Abstract
This paper provides a new management about the treatment of obesity, that have a growing incidence worldwide. A management centered on the patients’ needs during the bariatric surgery is necessary. In this context, patient monitoring and follow-up by a case manager, who guides the provision of specialized care focused on patient's adaptation to the new reality, can prove to be essential to achieve better outcomes. This study, guided by the Design Science Research Methodology (DSRM), will have as main objective to design a new intervention (Case-managing program) aimed at patients undergoing bariatric surgery. As secondary objectives, we intend to analyze the influence of the new intervention in the perioperative period and impact on several clinical and humanistic endpoints. In the evaluation phase, an experimental, controlled, and randomized study (RCT) will be developed, with an intervention group (IG) and a control group (CG). The CG will receive the usual care and the IG, will receive the intervention for an expected period of one year. This project aims to be the first study to investigate the effect of a long-term specialized case-management intervention (face-to-face and e-health) in patients who are candidates for bariatric surgery during all the perioperative periods.
| Original language | English |
|---|---|
| Article number | 102049 |
| Journal | MethodsX |
| Volume | 10 |
| DOIs | |
| Publication status | Published - Jan 2023 |
Bibliographical note
Publisher Copyright:© 2023
Funding
The project is to be developed in a Public Hospital of the Portuguese National Health Service, whose funding is provided by the State Budge. The health system in Portugal is constituted by a publicly funded National Health Service (NHS - Beveridge type), and by other sub-systems (mostly Bismarck type, supported by employers and workers contributions). People can also have a voluntary health insurance, which facilitates access to private providers. The public, private and social sectors that integrate the Portuguese health system act according to the principle of cooperation, guiding their activities by rules of transparency and prevention of conflicts of interest [28] . Public hospitals and Primary Health care centers work in cooperation through the newly implemented Local Units of Health (LUS), whose aim is to set strategic health goals in specific regions and coordinate care provision. One of the benefits of these LUS is the streamlining of the referral procedures from primary to secondary and tertiary care, facilitating patients’ access to the health system [29] .
| Funders | Funder number |
|---|---|
| NHS | |
| National Health Service |
Keywords
- Bariatric surgery
- Case manager
- Nurse case management
- Perioperative care
- e-health
