A Case Management Study Targeted to Reduce Health Care Utilization for Frequent Emergency Department Visitors
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- The Focus is to Investigate Effect of a Case Management Interventions in Frequent Visitors to Emergency Departments
- Sponsor
- Health Navigator
- Enrollment
- 15000
- Locations
- 1
- Primary Endpoint
- Number of hospitalizations
- Last Updated
- 10 years ago
Overview
Brief Summary
The aim of the study is to determine whether a nurse-managed telephone-based case-management intervention can reduce healthcare utilization and improve self-assessed health status in frequent emergency department users.
Detailed Description
The study tests a nurse-run case-management intervention targeted towards frequent emergency department visitors. The aim is to reduce visits to emergency departments as well as to improve quality of life by facilitating coping mechanisms as well as redirecting these patients to more suitable health care facilities.
Investigators
Gustaf Edgren
Senior scientific advisor / associate professor
Health Navigator
Eligibility Criteria
Inclusion Criteria
- •Recent history of frequent visits to emergency department
- •Anticipated sustained high visit frequency
- •Living in one of five Swedish counties where trial is ongoing
Exclusion Criteria
- •Moribund patients
- •Psychosis
- •Severe hearing impairment or language difficulties
- •Other factors that may make it impossible or impractical for a patient to participate in the study
Outcomes
Primary Outcomes
Number of hospitalizations
Time Frame: During first two years of follow-up
Number of outpatient visits to medical doctor
Time Frame: During first two years of follow-up
Secondary Outcomes
- Mortality(During first two years of follow-up)
- Total health care costs(During first two years of follow-up)
- Length of hospital stay(During first two years of follow-up)