HPDnet: The Future of Child and Adolescent Healthcare – Integrating Hospital Pediatric Departments into Health Networks in order to Improve Patient-Centered Care for Children with Kidney Disease
Organizational Data
- DRKS-ID:
- DRKS00033967
- Recruitment Status:
- Recruiting planned
- Date of registration in DRKS:
- 2024-03-26
- Last update in DRKS:
- 2024-03-26
- Registration type:
- Prospective
Acronym/abbreviation of the study
HPDnet
URL of the study
Brief summary in lay language
The prevalence of chronic illnesses among children and adolescents has increased significantly worldwide over the past decade, posing a growing coordination challenge for healthcare providers. Hospital pediatric departments (HPDs) play a crucial role in caring for chronically ill children and adolescents in Germany. The 'HPDnet' project analyzes the care of pediatric patients with complex, multicenter care needs, exemplified by (chronic) kidney disease. In Germany, the number of HPDs specializing in pediatric nephrology is relatively low. Additionally, a large number of different healthcare providers and caregivers are involved in the treatment of pediatric patients with (chronic) kidney disease. The medical care therefore requires a high degree of coordination and cooperation between the pediatric patients, their caregivers and the healthcare providers, and is typically characterized by a considerable degree of inefficiency. The interdisciplinary research project aims to investigate how HPDs can be efficiently organized in healthcare networks in order to improve the coordination between different stakeholders and the quality of healthcare for children and adolescents with chronic diseases.
Brief summary in scientific language
The project comprises of four main work packages (WP). Research focus is laid on the analysis of structures, networks, and care processes in pediatric departments of hospitals. Particularly, patient flow characteristics across hospitals and patient outcomes (WP1), organizational factors, proximity, and treatment expertise (WP2), regional patient flow network patterns and relational coordination (WP3) as well as facilitators and barriers of patient-centered care (WP4) are investigated. Work in all packages can be linked to care-determining and to patient-relevant endpoints. In addition, the different perspectives of stakeholders will be considered and evaluated. Based on the results from the different work packages, a process-oriented intervention to improve coordination and cooperation will be designed, thus improving the care of pediatric patients with (chronic) kidney disease.
Health condition or problem studied
- Free text:
- N00 - N08 Glomerular diseases; N10 - N16 Tubulointerstitial renal diseases; N17 - N19 Renal failure; N20 - N23 Urolithiasis; N25-N29 Other diseases of the kidney and ureter; N30 - N39 Other diseases of the urinary system; Q60 - Q64 Congenital malformations of the urinary system; Z90.5 Loss of kidney(s); Z94. 0 Condition following kidney transplantation; D59.3 Haemolytic uraemic syndrome; G95.84 Detrusor-sphincter dyssynergia due to spinal cord damage; I10.90 Essential hypertension, unspecified: without indication of hypertensive crisis; R31 Unspecified haematuria; R80 Isolated proteinuria
- Healthy volunteers:
- No Entry
Interventions, Observational Groups
- Arm 1:
- WP1: Regional analysis of patient pathways Retrospective analysis of the care pathways of children and adolescents with chronic kidney disease in the Cologne care region across all healthcare providers involved on the basis of secondary care data from the Cologne Competence Network of Practice and Research (CoRe-Net) to identify and analyze the characteristics of patient flows.
- Arm 2:
- WP2: Analysis of organizational factors, regional care infrastructures and treatment competencies Retrospective analysis of structured quality reports from German hospitals to evaluate pediatric care infrastructures using descriptive and inferential statistical methods, including analysis of pediatric-nephrological expertise and treatment spectrum with final cartographic representation.
- Arm 3:
- WP3: Analysis of regional networks and relational coordination Primary data collection among pediatric hospital departments nationwide for exploratory identification of existing care networks based on analysis of direction and volume of patient flows. Analysis of relational coordination and organizational cooperation within the regional network structures.
- Arm 4:
- WP4: Analysis of determinants of patient-centered care (PCC) Qualitative survey of patients and their informal caregivers as well as professional healthcare providers on barriers and facilitators of patient-centered care for patients with chronic kidney disease in pediatric hospital departments. Evaluation of the effect of PCC on the improvement of existing care processes.
Endpoints
- Primary outcome:
- Direction (proportion of admissions and referrals per department) and volume (relative and absolute number of pediatric-nephrological cases) of patient flows in regional care networks
- Secondary outcome:
- WP1: Complexity (number of care providers involved), intensity (contacts with a care provider) and dynamics (time periods with extremely low/high intensity and complexity) of patient-provider relationships for the Cologne care region (secondary data: CoRe-Net) WP2: Organizational care indicators of pediatric-nephrological cases (number of cases) and care expertise (number and degree of specialization of pediatric hospital departments) (secondary data: structured quality reports) WP3: Relational coordination and cooperation factors for the care of pediatric-nephrological cases of healthcare providers (survey) WP4: Patient-centered care of nephrology-pediatric patients (interviews)
Study Design
- Purpose:
- Health care system
- Retrospective/prospective:
- No Entry
- Study type:
- Non-interventional
- Longitudinal/cross-sectional:
- No Entry
- Study type non-interventional:
- No Entry
Recruitment
- Recruitment Status:
- Recruiting planned
- Reason if recruiting stopped or withdrawn:
- No Entry
Recruitment Locations
- Recruitment countries:
-
- Germany
- Number of study centers:
- Multicenter study
- Recruitment location(s):
-
- Medical center Bundesweite Online-Erhebung.
Recruitment period and number of participants
- Planned study start date:
- 2024-05-01
- Actual study start date:
- No Entry
- Planned study completion date:
- No Entry
- Actual Study Completion Date:
- No Entry
- Target Sample Size:
- 396
- Final Sample Size:
- No Entry
Inclusion Criteria
- Sex:
- All
- Minimum Age:
- no minimum age
- Maximum Age:
- no maximum age
- Additional Inclusion Criteria:
- - Inpatient departments with specialization in pediatric care (department codes: 1000; 1004; 1005; 1006; 1007; 1009; 1011; 1012; 1014; 1028; 1050; 1051; 1090; 1091; 1093; 1096; 1100; 1136; 1190; 1300; 1500; 1513) and/or specialization in the diagnosis and treatment of pediatric kidney diseases (VK 04) - Treatment of >= 10 cases from study-relevant ICDs per year
Exclusion Criteria
- Inpatient department without pediatric specialization (according to department code) and/or care focus on diagnostics and therapy of pediatric kidney diseases (VK 04) - Treatment of <10 cases from study-relevant ICDs per year
Addresses
Primary Sponsor
- Address:
- Seminar für ABWL und Management im Gesundheitswesen der Wirtschafts- und Sozialwissenschaftlichen Fakultät der Universität zu KölnProf. Dr. Ludwig KuntzAlbertus-Magnus-Platz50923 KölnGermany
- Telephone:
- +49-221-470-5417
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- https://mig.uni-koeln.de/de/
- Investigator Sponsored/Initiated Trial (IST/IIT):
- Yes
Contact for Scientific Queries
- Address:
- Seminar für ABWL und Management im Gesundheitswesen der Wirtschafts- und Sozialwissenschaftlichen Fakultät der Universität zu KölnProf. Dr. Ludwig KuntzAlbertus-Magnus-Platz50923 KölnGermany
- Telephone:
- +49-221-470-5417
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Contact for Public Queries
- Address:
- Seminar für ABWL und Management im Gesundheitswesen der Wirtschafts- und Sozialwissenschaftlichen Fakultät der Universität zu KölnProf. Dr. Ludwig KuntzAlbertus-Magnus-Platz50923 KölnGermany
- Telephone:
- +49-221-470-5417
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Principal Investigator
- Address:
- Seminar für ABWL und Management im Gesundheitswesen der Wirtschafts- und Sozialwissenschaftlichen Fakultät der Universität zu KölnProf. Dr. Ludwig KuntzAlbertus-Magnus-Platz50923 KölnGermany
- Telephone:
- +49-221-470-5417
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Sources of Monetary or Material Support
Public funding institutions financed by tax money/Government funding body (German Research Foundation (DFG), Federal Ministry of Education and Research (BMBF), etc.)
- Address:
- Universität zu KölnAlbertus-Magnus-Platz50923 KölnGermany
- Telephone:
- No Entry
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Ethics Committee
Address Ethics Committee
- Address:
- Ethikkommission der Wirtschafts- und Sozialwissenschaftlichen Fakultät der Universität zu KölnAlbertus-Magnus-Platz50923 KölnGermany
- Telephone:
- +49-221-470 1789
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- https://wiso.uni-koeln.de/de/fakultaet/profil/ethik-und-verantwortung/ethikkommission
Vote of leading Ethics Committee
- Vote of leading Ethics Committee
- Date of ethics committee application:
- 2024-03-03
- Ethics committee number:
- 240014AS
- Vote of the Ethics Committee:
- Approved
- Date of the vote:
- 2024-03-06
Other Address Ethics Committee
- Address:
- Ethikkommission der Medizinischen Fakultät der Universität zu KölnGleueler Str. 26950935 KölnGermany
- Telephone:
- +49-221-478 82900
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- http://medfak.uni-koeln.de/forschung/forschungsfoerderung/klinische-forschung/ethikkommission
Vote of the Ethics Committee
- Vote of the Ethics Committee
- Vote of the Ethics Committee:
- No approval required according to the EC
- Date of the vote:
- 2023-09-04
Further identification numbers
- Other primary registry ID:
- No Entry
- EudraCT Number:
- No Entry
IPD - Individual Participant Data
- Do you plan to make participant-related data (IPD) available to other researchers in an anonymized form?:
- Yes
- IPD Sharing Plan:
- Data can be made available in anonymized form on request.
Study protocol and other study documents
- Study protocols:
- No Entry
- Study abstract:
- No Entry
- Other study documents:
- No Entry
- Background literature:
- No Entry
- Related DRKS studies:
- No Entry
Publication of study results
- Planned publication:
- No Entry
- Publikationen/Studienergebnisse:
- No Entry
- Date of first publication of study results:
- No Entry
- DRKS entry published for the first time with results:
- No Entry
Basic reporting
- Basic Reporting / Results tables:
- No Entry
- Brief summary of results:
- No Entry