Feasibility and Effectiveness of a Coordinated Healthcare Circuit Dedicated to Patients With Handicap

Completed

• Conditions: Disabilities Physical; Disabilities Mental

• Registration Number: NCT04991558
• Lead Sponsor: Groupe Hospitalier Mutualiste de Grenoble

Brief Summary

France currently has more than 10 million disabled people, including 3 millions who could be better treated. In fact, people with disabilities face many obstacles in accessing care and receiving appropriate support (physical access to certain locations, communication...). Difficulties are also encountered by the healthcare staff, leading to often heterogeneous practices in health establishments.

The INFRA health circuit has been set up at the "Groupe Hospitalier Mutualiste de Grenoble" since June 2018 according to the guidelines published by the French High Authority for Health (HAS) on improving professional practices "Reception, support and organization of care in health establishments for people in situation of handicap "of July 2017. The INFRA nurse collects and anticipates the necessary adaptations for the patient's stay, in conjunction with their caregivers (whether family or institutional). They are an interface with other healthcare professionals to adapt care procedures and protocols (body care, feeding methods, pain management, drug management) to the patient's disability. Before hospitalization and until the patient is discharged, the INFRA nurse transmits to the personnel involved all the information necessary for the proper continuation of care. In addition to legal and regulatory obligations, the INFRA nurse ensures the effective accessibility of the establishment's facilities and premises, and helps maintaining patient autonomy.

The INFRA study is an observational study aimed at assessing the feasibility of the INFRA health circuit and evaluating the benefit for the patients and the healthcare staff.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-09-03
• Study First Submitted: 2020-12-29
• Study First Submitted QC: 2021-07-27
• Study First Posted: 2021-08-05
• Primary Completion: 2022-09-01
• Study Completion: 2022-09-01
• Status Verified: 2023-03
• Last Update Submitted: 2023-03-06
• Last Update Posted: 2023-03-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 46

Inclusion Criteria

• 13 years old or more
• Physical or mental disability, according to french law n°2005-102 of February 11th, 2005
• Requiring an adaptation of the healthcare circuit
• Indication of a planned surgical procedure

Exclusion Criteria

• Outpatient
• Emergency surgery

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Number of patients who followed the entirety of INFRA circuit	At discharge, assessed up to 4 weeks

Secondary Outcome Measures

Name	Time	Method
Type of pain evaluation scale selected by the INFRA nurse	enrollment
Satisfaction of healthcare staff	At discharge, assessed up to 4 weeks	Satisfaction survey answered by healthcare staff
Number of healthcare adaptations implemented during hospitalization	At discharge, assessed up to 4 weeks
Satisfaction of patients and caregivers	At discharge, assessed up to 4 weeks	Satisfaction survey answered by patients and caregivers

Trial Locations

Locations (1)

Groupe Hospitalier Mutualiste de Grenoble; 🇫🇷 Grenoble, France