Evaluating the Preventative Integrated Care Service for adults living with chronic disease

Not Applicable

• Conditions: Cardiovascular diseases; Chronic lung diseases; Diabetes; Cardiovascular - Coronary heart disease; Respiratory - Chronic obstructive pulmonary disease; Metabolic and Endocrine - Diabetes; Cardiovascular - Hypertension; Cardiovascular - Other cardiovascular diseases; Respiratory - Other respiratory disorders / diseases

• Registration Number: ACTRN12624000757516
• Lead Sponsor: Queensland University of Technology

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2024-06-20
• Last Update Posted: 24 June 2024

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

There are four categories of participants for this research.
a) Adopters - PICS Consumers: Consumers who have received PICS within the past six months. Service eligibility is defined as:
i) Any patient that has a confirmed diagnosis of heart failure, and/or cardiovascular disease; and/or
ii) Any patient with type 2 diabetes mellitus and HbA1c >8% or unstable diabetes requiring insulin or recent or current hospital admission related to diabetes, diabetic complications, or high risk foot; and/or
iii) any patient with type 1 diabetes; and/or
iv) any patient with a confirmed diagnosis of asthma, chronic obstructive pulmonary disease, bronchiectasis, interstitial lung disease, and/or pulmonary fibrosis; AND has/will experience(d) at least one of the following:
v) Intensive care unit requirement during most recent admission;
vi) Post discharge from complex respiratory/cardiac/diabetes disease related hospital admission;
vii) At high risk of admission/readmission to hospital with a potentially preventable hospitalisation caused by their chronic condition;
viii) Complex new diagnosis of chronic condition and social determinants;
ix) Patient discharged on new home oxygen.

b) Adopters and Implementers - PICS Staff who are delivering the service protocol: Staff who are current employees of the PICS.

c) Implementation decision makers - Health service directors & executive directors: Hospital and Health Service staff who have professional and/or operational leadership delegation over one or more professional, clinical, or operational components of the PICS (e.g., Executive, Team Leader, Allied Health Directors, Informatics Managers) within the study period.

d) Wider system referrers – general practitioners and other specialists within the catchment area: Primary care providers and referring Hospital and Health Service staff to the PICS.

Exclusion Criteria

a) Adopters - PICS Consumers: PICS consumers who have not received PICS services in the past six months, Consumers who:
i) Reside outside of service catchment;
ii) Require high acuity care. e.g., Hospital in the Home, Emergency Department, or for Direct Admission to an inpatient unit.
iii) Do not have one of the listed chronic conditions or who do not meet the inclusion criteria.
iv) Are currently residing in an Residential Aged Care Facility.

b) Adopters and Implementers - Staff who are not current employees of the PICS.

c) Implementation decision makers - Health service directors & executive directors: Hospital and Health Service staff who do not have professional and/or operational leadership delegation over one or more professional, clinical, or operational components of the PICS (e.g., Executive, Team Leader, Allied Health Directors, Informatics Managers) within the study period.

d) Wider system referrers – general practitioners and other specialists operating outside of the catchment area, health professionals who have not yet referred to the PICS.

Study & Design

• Study Type: Observational
• Study Design: Not specified