1. Development of A structured integrated post-Pulmonary Embolism care model: The Attend-PE model.
- Author
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Højen AA, Lindegaard SF, Grove EL, Hansen AL, Larsen TB, Kümler T, Johnsen SP, and Rolving N
- Subjects
- Humans, Denmark, Needs Assessment organization & administration, Patient Education as Topic, Models, Organizational, Aftercare, Program Development, Pulmonary Embolism therapy, Delivery of Health Care, Integrated organization & administration
- Abstract
Background: More than 50% of patients with pulmonary embolism (PE) experience persistent functional limitations. Despite guideline recommendations for a structured integrated care model for patients with PE, consensus on an optimal follow-up strategy is lacking, and evidence is insufficient., Objectives: To describe the development of a structured model for PE follow-up using coproduction methods., Methods: Coproduction of A structured integrated postPulmonary Embolism care (Attend-PE) model was conducted from October 2021 to June 2022, featuring participatory design techniques. This was combined with a stepwise approach based on Intervention Mapping to ensure that the developed model was evidence-based and theoretically grounded., Results: Development of the Attend-PE model included 1) a needs assessment mapping follow-up at 18 sites treating PE in Denmark; 2) definition of the overall goal and performance objectives of the Attend-PE model, based on the needs assessment in combination with a literature review; 3) coproduction of the Attend-PE model in workshops with patient representatives, healthcare professionals, and experts in the field; and 4) refinement of the structure and organization of the Attend-PE model and production of the patient education material. The Attend-PE model outlines a structured approach for in-hospital follow-up, involving group-based patient education, individual consultations, and patient-reported outcomes to assess physical and psychological well-being. The model supports a personalized posthospitalization care plan., Conclusion: The coproduction process was successful in developing a structured follow-up model aligned with patients' needs, health provider perspectives, and existing guidelines. The Attend-PE model is currently undergoing clinical evaluation to determine its effectiveness and usability., Competing Interests: Declaration of competing interests A.A.H. has been on the speaker bureaus for Bayer, Pfizer, Merck Sharp & Dohme, Leo Pharma, and Bristol-Myers Squibb and on the advisory board for Bayer and Merck Sharp & Dohme. E.L.G. has received speaker honoraria or consultancy fees from AstraZeneca, Bayer, Boehringer Ingelheim, Bristol-Myers Squibb, Pfizer, Novo Nordisk, Lundbeck Pharma, and Organon. He is an investigator in clinical studies sponsored by AstraZeneca, Idorsia, or Bayer and has received unrestricted research grants from Boehringer Ingelheim. T.B.L. has served as an investigator for Janssen Scientific Affairs, Bayer AG LLC, and Boehringer Ingelheim and has served as a speaker for Bayer, Bristol-Myers Squibb/Pfizer, and Boehringer Ingelheim. N.R. has received speaker honoraria and consultancy fees from Bayer and the Bristol-Myers Squibb–Pfizer Alliance. All other authors have no competing interests to disclose., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2024
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