Résilience - COVID-19 - Résilience - Coronavirus disease 2019

Patient experience & pre-hospital COVID patient pathway 19 Analysis of care trajectories, identification of key events and proposals for improvement. – ParcourspréHospCovid19

Submission summary

The fight against the Covid-19 epidemic is deployed on several fronts. In the field of care, this fight not only involves therapeutic advances, but also better care for the people affected.
The objectives are to identify, based on the experience of patients hospitalized for Covid 19 at the Infectious Diseases Department of the Marseille University Hospital and the Nice University Hospital, their pre-hospital care, to characterize their ambulatory care and to identify the areas to improve the care of Covid 19 patients.

Method: mixed research method with a qualitative and a quantitative phase.
The qualitative and exploratory phase will identify all possible types of pre-hospital care pathways and the different strategies for patient management.
The quantitative phase will use the results of the exploratory phase to develop a standardized questionnaire to quantify the different results obtained in the first phase.
Population and sampling All patients hospitalized for COVID 19 since September 1, 2020 in the infectiology departments of Marseille University Hospital and Nice University Hospital will be eligible, regardless of how they entered hospital and their destination after their hospitalization.
For the qualitative phase, subjects will be interviewed until information saturation. For the quantitative phase, the number of subjects required has been calculated with the objective of being able to demonstrate a difference in mortality rates between 3 categories of care pathways. This represents a minimum of 984 patients.
Data collection will be carried out for the qualitative phase by telephone or face-to-face interview on the basis of an interview guide and for the quantitative phase via an e-questionnaire.
Statistics; typologies of pre-hospital patient pathways will be carried out according to different methods; the classification method via an optimal matching or by an analysis of trajectories by latent classes.
Expected results This project will make it possible to know the complete trajectories of patients who have been hospitalized for COVID 19, to identify the practices of city medicine, to identify the strong points of the patients' trajectories and to know the points to be improved.

Project coordination

Stéphanie GENTILE (La fondation - IHU – Méditerranée Infection)

The author of this summary is the project coordinator, who is responsible for the content of this summary. The ANR declines any responsibility as for its contents.

Partner

FMI La fondation - IHU – Méditerranée Infection

Help of the ANR 73,920 euros
Beginning and duration of the scientific project: April 2021 - 12 Months

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