[PrefCheck: patient-centered treatment planning with older multimorbid patients. Method and design].
BACKGROUND
The aim of the study is to develop and test a consultation guide (PrefCheck) for general practitioners (GPs) based on geriatric assessment results. The goal of the consultation guide is to facilitate priority setting and treatment planning based on building a partnership with geriatric patients with multiple chronic diseases.


OBJECTIVE
The mixed method study consists of three complementary parts: (A) health and treatment priorities of 32 patients and their 8 GPs are determined and explored on the basis of assessment results. These findings lead to the development of the consultation guide, which is subsequently tested in a cluster-randomized controlled intervention study (B) with 40 GPs and 320 patients. The aim of this study is to assess whether PrefCheck results in improved agreement in the number of health and treatment priorities between patients and their doctors. The study concludes with an evaluation study (C) with 5 GPs and 15 patients.


CONCLUSIONS
Results will be presented in a future publication. In particular it will be demonstrated whether the consultation guide can strengthen the position of older patients in the doctor-patient relationship, increase the level of information on both sides, and contribute to a shared and holistic treatment planning.
Voigt
I
I
Institut für Allgemeinmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625 Hannover. voigt.isabel@mh-hannover.de
Wrede
J
J
Diederichs-Egidi
H
H
Dierks
M-L
ML
Hummers-Pradier
E
E
Junius-Walker
U
U
D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D002908:Chronic Disease / Q000628:therapy*; D003142:Communication; D015897:Comorbidity; D005260:Female; D016330:Frail Elderly; D058006:General Practice; D015577:Geriatric Assessment / Q000379:methods*; D005858:Germany; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D016347:Medical Records Systems, Computerized; D010347:Patient Care Planning / Q000458:organization & administration*; D010817:Physician-Patient Relations; D010865:Pilot Projects; D012017:Referral and Consultation
Br J Gen Pract. 2009 Jan;59(558):29-36
19105913
J Am Geriatr Soc. 1991 Feb;39(2):142-8
1991946
Fam Pract. 2004 Aug;21(4):347-54
15249521
JAMA. 2005 Aug 10;294(6):716-24
16091574
J Gen Intern Med. 1989 Jan-Feb;4(1):23-30
2644407
JAMA. 1999 Aug 25;282(8):737-43
10463708