119925 20240319081017.0 doi 10.1186/s13063-022-06293-x sideral 130754 ART-2022-130754 eng del Cura-González, Isabel Effectiveness of the MULTIPAP Plus intervention in youngest-old patients with multimorbidity and polypharmacy aimed at improving prescribing practices in primary care: study protocol of a cluster randomized trial 2022 Access copy available to the general public Unrestricted Background: The progressive ageing of the population is leading to an increase in multimorbidity and polypharmacy, which in turn may increase the risk of hospitalization and mortality. The enhancement of care with information and communications technology (ICT) can facilitate the use of prescription evaluation tools and support system for decision-making (DSS) with the potential of optimizing the healthcare delivery process. Objective: To assess the effectiveness and cost-effectiveness of the complex intervention MULTIPAP Plus, compared to usual care, in improving prescriptions for young-old patients (65-74 years old) with multimorbidity and polypharmacy in primary care. Methods/design: This is a pragmatic cluster-randomized clinical trial with a follow-up of 18 months in health centres of the Spanish National Health System. Unit of randomization: family physician. Unit of analysis: patient. info:eu-repo/grantAgreement/ES/ISCIII-FEDER/RD16-0001-0004 info:eu-repo/grantAgreement/ES/ISCIII-FEDER/RD16-0001-0005 info:eu-repo/grantAgreement/ES/ISCIII/PI18-01303 info:eu-repo/grantAgreement/ES/ISCIII/PI18-01515 info:eu-repo/grantAgreement/ES/ISCIII/PI18-01812 info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 2.5 2022 MEDICINE, RESEARCH & EXPERIMENTAL 99 / 136 = 0.728 2022 Q3 T3 0.814 2022 Pharmacology (medical) 2022 Q2 Medicine (miscellaneous) 2022 Q2 3.6 2022 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion López-Rodríguez, Juan A. Leiva-Fernández, Francisca Gimeno-Feliu, Luis A. Universidad de Zaragoza (orcid)0000-0003-2928-6623 Pico-Soler, Victoria 1007 610 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Medicina 23, 479 (2022), [13 pp.] Trials Trials 1745-6215 1087286 http://zaguan.unizar.es/record/119925/files/texto_completo.pdf Versión publicada 1963429 http://zaguan.unizar.es/record/119925/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:119925 articulos driver 2024-03-18-15:46:08 ARTICLE