Randomized Controlled Trial to Decrease Admission Rates in Medically Complex Children in a Medical Home Program
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- (2) preventable admissions, defined by 2 independent physicians blinded to study assignment as an admission due primarily to one of the preventable factors identified from Phase 1 of the study
研究概览
简要总结
The investigators hypothesize that an intervention, within an established patient-centered medical home, aimed at reducing modifiable risks for hospitalization, can decrease hospital utilization among medically complex children.
详细描述
The investigators will pilot test an intervention that includes contingency planning and care transitions within an established medical home program caring for children with medical complexity. Children with medical complexity receiving care within the UCLA Medical Home Program will be randomized to the pilot intervention or usual medical home care. The primary goal will be to reduce admissions and readmissions in the intervention group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 1 Month 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children ages 0 to 17 years old who are enrolled in the Pediatric Medical Home Program at UCLA
- •English and Spanish-speaking only
排除标准
- •Children older than 17 years old who are enrolled in the Pediatric Medical Home Program
- •Non-English and Non-Spanish speakers
研究组 & 干预措施
Intervention
Subjects randomized to the "intervention group" will participate in a bundled intervention that includes action planning and care transitions (for those hospitalized during the study period)
干预措施: Plans of Action and Care Transitions (Behavioral)
Routine Care
Subjects randomized to the "routine care" group will continue to receive their usual care from the Pediatric Medical Home Program at UCLA
干预措施: Routine Care (Behavioral)
结局指标
主要结局
(2) preventable admissions, defined by 2 independent physicians blinded to study assignment as an admission due primarily to one of the preventable factors identified from Phase 1 of the study
时间窗: 18 to 24 months
(1) number of all-cause admissions, defined as any admission occurring during the study period
时间窗: 18 to 24 months
次要结局
未报告次要终点
研究者
Thomas Klitzner, MD, PhD
Executive Directior, Pediatric Medical Home Program at UCLA
University of California, Los Angeles