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Table 2 EvaTSN project data collection: indicators collected, data collection tools and study populations, France

From: Protocole of a controlled before-after evaluation of a national health information technology-based program to improve healthcare coordination and access to information

Assessment/Indicators

Study populations

Type of data collection

Data collection tool

Axis 1 – TSN projects implementation

Knowledge of TSN projects

HSd users

Ad hoc survey

Ad hoc questionnaire

TSN program use and understanding

TSN users

Ad hoc survey

Ad hoc questionnaire

TSN implementation and development indicators

TSN users

ISa Extraction

TSN programs IDb

TSN implementation, barriers and facilitating factors

TSN implementers & stakeholders

Qualitative analyse

Semi-structured interviews

Axis 2 – TSN projects effectiveness on pathway quality

Prevalence of hospital admissions appropriateness

HSd users

Ad hoc survey

AEPf questionnaire

Number of per day hospital emergency entries

HS users

IS Extraction

SNIIRAMc

Prevalence of drug over- or misuse in the elderly

HS users

IS Extraction

SNIIRAM

Potentially avoidable hospitalizations

HS users

IS Extraction

SNIIRAM

Prevalence of chronic diseases

HS users

IS Extraction

SNIIRAM

Incidence of chronic diseases

HS users

IS Extraction

SNIIRAM

Incidence of disorders reflecting management pathway breaks

HS users

IS Extraction

SNIIRAM

30-day hospital readmission rate after a first hospital admission

HS users

IS Extraction

SNIIRAM

TSN use satisfaction and TSN pathway experience

TSN users

Ad hoc survey

Ad hoc questionnaire

Perception of TSN pathway contribution to patient pathway

TSN users

Qualitative analyse

Semi-structured interviews

Axe 3 – TSN projects effectiveness on professional coordination practices

GPs’ activity volume

HS users

IS Extraction

SNIIRAM

Percentage of home visits in GPs’ activity

HS users

IS Extraction

SNIIRAM

Percentage of patients with GP noted as referent in GPs’ patient list

HS users

IS Extraction

SNIIRAM

GPs’ productivity (activity/estimated hours available)

HS users

IS Extraction

SNIIRAM

Percentage of patients with chronic conditions in GPs’ patient list

HS users

IS Extraction

SNIIRAM

Mean duration between two consecutive consultations of a same patient

HS users

IS Extraction

SNIIRAM

Percentage of night and bank holiday home visits in GPs’ activity

HS users

IS Extraction

SNIIRAM

Number of prescriptions of nursing care or physiotherapy in GPs’ activity

HS users

IS Extraction

SNIIRAM

Health professionals’ coordination practices

Health care prof users

Qualitative analyse

Semi-structured interviews

Health professionals’ participation level to TSN program

Health care prof users

Qualitative analyse

Semi-structured interviews

Axe 4 – TSN programs efficiency

Health care expenditures (all types)

HS users

IS Extraction

SNIIRAM

Incidence of APA1 take-up Annual rate of institutionalization in APA beneficiaries originally living at home

HS users

IS Extraction

SNIIRAM

Hours of home helper visits done in people with APA living at home

HS users

IS Extraction

SNIIRAM

Average level of co-payment amongst APA beneficiaries living at home

HS users

IS Extraction

SNIIRAM

Health prevention expenditures

HS users

IS Extraction

SNIIRAM

  1. aInformation system, bTSN program Information Database, cSNIIRAM: French National Heath Insurance Database, dHealth system, 1APA is a personalized Autonomy allowance for the elderly, granted to cover home-care, nursing-care or institutional-care expenses