Randomised Case Management Study to Reduce Health Care Utilization for Frequent Hospital Care Users
试验速览
- 阶段
- 不适用
- 入组人数
- 400
- 试验地点
- 1
- 主要终点
- Health Care Utilization - Admissions to and days in hospital
研究概览
简要总结
The purpose of this study is to identify persons with high risk of frequent hospital admissions and by counselling by one in depth interview followed by frequent telephone contacts improve their quality of life and reduce their healthcare utilization.
详细描述
Participants are identified by administrative data and a model predicting high risk of future healthcare utilization. Participants are invited to the study by mail. After informed consent participants are randomized to either active treatment or control 3:1. Active patients have an in depth interview with a specially trained nurse. Further counselling by telephone weekly for 6-9 months.
Quality of Life is measured by SF-36 every 3 months for one year both in active participants and in controls.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
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 > 18 years
- •Recent history of contact with hospital
- •Anticipated sustained high visit frequency
排除标准
- •Dementia (ICD10: F00-F03 or F051)
- •Psychoses (ICD10: F20-F29)
- •Drug abuse (ICD10: F10-F19)
- •Metastases (ICD10: C77-C80)
- •Hearing impairment or language difficulties
- •Life expectancy < 1 year No telephone
研究组 & 干预措施
Active patient support
Interview followed by frequent telephone support Questionnaire every 3 months
干预措施: Interview followed by frequent telephone support (Behavioral)
Controls
Questionnaire every 3 months
结局指标
主要结局
Health Care Utilization - Admissions to and days in hospital
时间窗: One year
The use of different health care systems will be recorded
Quality of Life reported by the participants with use of Short Form 36
时间窗: Questionaire Short Form-36 Every 3 months for one year
次要结局
未报告次要终点
研究者
Knud Rasmussen, MD, DMSci
Research Consultant, MD, DMSci
Region Sjælland