The Medicaid Innovation Collaborative (MIC) Experience: Transforming Care Through Digital Health: A Mixed Methods Analysis
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 19,331
- 试验地点
- 1
- 主要终点
- Change in participant's blood pressure control at three points in time
研究概览
简要总结
The purpose of this study is to examine the intervention effectiveness and dissemination of digital health care delivery models for improving selected health outcomes in the Medicaid population.
详细描述
The investigators will conduct a mixed method study that includes a controlled interrupted times series (CITS) design to study hypertension (HTN) and diabetes, a cohort to study pregnancy, and longitudinal patient and provider interviews to study experiences. This approach is appropriate when randomization is not desirable or feasible and is frequently utilized for evaluation of public health interventions (Lopez Bernal et al., 2018; Hategeka et al., 2020).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
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
- •Patient of one of four medically qualified health care centers and/or OSF HealthCare as defined by insurance type
- •Insured by Medicaid or dually eligible for Medicare or Medicaid
- •Has one or more of the three following conditions:
- •Hypertension, Diabetes Mellitus, or Pregnancy
- •Able to read and understand English or read translated materials in language provided (e.g. Spanish)
- •Minors who are pregnant and less 18 years of age who are enrolled in the MIC Program
排除标准
- •Not enrolled in the MIC Program
- •No one will be excluded on basis of sex or race
结局指标
主要结局
Change in participant's blood pressure control at three points in time
时间窗: 3 months, 6 months, 12 months
Decrease in the average systolic and/or diastolic blood pressure
Change in participant's glycemic control at three points in time
时间窗: 3 months, 6 months, 12 months
Defined as a reduction \>1% in glycosylated hemoglobin (hemoglobin A1C)
Change in Patient Assessment of Chronic Illness Care scale (PACIC) from baseline to exit from program
时间窗: baseline, end of program, on average of 1 year
Measure of patient's perception of care management for chronic disease - 20 items on a 5-point scale 1=no or never to 5=Always, with higher score indicating better care
Patient satisfaction, 1-item researcher generated question
时间窗: at exit from program, on average 1 year
Measure of patient's satisfaction, Participant's recommendation of program to others (Yes/No)
Change in Patient Perception of Health Care Management (adapted form of PACIC to reflect pre/postnatal care) from baseline to exit from program
时间窗: baseline, end of program, on average 6 months
Measure of patient-centered care and self-management - 20 items on a 5-point scale 1=no or never to 5=Always, with higher score indicating better care
次要结局
未报告次要终点