Effects Of Income Supplements On 30-Day Readmissions For Vulnerable Older Adults: A Randomized, Controlled, 300-Subject Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 8
- 试验地点
- 1
- 主要终点
- Unplanned 30-day readmission
研究概览
简要总结
Unplanned 30-day hospital readmissions are an critical healthcare quality metric, with meaningful effects on patients and health systems operations. Interventions to reduce unplanned readmissions have primarily operated within a healthcare-centric frame, with enhancements to either pre- or post-discharge care planning, medication reconciliation, or visit frequency. Associations of 30-day readmission rates with poverty status and other social factors, however, suggest that attending to unmet social needs may yield added benefits to models focused on healthcare delivery. The purpose of the present trial is to provide evidence regarding the effects on 30-day readmissions of providing a one-time post-discharge income supplement to socially vulnerable older adults with medical complexity participating in an enhanced care coordination program.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 55 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •A participant in the underlying enhanced care planning program
- •aged 55 years or older
- •attending an outpatient clinic appointment as part of the underlying enhanced care planning program within 10 days of being discharged from an inpatient hospital stay
- •able to understand the study consent form (with interpretation services if needed)
排除标准
- •The candidate is not discharged from the index admission to a community setting (e.g., they will be excluded if they are discharged to a skilled nursing facility)
- •The candidate has a legal guardian with control over financial decision-making
- •The candidate has been approached about the study during a previous encounter
- •The index hospitalization was a planned admission
研究组 & 干预措施
Control
Enhanced care planning only (plus $15 as compensation for participation)
干预措施: Enhanced care planning (Other)
Intervention
Enhanced care planning plus a one-time $300 post-discharge income supplement
干预措施: Post-discharge income supplement (Other)
Intervention
Enhanced care planning plus a one-time $300 post-discharge income supplement
干预措施: Enhanced care planning (Other)
结局指标
主要结局
Unplanned 30-day readmission
时间窗: Within 30 days of the index hospital discharge
Whether a participant has an unplanned readmission within 30 days of the index hospital discharge
次要结局
- 30-day post-discharge medical expenditures(Within 30 days of the index hospital discharge)
- 90-day post-discharge medical expenditures(Within 90 days of the index hospital discharge)
- 90-day post-discharge medical readmission OR emergency department visit(Within 90 days of the index hospital discharge)
- 30-day post-discharge medical readmission OR emergency department visit(Within 30 days of the index hospital discharge)
- Unplanned 90-day readmission(Within 90 days of the index hospital discharge)