期刊
AGE AND AGEING
卷 51, 期 3, 页码 -出版社
OXFORD UNIV PRESS
DOI: 10.1093/ageing/afac052
关键词
care homes; randomized controlled trials; COVID-19; research infrastructure; older people
资金
- National Institute for Health Research [NIHR133443]
- NIHR Applied Research Collaboration for East Midlands (ARC-EM)
- National Institutes of Health Research (NIHR) [NIHR133443] Funding Source: National Institutes of Health Research (NIHR)
The COVID-19 pandemic has had devastating effects on care home residents. However, research platforms for COVID-19 in care homes were established late compared to other care settings.
The COVID-19 pandemic resulted in catastrophic levels of morbidity and mortality for care home residents. Despite this, research platforms for COVID-19 in care homes arrived late in the pandemic compared with other care settings. The Prophylactic Therapy in Care Homes Trial (PROTECT-CH) was established to provide a platform to deliver multi-centre cluster-randomized clinical trials of investigational medicinal products for COVID-19 prophylaxis in UK care homes. Commencing set-up in January 2021, this involved the design and development of novel infrastructure for contracting and recruitment, remote consent, staff training, research insurance, eligibility screening, prescribing, dispensing and adverse event reporting; such infrastructure being previously absent. By the time this infrastructure was in place, the widespread uptake of vaccination in care homes had changed the epidemiology of COVID-19 rendering the trial unfeasible. While some of the resources developed through PROTECT-CH will enable the future establishment of care home platform research, the near absence of care home trial infrastructure and nationally linked databases involving the care home sector will continue to significantly hamper progress. These issues are replicated in most other countries. Beyond COVID-19, there are many other research questions that require addressing to provide better care to people living in care homes. PROTECT-CH has exposed a clear need for research funders to invest in, and legislate for, an effective care home research infrastructure as part of national pandemic preparedness planning. Doing so would also invigorate care home research in the interim, leading to improved healthcare delivery specific to those living in this sector.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据