorn, J; Bestehorn, Kurt; Dißmann, Rüdiger; Willich, Stefan N.

doi:10.1055/s-2004-824868

Cited by 1 publication

(5 citation statements)

References 5 publications

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“…However, the two studies produced similar findings regarding the demographic characteristics of passport users and non-users. Like Völler et al [14], we found that older participants and those with higher levels of education tended to use the passport more often. Gender-specific differences were not detected in either of the two studies.…”

Section: Discussionsupporting

confidence: 78%

“…To our knowledge, only one other study exists in which researchers investigated the acceptance and use of a patient passport for secondary prevention of heart disease using a similar methodology. In that study, by Völler et al [14], the passport was mainly used to document changes in physiological protective factors and risk factors over time. By contrast, our study mainly focused on user assessments of the passport by cardiac rehabilitees.…”

Section: Discussionmentioning

confidence: 99%

“…Völler et al [14] issued 437 patients who had a confirmed CHD diagnosis with a health passport before they were discharged from inpatient rehabilitation. The rehabilitees were asked to carry the passport for 1 year and then return it to the study centre.…”

Section: Discussionmentioning

confidence: 99%

“…The original German version was translated into English and is provided as Additional file 1. The questionnaire contained elements and information from existing instruments that measure indicators of usefulness and satisfaction [14, 20, 21]. In addition to closed questions, the questionnaire included open questions that allowed the respondents to provide more detailed answers to particular items.…”

Section: Methodsmentioning

confidence: 99%

“…A passport is available for cancer patients with brain tumours [11] and ENT tumours [12]. Passports for patients with cardiovascular disorders such as heart failure [13] and coronary heart disease [14] have also been described. However, none of these passports contain indications for active patient participation, such as entering laboratory and vital parameters oneself.…”

Section: Introductionmentioning

confidence: 99%

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Development and evaluation of a patient passport to promote self-management in patients with heart diseases

Stamm-Balderjahn

Faliniski

Rossek

et al. 2019

BMC Health Serv Res

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BackgroundPatients with cardiovascular diseases (CVD) are treated over a long period of time by physicians and therapists from various institutions collaborating within a multidisciplinary team. Usually, medical records detailing the diagnoses and treatment regimens are long and extensive. Brief overviews of relevant diagnostic and treatment data in the form of a patient passport are currently missing in routine care for patients with CVD. This study aimed to develop and evaluate a patient passport (the Kardio-Pass) based on the needs of patients who had undergone cardiac rehabilitation, and of healthcare professionals.MethodsA mixed method design was adopted consisting of an explorative qualitative phase followed by a quantitative evaluation phase. Interviews with patients and experts were conducted to develop the Kardio-Pass. CVD rehabilitees (N = 150) were asked to evaluate the passport using a semi-standardized written questionnaire.ResultsPatients and experts who were interviewed in the qualitative study phase considered the following passport contents to be particularly important: documentation of findings and diagnoses, cardiac diagnostics and intervention, medication plan, risk factors for heart disease, signs of a heart attack and what to do in an emergency. During the evaluation phase, 93 rehabilitees (response rate: 62%) completed the questionnaire. The Kardio-Pass achieved high overall approval: All respondents considered the information contained in the passport to be trustworthy. The professionalism and the design of the passport were rated very highly by 93 and 92% of participants, respectively. Use of the Kardio-Pass prompted 53% of participants to regularly attend follow-up appointments. The most common reasons for non-use were a lack of support from the attending doctor, failure by the patient to make entries in the passport, and loss of the passport.ConclusionsBy documenting the course of cardiac diseases, the patient passport pools all medical data–from diagnosis to treatment and aftercare–in a concise manner. Rehabilitees who used the cardiac passport rated it as a helpful tool for documenting follow-up data. However, with regard to this explorative study there is a need for further research, particularly on whether the patient passport can improve heart patient care.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%