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Table 1 Fact sheet and variability of types of recommendations made by the study GPs for case vignette no.1 (Data from 1st Delphi round Part 1)

From: Need-based care of multi-morbid patients – supporting general practitioners with algorithm-generated recommendations of healthcare services (telemedicine-project ATMoSPHÄRE)

Fact sheet case vignette no.1:

male, 81 years, married, *12 diagnoses, **10 prescription drugs

Identified health problems by the geriatric assessments:

Daily activities and coping with ailments

more than 5 prescription drugs, daily functions mildly limited by pain, does little shopping and needs assistance, needs assistance for housekeeping, degree of care, regularly receives support from friends and family

Mobility

according to the “Timed Up & Go” result of 14 s the patient is mildly impaired, possesses and uses a walker, considers himself severely limited in exercising moderately difficult tasks and climbing landings, needs help leaving home, uses public transportation only accompanied

Cognition and mood

has difficulties remembering things or names, considers his health status below average, according to a score of 7 pts. at the geriatric depression scale a depressive disorder is likely

* diagnoses: hypertension, Type 2 diabetes mellitus with renal complications, obesity, aneurysm of the aorta abdominalis, cardiomyopathy, ischemic heart disease, atrial fibrillations and atrial flutter, long-term therapy with anticoagulants, pulmonary emphysema, chronic disorder of the lower pulmonary passages, renal insufficency

**prescription drugs: Losartan, Colecalciferol, Xipamid, Phenprocoumon, Torasemid, Tamsulosin, Ezetimib, Allopurinol, Bisoprolol, Pantoprazol

Original recommendations by GPs (Part 1)

GP

1

GP

2

GP

3

GP

4

GP

5

GP

6

GP

7

GP

8

Housekeeper / Home Assistant

x

x

x

 

x

x

x

x

Everyday Help / Everyday Companion

x

x

  

x

x

 

x

Occupational Therapy/ Memory Training

 

x

x

x

x

x

x

 

Check of prescription drugs

x

x

  

x

 

x

 

Nursing Service (mainly preparing medication)

 

x

x

   

x

x

Discuss medication regime with life partner

 

x

    

x

 

Pick-up and Return Services

 

x

      

Sports Group

 

x

  

x

x

  

Physiotheraphy / Gait Training

 

x

 

x

  

x

 

Personal Emergency Response System

 

x

  

x

x

  

Respiration Therapy

   

x

    

Support Services (public transportation)

   

x

    

Local guidance office for the elderly

   

x

    

Psychosocial Counselling

    

x

   

Nutritional plan and counselling

    

x

   

Assistive Products for Personal Hygiene

    

x

 

x

 

Self-help Group

     

x

  

Sociotherapy

     

x

  

Walker/ Walker Training

     

x