Effectiveness of Integrated Care Network for Community-living Older Adults: a Randomized-Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 398
- 试验地点
- 12
- 主要终点
- Changes from baseline life quality at 3, 6, 9, 12 month
研究概览
简要总结
This project aims to examine the effectiveness of the community-based integrated care service model , based on a multi-domain intervention program, among community-dwelling older adults. Moreover, the investigators use the value-based healthcare standard set as well as comprehensive geriatric assessment as outcome measures and to use the randomized controlled trial design to validate the clinical effectiveness.
详细描述
Population aging and the progress of medical technology are two main causes for the increase of healthcare expenditure. Effective management of medical expenditure and maintenance of health care quality have become the most important task for the public health and clinical care services. Both United Kingdom and the World Health Organization proposed introducing interdisciplinary team care to improve health of older people and to maximize their independence. Prof Michael Porter has addressed the current difficulty of healthcare system, and proposed that healthcare system should pursuit long-term outcome to promote the value of health care. This project aims to echo the international trends, using Taiwan healthcare system as the basis to establish the community-based integrated care service model, and to use the randomized controlled trial design to validate the clinical effectiveness.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age ≧ 65 years
- •three or more chronic conditions, defined by National Health Insurance list of chronic conditions
- •covered by National Health Insurance
排除标准
- •could not understanding protocol or communication with research nurses
- •malignant diseases under active treatments
- •life expectancy less than twelve months
- •admitted in the long term facility
结局指标
主要结局
Changes from baseline life quality at 3, 6, 9, 12 month
时间窗: baseline, 3, 6, 9, 12 month
measured by the 36-Item Short Form Health Survey (SF-36).
次要结局
- Changes from baseline standard set of health outcome measures for older persons at 3, 6, 9, 12 month(baseline, 3, 6, 9, 12 month)
研究者
Liang-Kung Chen
Professor
National Yang Ming Chiao Tung University