Case Management Study to Reduce Health Care Utilization for Frequent Hospital Care Users

Not Applicable

• Conditions: Quality of Life
• Interventions: Behavioral: Interview followed by frequent telephone support

• Registration Number: NCT02583555
• Lead Sponsor: Region Sjælland

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.

Study Timeline

• Status Verified: 2015-10
• Study First Submitted: 2015-10-20
• Study First Submitted QC: 2015-10-21
• Last Update Submitted: 2015-10-21
• Study First Posted: 2015-10-22
• Last Update Posted: 2015-10-22
• Study Start: 2015-11
• Primary Completion: 2016-11
• Study Completion: 2017-05

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 400

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Active patient support	Interview followed by frequent telephone support	Interview followed by frequent telephone support Questionnaire every 3 months

Primary Outcome Measures

Name	Time	Method
Health Care Utilization - Admissions to and days in hospital	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	Questionaire Short Form-36 Every 3 months for one year

Trial Locations

Locations (1)

Regional Research; 🇩🇰 Roskilde, Denmark