Continuity of Care and Use of Urgent Healthcare in Multimorbid Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- care pathway
研究概览
简要总结
Chronic disease management is a public health problem that faces monitoring difficulties related to complex care pathways. This study will analyze the use of unscheduled or urgent care according to the continuity of care in multimorbid patients
详细描述
The prevalence of chronic diseases in the population is increasing significantly. It represents a new challenge for doctors and health authorities. However, patients often have at least two chronic diseases. These are referred to as "multimorbid" patients, whose continuity of care has not been well studied to date.
This observational study evaluates the association between the continuity of care in multimorbid patients seen in general practice and their use of urgent healthcare, their quality of life and their burden of treatment.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
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
- •over 18 years of age, seen in consultation in the office by an investigating doctor, with a follow-up for more than 12 months in the office, presenting at least two chronic disease , having given their written consent to participate in the study
排除标准
- •seen at home
- •unable to respond (cognitive problems or language barrier)
结局指标
主要结局
care pathway
时间窗: over the past 1 year
the number of health care consultations with any physician (primary care, emergency department, hospitalisation), collected from the French national health insurance database
Continuity of care
时间窗: over the past 1year
Bice-Boxerman index, measuring continuity of care (from 0 to 1, 1 = good continuity of care)
次要结局
- global quality of life(over the past 1 year)
- burden of traitement(over the past 1 year)
研究者
Alexandre MALMARTEL
Academic doctor of medicine
University of Paris 5 - Rene Descartes