[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100583456":3},{"organization":4,"armGroups":7,"interventions":10,"overallOfficials":15,"centralContacts":26,"locations":35,"responsibleParty":53,"collaborators":55,"id":58,"slug":59,"hasResults":60,"nctId":61,"briefTitle":62,"officialTitle":62,"acronym":63,"eligibilityCriteria":64,"healthyVolunteers":65,"sex":66,"minAge":10,"maxAge":10,"enrollmentInfo":67,"targetDuration":10,"studyType":70,"phases":10,"briefSummary":71,"conditions":72,"keywords":76,"overallStatus":80,"whyStopped":10,"lastUpdateSubmitDate":81,"lastUpdatePostDateStruct":82,"startDateStruct":85,"completionDateStruct":87,"leadSponsor":89,"locationsCount":90},{"fullName":5,"class":6},"Internist.Ro","OTHER",[8,12],{"label":9,"type":10,"description":11,"interventionNames":10},"Primary Care Physicians (PCPs)",null,"General practitioners (GPs) actively working in primary care settings. Responsible for managing multimorbid patients in ambulatory settings. Expected proportion: MHalf of the population",{"label":13,"type":10,"description":14,"interventionNames":10},"Ambulatory Care Specialists","Specialists involved in outpatient management of chronic diseases (e.g., internal medicine, cardiology, endocrinology).\n\nProvide secondary care and interact with PCPs in multimorbidity management.",[16,20,23],{"name":17,"affiliation":18,"role":19},"Andrea NECULAU, MD","Universitatea Transilvania Brasov","STUDY_CHAIR",{"name":21,"affiliation":18,"role":22},"Silvia Sovaila, MD","PRINCIPAL_INVESTIGATOR",{"name":24,"affiliation":5,"role":25},"Adrian PURCAREA, MD","STUDY_DIRECTOR",[27,31],{"name":24,"role":28,"phone":29,"phoneExt":10,"email":30},"CONTACT","0040751141636","adrian.purcarea@interinst.ro",{"name":32,"role":28,"phone":33,"phoneExt":10,"email":34},"Silvia SOVAILA","0040753020253","silvia.sovaila@unitbv.ro",[36],{"facility":37,"status":10,"city":38,"state":10,"zip":39,"country":40,"countryCode":41,"cosmosGeoPoint":42,"geoPoint":47,"contacts":48},"Universitatea Transilvania Brasov School of Medicine","Brasov","500019","Romania","RO",{"type":43,"coordinates":44},"Point",[45,46],25.60613,45.64861,{"lat":46,"lon":45},[49],{"name":50,"role":28,"phone":51,"phoneExt":10,"email":52},"Andrea Neculau, Professor of Medicine","0040268 412185","f-med@unitbv.ro",{"type":54,"investigatorFullName":10,"investigatorTitle":10,"investigatorAffiliation":10,"oldNameTitle":10,"oldOrganization":10},"SPONSOR",[56],{"name":57,"class":6},"Transilvania University of Brasov","100583456","exploring-the-multimorbidity-burden-in-primary-care-in-romania-100583456",false,"NCT06876558","Exploring the Multimorbidity Burden in Primary Care in Romania","MULTIMORB-PC-R","Inclusion Criteria:\n\n* Active AMBULATORY CARE medical practice in Romania.\n* Experience in managing patients with multimorbidity.\n* Willingness to participate in the study.\n\nExclusion Criteria:\n\n* None",true,"ALL",{"count":68,"type":69},500,"ESTIMATED","OBSERVATIONAL","Multimorbidity, the coexistence of two or more chronic conditions, is a growing challenge in primary care, significantly impacting healthcare systems worldwide. Its prevalence is rising, particularly among socioeconomically disadvantaged populations, leading to increased healthcare utilization, polypharmacy, and fragmented care. Current clinical guidelines primarily address single-disease management, failing to provide comprehensive strategies for multimorbid patients.\n\nAlthough multimorbidity has been extensively studied in Western Europe and North America, data on its burden in Romania and other Eastern European countries remain scarce. There is limited knowledge on how primary care physicians (PCPs) in Romania perceive and manage multimorbidity, particularly regarding clinical decision-making, interdisciplinary collaboration, and adherence to treatment guidelines.\n\nThis cross-sectional study aims to explore the impact of multimorbidity on Romanian PCPs, assessing their challenges in managing complex patients, their clinical and therapeutic approaches, and their level of comfort with deprescription and guideline adaptation. We will conduct a nationwide survey among primary care physicians and ambulatory specialists to evaluate the prevalence of multimorbidity in their practice, the difficulties they encounter, and potential strategies to improve care delivery.\n\nKey outcomes include the identification of multimorbidity prevalence in ambulatory settings, challenges related to consultation time and treatment complexity, barriers to interdisciplinary collaboration, and the balance between defensive and proactive medicine. Findings will provide valuable insights to guide policy changes, enhance clinical training, and promote patient-centered approaches in primary care",[73,74,75],"Multimorbidity","General Practice (GP), Primary Care Settings","Specialist Referral",[77,78,79],"multimorbidity","priamary care","specialized care","NOT_YET_RECRUITING","2025-03-10",{"date":83,"type":84},"2025-03-14","ACTUAL",{"date":86,"type":69},"2025-03-20",{"date":88,"type":69},"2025-06-01",{"name":5,"class":6},1]