Randomised Case Management Study to Reduce Health Care Utilization for Frequent Hospital Care Users
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Quality of Life
- Sponsor
- Region Sjælland
- Enrollment
- 400
- Locations
- 1
- Primary Endpoint
- Health Care Utilization - Admissions to and days in hospital
- Last Updated
- 10 years ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Knud Rasmussen, MD, DMSci
Research Consultant, MD, DMSci
Region Sjælland
Eligibility Criteria
Inclusion Criteria
- •Patient \> 18 years
- •Recent history of contact with hospital
- •Anticipated sustained high visit frequency
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Health Care Utilization - Admissions to and days in hospital
Time Frame: 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
Time Frame: Questionaire Short Form-36 Every 3 months for one year