Community to Clinic Linkage Program at SFGH
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,809
- 试验地点
- 2
- 主要终点
- Family's connection to community resources and public benefits
研究概览
简要总结
It is increasingly clear that the environment in which a child lives, plays, and goes to school has a significant impact on their health. With the implementation of a Community to Clinic Linkage Program (CCLiP) in the SFGH Pediatrics Clinics, we will routinely address Social Determinants of Health when families present. We will randomize patients to receive either the CCLiP intervention or standard of care. We will evaluate programmatic outcome, health care utilization data and return on investment data. We hypothesize that by addressing the environmental and social factors that contribute to health within the setting of the medical home, we will be able to better connect families to community resources, enable more appropriate use of healthcare resources, improve health status, and enhance patient satisfaction.
详细描述
We are proposing a 4-arm, 18 month randomized control clinical trial to address social determinants of health, improve health status and health care satisfaction, and change health care utilization patterns in the Pediatric Urgent Care and Primary Care Clinics at San Francisco General Hospital. We will compare our CCLiP protocol to standard of care in both the Pediatric Primary Care Clinic & Urgent Care. All arms (intervention and control) include a baseline survey including social needs assessment, health care status, health care satisfaction and health care utilization assessment; and two telephone-based follow up surveys at 3 and 6 months. Patients in the intervention arms (whether in urgent care or primary care) will receive a maximum of 3 months of intervention protocol which includes a 30 minute on-site intervention at time of enrollment in addition to twice monthly follow-up phone calls for up to 3 months to help address social needs. Patients in all arms will receive 3 and 6-month follow up surveys.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •English or Spanish Speaking
- •Parent/caregiver accompanying an SFGH Primary Care or Urgent Care Clinic patient 0-17 years old
- •Consenting adult over or equal to 18 years old
排除标准
- •Non-English or non-Spanish speaking caregiver
- •Caregiver under age 18
- •Caregiver accompanying patient is not familiar with the child's living situation
- •Family participated in study previously
- •Non-San Francisco resident
- •Foster child or child in clinic for a child protective clearance exam
结局指标
主要结局
Family's connection to community resources and public benefits
时间窗: up to 6 months post base-line
This will be assessed at 3 months and 6 months post-enrollment by phone administered questionnaires.
次要结局
- Child health care utilization(up to 6 months)
- Child health status(up to 6 months)