价值导向下预立医疗照护计划基本医疗保险支付策略研究

注册号:

Registration number:

ChiCTR2200066869 

最近更新日期:

Date of Last Refreshed on:

2023-09-11 20:27:40 

注册时间:

Date of Registration:

2022-12-20 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

价值导向下预立医疗照护计划基本医疗保险支付策略研究

Public title:

Research on Basic Medical Insurance Payment Strategies of Advance Care Planning under Value Orientation

注册题目简写:

English Acronym:

研究课题的正式科学名称:

价值导向下预立医疗照护计划基本医疗保险支付策略研究

Scientific title:

Research on Basic Medical Insurance Payment Strategies of Advance Care Planning under Value Orientation

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

谭瑾 

研究负责人:

邓仁丽 

Applicant:

Tan Jin 

Study leader:

Deng Renli 

申请注册联系人电话:

Applicant telephone:

+86 185 7161 4787

研究负责人电话:

Study leader's
telephone:

+86 188 1865 6078

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

1208031875@qq.com

研究负责人电子邮件:

Study leader's E-mail:

690891192@qq.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

贵州省遵义市汇川区大连路201号

研究负责人通讯地址:

贵州省遵义市汇川区大连路201号

Applicant address:

201 Dalian Road, Huichuan District, Zunyi, Guizhou

Study leader's address:

201 Dalian Road, Huichuan District, Zunyi, Guizhou

申请注册联系人邮政编码:

Applicant postcode:

563000

研究负责人邮政编码:

Study leader's postcode:

563000

申请人所在单位:

遵义医科大学护理学院

Applicant's institution:

Nursing School of Zunyi Medical University

研究负责人所在单位:

遵义医科大学护理学院

Affiliation of the Leader:

Nursing School of Zunyi Medical University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

遵医伦审〔2022〕1-232 号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

遵义医科大学医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Zunyi Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2022-03-07 00:00:00

伦理委员会联系人:

高杨

Contact Name of the ethic committee:

Gao Yang

伦理委员会联系地址:

贵州省遵义市新蒲新区学府西路6号

Contact Address of the ethic committee:

6 Xuefu Road West, Xinpu District, Zunyi, Guizhou

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

遵义医科大学护理学院

Primary sponsor:

Nursing School of Zunyi Medical University

研究实施负责(组长)单位地址:

贵州省遵义市汇川区大连路201号

Primary sponsor's address:

201 Dalian Road, Huichuan District, Zunyi, Guizhou

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

贵州

市(区县):

遵义

Country:

China

Province:

Guizhou

City:

Zunyi

单位(医院):

遵义医科大学第二附属医院

具体地址:

贵州省遵义市新蒲新区新蒲大道与新龙大道交汇处

Institution
hospital:

The Second Affiliated Hospital of Zunyi Medical University

Address:

Intersection of Xinpu Avenue and Xinlong Avenue, Xinpu New District, Zunyi, Guizhou

国家:

中国

省(直辖市):

贵州

市(区县):

遵义

Country:

China

Province:

Guizhou

City:

Zunyi

单位(医院):

遵义医科大学护理学院

具体地址:

贵州省遵义市汇川区大连路201号

Institution
hospital:

Nursing School of Zunyi Medical University

Address:

201 Dalian Road, Huichuan District, Zunyi, Guizhou

经费或物资来源:

国家自然科学基金委员会

Source(s) of funding:

National Natural Science Foundation of China

研究疾病:

晚期肿瘤  

Target disease:

Advanced tumors

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

探索性研究/预试验 

Study phase:

0

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

运用干预模式“VIP for future care”结合决策树-马尔科夫模型进行预立医疗照护计划的卫生经济学评价。  

Objectives of Study:

The intervention model "VIP for Future Care" combined with decision tree-Markov model was used to evaluate the health economics of advance care planning.

药物成份或治疗方案详述:

拟将入住医院肿瘤科的200位患者随机分为试验组和对照组。对照组给予常规病情沟通。试验组除按对照组干预外,运用“VIP for future care”模式干预。比较2组患者在干预前、干预后及随访的医疗费用、临终治疗意愿、生存质量等。  

Description for medicine or protocol of treatment in detail:

A total of 100 patients who were admitted to the oncology department of the hospital were randomly divided into experimental group and control group. The control group was given routine disease communication. In addition to the control group, the experimental group used the "VIP for future Care" mode of intervention. The medical expenses, end-of-life treatment intention and quality of life of patients in 2 groups were compared before intervention, after intervention and during follow-up.  

纳入标准:

Inclusion criteria

排除标准:

1. 有精神障碍或疾病者; 2. 不能耐受长时间交流者; 3. 患者或家属任何一方拒绝参加者。

Exclusion criteria:

1. People with mental disorders or diseases; 2. Can't tolerate long-time communication; 3. Either the patient or the family rejects the participant.

研究实施时间:

Study execute time:

From 2023-01-01 00:00:00 To 2023-11-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2023-01-01 00:00:00 To 2023-11-30 00:00:00

干预措施:

Interventions:

组别:

干预组

样本量:

100

Group:

Intervention group

Sample size:

干预措施:

“VIP for future care”

干预措施代码:

Intervention:

“VIP for future care”

Intervention code:

组别:

对照组

样本量:

100

Group:

Control group

Sample size:

干预措施:

常规病情沟通

干预措施代码:

Intervention:

Routine illness communication

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

贵州 

市(区县):

遵义 

Country:

China

Province:

Guizhou

City:

Zunyi

单位(医院):

遵义医科大学第二附属医院 

单位级别:

三级 

Institution
hospital:

The Second Affiliated Hospital of Zunyi Medical University

Level of the institution:

Tertiary

测量指标:

Outcomes:

指标中文名:

直接医疗费用

指标类型:

主要指标

Outcome:

Direct medical expenses

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

临终治疗意愿

指标类型:

次要指标

Outcome:

Patients' end-of-life treatment wishes

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

决策确定性

指标类型:

次要指标

Outcome:

Decision certainty

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 60 years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

使用统计软件按照随机程序产生“处理组分配随机数字”,每个受试者被随机分配到干预/对照组。

Randomization Procedure (please state who generates the random number sequence and by what method):

Statistical software was used to generate a "treatment group assignment random number" according to a randomised procedure, and each subject was randomly assigned to the intervention/control group.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

患者与其主要照护者对分组不知情,研究者与患者之间、研究者与管床医生、护士之间不进行分组方式的沟通。

Blinding:

Patients and their primary caregivers are not aware of the grouping, and there is no communication between researchers and patients, and between researchers and custodian doctors and nurses.

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

在实验完成后可邮件索取原始数据

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

The original data can be obtained by email after the experiment is completed

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

由研究者统一管理。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Unified management by researchers

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2022-12-20 15:17:50