NIHR RIGHT 6: Digitally integrated care pathways for multiple long-term conditions in Sri Lanka
Project disclaimer
Description
A UK and low-and-middle-income country (LMIC) research partnership between the University of Birmingham and the University of Jaffna, Sri Lanka which aims to improve the management of multiple long-term conditions (MLTC) in primary care in Sri Lanka. In Sri Lanka, many people suffer from diabetes, high blood pressure, heart disease, kidney disease, and mental health conditions. When someone has several long-term conditions, it becomes more difficult to manage their care, leading to poor health outcomes. Commencing in July 2024, the five-year project intends to use the team's previous trial experience and evaluation of complex digital healthcare implementations in the region to develop, implement and evaluate a digitally integrated care pathway within electronic health records. This will be done to manage primary care patients with MLTC in Sri Lanka. The electronic patient record systems in primary care centres will be used to create an improved care plan for those with MLTC in order to standardise care and improve the patient experience using digital technologies.
Objectives
The project has six objectives: 1. To establish a stakeholder consultation group (SCG) consisting of people living with Multiple Long-Term-Conditions (MLTC), healthcare professionals, clinical informaticians, policy makers and researchers to provide expertise throughout the research lifecycle. 2. To evaluate existing care pathways and clinical guidelines and identify stakeholder priorities for improvement. 3. To develop and implement a stakeholder designed Digitally Integrated Care Pathway (DICP). 4. To evaluate the DICP through a cluster randomised controlled trial. 5. To evaluate the contextual and organisational factors that may influence scalability and transferability of the DICP across Sri Lanka and countries with similar population and health systems. 6. To carry out an economic evaluation of the DICP.
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