Suchergebnisse

Acknowledgements: The authors wish to thank the European Commission for funding this research programme Health Care Reform: The iMpact on practice, oUtcomes and cost of New ROles for health profeSsionals (MUNROS), under the European Union's Seventh Framework Programme (FP7 HEALTH-2012- INNOVATION-1) grant agreement number HEALTH-F3-2012-305467EC. The authors also wish to thank all those who supported and guided this work, both within the MUNROS research project team and as external associates. The authors also wish to thank all the MUNROS research and project partners for their continuing collaboration in this research. ; Peer reviewed ; Publisher PDF

We thank all those who supported and guided this work both within the MUNROS research project team and external partners and advisory board members. In particular, we acknowledge and highly appreciate the valuable support provided by Christine Bond, and Robert Elliott, the MUNROS Co-Principal Investigators. We acknowledge group authorship of the MUNROS collaboration group and thank all MUNROS researchers and project partners for their constructive collaboration during the research. Funding This work was supported by the European Union under the European Community's Seventh Framework Programme (FP7 HEALTH-2012-INNOVATION-1) [grant agreement number HEALTH-F3-2012-305467EC, 2012]. ; Peer reviewed ; Postprint

INTRODUCTION: The size and composition of the European Union healthcare workforce are key drivers of expenditure and performance; it now includes new health professions and enhanced roles for established professions. This project will systematically analyse how this has contributed to health service redesign, integration and performance in 9 European countries (Scotland, England, Netherlands, Germany, Italy, Czech Republic, Poland, Norway, and Turkey(i)). This paper describes the protocol for collection of survey data in 3 distinct care pathways, and sets it in the context of the wider programme. METHODS: Questionnaires will be distributed to healthcare professionals (n=14 580), managers (n=3564) and patients (n=19 440) in 3 care pathways (breast cancer; type 2 diabetes; and coronary heart disease) within 12 hospitals and associated primary care settings in each country. Questionnaire topics will include demography, the different professionals working on the care pathway, the tasks they do and the time taken, their decision-making abilities when considering skill mix, specialisation and integration of care. Patient satisfaction, healthcare utilisation and preferences will be explored. In later work, register data and data from patient records will be used to record clinical outcomes. Data will also be collected on workforce and procedure costs. Descriptive analysis will identify the different models of care and multivariate analysis will establish the most clinically and cost-effective models. ETHICS AND DISSEMINATION: This protocol was approved by ethical committees in each country. Findings will be disseminated through national/international clinical, health services research and health workforce conferences, and publications in national/international peer-reviewed journals.

Acknowledgments: The authors also wish to thank Jan Abel Olsen and participants at the 2019 winter meeting of the Health Economists' Study Group for helpful comments on an earlier draft of this paper. We would also like to thank all those who supported and guided this work both within the MUNROS research project team and as members of the external advisory board. The European Commission funded this research programme 'Healthcare Reform: The iMpact on practice, oUtcomes and cost of New ROles for health profeSsionals (MUNROS), under the European Community's Seventh Framework Programme (FP7 HEALTH-2012-INNOVATION-1) grant agreement number HEALTH-F3-2012- 305467EC. HERU is supported by the Chief Scientist Office (CSO) of the Scottish Government Health and Social Care Directorates (SGHSC). The views expressed here are those of the Unit and not necessarily those of the CSO. ; Peer reviewed ; Postprint