The COPACC Study: Utilization, Health and Economic Evaluation of a Community-Based Primary Care Geriatric Hub at Whampoa

Completed

• Conditions: Costs and Cost Analysis; Quality of Life; Delivery of Health Care; Health Services

• Registration Number: NCT04594967
• Lead Sponsor: Geriatric Education and Research Institute

Brief Summary

This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore.

Detailed Description

This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore. This study aims to evaluate the impact of ComSA PCMH on health service utilisation, healthcare cost, clinical quality and effectiveness, as well as patient activation, quality of life, satisfaction and experience of care. The first component of the study is a single arm prospective pre-post cohort design, which aims to evaluate the impact on enrolled patients' self-reported health outcomes, experience of care, and cost effectiveness. The second component of the study evaluates the quality of the implementation processes via clinical quality indicators. The third component is a match-controlled retrospective pre-post study design, which aims to evaluate the impact on healthcare utilisation. Data sources include both survey data and administrative data.

Study Timeline

• Study Start: 2017-10-04
• Primary Completion: 2020-04-30
• Study Completion: 2020-06-30
• Status Verified: 2020-10
• Study First Submitted: 2020-10-06
• Study First Submitted QC: 2020-10-14
• Study First Posted: 2020-10-20
• Last Update Submitted: 2023-09-20
• Last Update Posted: 2023-09-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 184

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Patient experience of care	6 months	CAHPS
Healthcare utilisation: Inpatient visits	Change from baseline to post-3 months, and to post-6 months	Inpatient visits
Healthcare utilisation: A&E	Change from baseline to post-3 months, and to post-6 months	A\&E visits
Patient-reported outcome measure for patient activation	Change from baseline to post-3 months, and to post-6 months	PAM-13
Patient-reported outcome measure for quality of life in old age	Change from baseline to post-3 months, and to post-6 months	CASP-19
Healthcare utilisation: Specialist outpatient care	Change from baseline to post-3 months, and to post-6 months	Specialist outpatient clinic visits
Patient-reported outcome measure for quality of life	Change from baseline to post-3 months, and to post-6 months	EQ-5D-5L
Healthcare utilisation: Primary care	Change from baseline to post-3 months, and to post-6 months	Primary care visits
Economic evaluation and cost analysis	Change from baseline to post-3 months, and to post-6 months	Cost comparison between intervention group and non-intervention group

Trial Locations

Locations (1)

Geriatric Education and Research Institute; 🇸🇬 Singapore, Singapore