Complex Care for Kids Ontario (CCKO): A Patient- and Family-centred Implementation and Evaluation of Care Coordination for Children With Medical Complexity
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 160
- 试验地点
- 8
- 主要终点
- Service delivery outcomes: coordination of care among health providers and families, coordination of care between health providers and families, utility of follow-up planning tools
研究概览
简要总结
There are ~6,200 children in Ontario with special and complex healthcare needs requiring multiple services from many different doctors and other healthcare providers. These children are at a high risk of missed, duplicated or inappropriate care, and extraordinary financial burden and stress on families. While small in number (<1% of Ontario kids), these children use 1/3 of all child healthcare resources, and are known to desperately need coordinated care to optimize their health. Complex Care Kids Ontario (CCKO) brings together researchers, children and families, and healthcare providers from across Ontario to develop, implement and evaluate an evidence-based and coordinated model of care for every child with medical complexity in Ontario.
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
- None
入排标准
- 年龄范围
- 0 Years 至 16 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- •High Utilization of hospital level care
- •≥ 3 hospitalizations, ≥ 2 ICU admissions, ≥ 30 days of total hospitalization in previous 3 months, excluding newborn admission
- •Patient with tracheostomy and home ventilation
- •Medical Status is deemed highly fragile and the need for close follow-up is deemed essential by both referring and triaging team
- •Already followed by a complex care team
- •>16.0 years of age
- •Inadequate English language skills to comprehend study questionnaires
结局指标
主要结局
Service delivery outcomes: coordination of care among health providers and families, coordination of care between health providers and families, utility of follow-up planning tools
时间窗: 24 months
These outcomes will be assessed with the Family Experiences with Coordination of Care (FECC) survey.
次要结局
- Parents' Perceived Emotional and Physical Health(24 months)
- Child physical pain(24 months)
- Effects of Child's Condition on Parents' Finances and Ability to Work(24 months)
- Child quality of life & overall emotional health(24 months)
- Parents' Quality of Life(24 months)
研究者
Eyal Cohen
Staff Physician
The Hospital for Sick Children