NCT03100526已完成不适用
Patient Aligned Care Team (PACT) Intensive Management (PIM) Project
Veteran Affairs Office of Patient Care Services0 个研究点目标入组 2,210 人开始时间: 2013年11月1日最近更新:
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 2,210
- 主要终点
- VA health care cost
研究概览
简要总结
Purpose: Implement a Patient Aligned Care Team (PACT) model that identifies and proactively manages Veterans at the highest risk for hospital admission and death while the patient is still in the ambulatory care setting.
Goal:
- Reduce emergency department and urgent care utilization, hospitalization, and mortality in complex, high risk patients
- Improve Veteran and staff satisfaction
Objectives:
- Maintain the patient in the home setting as much as possible
- Secure appropriate home environment to facilitate health and well-being
- Utilize comprehensive team-based care
- Engage appropriate Veteran Health Administration (VHA) programs to provide interdisciplinary, coordinated, and timely management of complex medical issues
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 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
- 否
入选标准
- •selected for intensive management
排除标准
- •enrolled in other intensive case management at VA
研究组 & 干预措施
Intervention--PACT Intensive Management
Experimental
The intervention is the PACT Intensive Management Program (PIM) which provides intensive interdisciplinary care planning, care coordination, patient self-management support, and tailored goal setting based on patient needs and preferences, and additional care management services.
干预措施: PACT Intensive Management (Behavioral)
Usual care
No Intervention
High-Risk patients receiving care in PACT.
结局指标
主要结局
VA health care cost
时间窗: 2 years (two 1-year points)
Total costs of VA care, including inpatient, outpatient, pharmacy and fee-basis services.
次要结局
- Healthcare Utilization(2 years (two 1-year points))
- Total Medicare Cost(2 years (two 1-year points))
- Total Medicare Utilization(2 years (two 1-year points))
研究者
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