Pilot Implementation of a Primary Care Disease Management Concept for Venous Leg Ulceration: Results of a Mixed-Methods Process Evaluation
2024

Improving Care for Venous Leg Ulcers

Sample size: 21 publication 10 minutes Evidence: moderate

Author Information

Author(s): Thomas Fleischhauer, Regina Poß-Doering, Nina Sander, Gunter Laux, Michel Wensing, Joachim Szecsenyi, Jonas D. Senft, Luís Sousa

Primary Institution: Department of General Practice and Health Services Research, University Hospital Heidelberg

Hypothesis

Can a disease management intervention improve care for patients with venous leg ulceration in primary care settings?

Conclusion

The Ulcus Cruris Care intervention can significantly enhance knowledge and increase the use of compression therapy in managing venous leg ulcers.

Supporting Evidence

  • Participants reported high satisfaction with the intervention and low implementation effort.
  • Healthcare professionals noted a shift in focus from wound dressings to compression therapy.
  • Patients felt better informed and empowered to participate in their treatment.
  • Compression therapy usage increased significantly among patients in the intervention group.

Takeaway

This study shows that teaching doctors and patients about the best ways to treat leg ulcers can help them heal better and feel more involved in their care.

Methodology

A mixed-methods process evaluation using semi-structured interviews and surveys to gather data from general practitioners, medical assistants, and patients.

Potential Biases

Potential biases due to self-reported data and the non-randomized nature of the study.

Limitations

The target sample size was not reached, and non-validated questionnaires were used.

Participant Demographics

Participants included 7 general practitioners, 6 medical assistants, and 8 patients, with an average age of 56 for GPs, 50 for MAs, and 70 for patients.

Digital Object Identifier (DOI)

10.3390/healthcare12242552

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