Improvement of Transition From Hospital to Home for Older Patients in Germany

Summary

The aim of the transsectoral care project TIGER is the reduction of readmission rates of geriatric patients. This aim shall be achieved by improving the hitherto inadequate care process for geriatric patients in the transition from hospital to home. The program offers substantial support of patients and their informal caregivers in the transition process from hospital to home via so called pathfinders, specialized nurses in geriatrics.The pathfinders effectively intertwine stationary and ambulatory care teams caring for a patient, thereby augmenting and complementing effective hospital release management.

Conditions

• Geriatric Patients in the Transition From Hospital to Home

Interventions

BEHAVIORAL

Pathfinder support

A pathfinder will support the patient with structured activities.

Sponsors & Collaborators

• Hospital of the Order of St.John of God Regensburg, Barmherzige Brueder, Germany

  collaborator UNKNOWN

• Regensburg Physicians Network RAEN

  collaborator UNKNOWN

• Friedrich-Alexander-Universität Erlangen-Nürnberg

  collaborator OTHER

• AOK Bayern

  collaborator INDUSTRY

• Institute for Nursing Sciences, University of Bielefeld, Germany

  collaborator UNKNOWN

• Federal Association for Geriatrics, Germany

  collaborator UNKNOWN

• Federal Joint Committee

  collaborator OTHER_GOV

• Institute for Community Medicine, University of Greifswald, Germany

  collaborator UNKNOWN

• University of Erlangen-Nürnberg Medical School

  lead OTHER

Principal Investigators

• Cornel Sieber, Prof. Dr. · Institute for Biomedicine of Aging

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

75 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2018-04-25

Primary Completion

2020-06-30

Completion

2021-02-28

Countries

• Germany

Study Locations