Care for post-COVID-19 condition in Germany from the perspectives of patients, informal caregivers and general practitioners: Study protocol for a mixed methods study.

<h4>Background</h4>A large number of individuals suffer from post-COVID-19 condition (PCC), characterised by persistent symptoms following a SARS-CoV-2 infection with an impact on daily personal and professional activities. This study aims at examining which (health) care services are us...

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Main Authors: Melanie Brinkmann, Maike Stolz, Annika Herr, Christoph Herrmann-Lingen, Imke Koch, Christiane Müller, Frank Müller, Uta Sekanina, Jona Theodor Stahmeyer, Martina de Zwaan, Christian Krauth, Nils Schneider
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0316335
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author Melanie Brinkmann
Maike Stolz
Annika Herr
Christoph Herrmann-Lingen
Imke Koch
Christiane Müller
Frank Müller
Uta Sekanina
Jona Theodor Stahmeyer
Martina de Zwaan
Christian Krauth
Nils Schneider
author_facet Melanie Brinkmann
Maike Stolz
Annika Herr
Christoph Herrmann-Lingen
Imke Koch
Christiane Müller
Frank Müller
Uta Sekanina
Jona Theodor Stahmeyer
Martina de Zwaan
Christian Krauth
Nils Schneider
author_sort Melanie Brinkmann
collection DOAJ
description <h4>Background</h4>A large number of individuals suffer from post-COVID-19 condition (PCC), characterised by persistent symptoms following a SARS-CoV-2 infection with an impact on daily personal and professional activities. This study aims at examining which (health) care services are used by PCC patients in the German federal state of Lower Saxony, and how these patients manage their condition. The perspectives of patients, informal caregivers and general practitioners (GPs) will be considered.<h4>Methods</h4>The study will employ a mixed methods design. Patients' perspective will be evaluated through an online survey of: (1) 21,000 adult individuals with a PCC diagnosis (ICD10 U09.9!) in their statutory health insurance claims data in 2022 ("AOK survey") and (2) a self-selected sample of adult individuals with a proven SARS-CoV-2 infection in 2023 and persistent symptoms ("public survey"). Additional data sources will be claims data (n = 27,275) and 25-30 semi-structured interviews. Informal caregivers' perspective will be collected through an online survey and semi-structured interviews. GPs' perspective will be evaluated through four focus groups involving six to eight participants each and an online survey of all registered and practicing GPs in Lower Saxony (approximately 5,000). All survey data will be descriptively analysed. In addition, correlation analyses and multivariable regression analyses will be conducted, for example on factors influencing affected individuals' use of medical services. Interview and focus group data will be subjected to qualitative content analysis. A health economic analysis will be used to determine the costs of PCC to health care payers, patients and society. The project will conclude with an expert workshop to discuss the results and derive recommendations.<h4>Discussion</h4>The results of the study will provide a multidimensional description of the (health) care situation and needs of patients with PCC, and derive recommendations for improving health care.<h4>Trial registration</h4>The VePoKaP study is registered at the German Clinical Trials Register (DRKS00032846).
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spelling doaj-art-78362906b77943a69a1ef0aac3bf65e32025-01-08T05:32:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031633510.1371/journal.pone.0316335Care for post-COVID-19 condition in Germany from the perspectives of patients, informal caregivers and general practitioners: Study protocol for a mixed methods study.Melanie BrinkmannMaike StolzAnnika HerrChristoph Herrmann-LingenImke KochChristiane MüllerFrank MüllerUta SekaninaJona Theodor StahmeyerMartina de ZwaanChristian KrauthNils Schneider<h4>Background</h4>A large number of individuals suffer from post-COVID-19 condition (PCC), characterised by persistent symptoms following a SARS-CoV-2 infection with an impact on daily personal and professional activities. This study aims at examining which (health) care services are used by PCC patients in the German federal state of Lower Saxony, and how these patients manage their condition. The perspectives of patients, informal caregivers and general practitioners (GPs) will be considered.<h4>Methods</h4>The study will employ a mixed methods design. Patients' perspective will be evaluated through an online survey of: (1) 21,000 adult individuals with a PCC diagnosis (ICD10 U09.9!) in their statutory health insurance claims data in 2022 ("AOK survey") and (2) a self-selected sample of adult individuals with a proven SARS-CoV-2 infection in 2023 and persistent symptoms ("public survey"). Additional data sources will be claims data (n = 27,275) and 25-30 semi-structured interviews. Informal caregivers' perspective will be collected through an online survey and semi-structured interviews. GPs' perspective will be evaluated through four focus groups involving six to eight participants each and an online survey of all registered and practicing GPs in Lower Saxony (approximately 5,000). All survey data will be descriptively analysed. In addition, correlation analyses and multivariable regression analyses will be conducted, for example on factors influencing affected individuals' use of medical services. Interview and focus group data will be subjected to qualitative content analysis. A health economic analysis will be used to determine the costs of PCC to health care payers, patients and society. The project will conclude with an expert workshop to discuss the results and derive recommendations.<h4>Discussion</h4>The results of the study will provide a multidimensional description of the (health) care situation and needs of patients with PCC, and derive recommendations for improving health care.<h4>Trial registration</h4>The VePoKaP study is registered at the German Clinical Trials Register (DRKS00032846).https://doi.org/10.1371/journal.pone.0316335
spellingShingle Melanie Brinkmann
Maike Stolz
Annika Herr
Christoph Herrmann-Lingen
Imke Koch
Christiane Müller
Frank Müller
Uta Sekanina
Jona Theodor Stahmeyer
Martina de Zwaan
Christian Krauth
Nils Schneider
Care for post-COVID-19 condition in Germany from the perspectives of patients, informal caregivers and general practitioners: Study protocol for a mixed methods study.
PLoS ONE
title Care for post-COVID-19 condition in Germany from the perspectives of patients, informal caregivers and general practitioners: Study protocol for a mixed methods study.
title_full Care for post-COVID-19 condition in Germany from the perspectives of patients, informal caregivers and general practitioners: Study protocol for a mixed methods study.
title_fullStr Care for post-COVID-19 condition in Germany from the perspectives of patients, informal caregivers and general practitioners: Study protocol for a mixed methods study.
title_full_unstemmed Care for post-COVID-19 condition in Germany from the perspectives of patients, informal caregivers and general practitioners: Study protocol for a mixed methods study.
title_short Care for post-COVID-19 condition in Germany from the perspectives of patients, informal caregivers and general practitioners: Study protocol for a mixed methods study.
title_sort care for post covid 19 condition in germany from the perspectives of patients informal caregivers and general practitioners study protocol for a mixed methods study
url https://doi.org/10.1371/journal.pone.0316335
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