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Katharina Schmidt-Mende

Affiliated to research

My aim is to understand what triggers emergency department visits in frail older people attending primary care, and to use these understandings to improve care

About me

I am general practitioner and specialist in internal medicine. Since 2022, I am post doc at the Academic primary health care centre, region Stockholm, with affiliation to the Department of Neurobiology, Care Sciences and Society, Division of family Medicine and Primary Care. 

Since September 2018, I have been acting as executive group leader of an interdisciplinary research group (Hampus group, 10 members). The group aims to understand and improve the quality of care of older patients with multimorbidity, in particular in the context of primary care. Hampus group currently consists of both senior and junior researchers and has expertise in primary care, emergency care, nursing, qualitative methodology, clinical pharmacology, teaching, pedagogical research and digital decision support. Group members are affiliated to Academic Primary health care center, the Divisions of Family Medicine and Primary Care and Nursing at the Department of Neurobiology, Care sciences and Society, and the Division of Clinical Pharmacology at Department of Laboratory Medicine and Healthcare Services Board at either Region Stockholm or Karolinska Institutet.

We have established national and international collaboration with groups at KI (Associate professor Karin Modig at Institute of Environmental Medicine), Umeå University (Umeå Institute of Design), KTH Royal Institute of Technology and with a leading primary care research group in Edinburgh, Scotland.

Research description

Frail older persons with home health care (n=23.000) account for a significant proportion of emergency visits in the region. However, the rate of emergency visits differs across primary care practices, which may in part depend on how practices organize their work and collaborate with other caregivers and social care.

However, little is known about how primary care and home health care should be organised to prevent emergency visits. Such visits cause suffering, contradict patients’ wishes for continuity of care, and are costly.

My research project aims to increase knowledge about why home health care patients´ use of emergency departments varies depending on which primary care practice they receive care from, and to use these understandings to develop, optimize and test a conceptual home health care working model to prevent emergency visits.

The project uses epidemiological and qualitative methodology.

The anticipated patient effects are a reduction of emergency visits, reduced suffering and increased satisfaction with care.

Teaching portfolio

"How to perform medication reviews"

"How to write a systematic literature review"

 

Academic honours, awards and prizes

Forte

Region Stockholm (ALF, NSV)

Kung Gustaf V och Drottning Victorias Frimurarstiftelse för åldersforskning

Research Fund for Rehabilitation and Medical Research