"COMPARATIVE STUDY OF TWO MODELS OF PREVENTIVE HOME VISITS "
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 354
- 主要终点
- difference in the average of days hospitalized for 12 months among the people served in an integrated model of home care and among those served in a functional model.
研究概览
简要总结
Home care is the assistance provided at home to those who can not travel to their Health Center. There are multiple studies on models of home care and many discrepancies about the impact that preventive home visits can have. Hypothesis: home care is expected to be better if performed by a team dedicated exclusively to the home patient, than to the traditional model, where the patient is assisted by the team that cares for the rest of the community.
Goals:
Main: determine the difference in median cumulative days of hospital admission in 12 months.
Secondaries:
- results in health
- in health experience in efficiency Methodology: Quasi-experimental study of two years duration. All the subjects included in the Home Care Program and that meet the inclusion and exclusion criteria are studied. The care team will provide the informed consent and information sheet to the patient and clinical scales at the beginning and end of the study. Researchers will be responsible for the collection of data that they will anonymize and guard. Statistical analysis: The analyzes will be calculated with the statistical package SPSS version 21 Expected results: hospital admissions (25%) and cumulative days by admission and patient by 65% are expected to improve in the model under study. Applicability and relevance: the trend towards a greater aging of the population makes it necessary to study models of care that allow us to detect which can be beneficial to the population and feasible in our current context.
详细描述
Our purpose will be to compare 2 models of home care corresponding to 2
Primary Care Centers (EAP):
- Model integrated (EAP Gran Sol), traditional, continuity, made by the UBA with care of the home patient by the usual care team (family physician and nurse)
- Model functional (EAP Apenins), based on the internal reorganization of the EAP: equipment specific home care program composed of family physician and nurse, with dedication exclusively to Preventive home visits, with training aimed at excellence in the Management of fragile patients with pluripathology and palliative care.
HYPOTHESIS. A care group dedicated exclusively to the ATDOM patient with what it entails in dedication of time and specific knowledge could get better results in health, optimize health resources and at the same time achieve greater satisfaction and quality of life to these patients. That is why our hypothesis will be that it is expected that the patient's global assistance attended from Primary Care in your home is better if it is performed by a Primary Care team trained for it with exclusive dedication to this type of patient, that, with the traditional model, where the patient that is attended at home is assisted by the clinical team that serves the rest of the community.
OBJECTIVES Main objective The main objective will be the comparison of the two models of home care in Primary care previously described by the difference in the average number of days hospitalized for 12 months among the people served in an integrated model of home care and among those served in a functional model. 3.2 Secondary objectives We will analyze them under a triple vision AIM, triple goal, better health, better care, lower costs, -effectiveness, efficiency and experience in people's health-
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients of 65 or more years, with or without cognitive impairment, that during the period of recruitment are new or existing users in a home care program long duration of the centers participants.
排除标准
- •the patients who have a life expectancy of less than 1 month, considering that provides information for this study and may not be appropriate for the patient and the operating system relatives
- •patients with Pfeiffer index mayor or equal to 5 without primary caregiver or with a partial caregiver, since we consider that with moderate cognitive impairment or severe will not be able to answer self-administered questionnaires.
- •the patients included in the home care program for the performance of cures or treatments that 3 months (Transient home care Program).
- •the patients who have been in the home care program for less than 1 month at the time of their recruitment, since we believe that there has not yet been time to carry out a comprehensive assessment of the patient.
- •the patients included in the home care program who are not registered in Badalona because they are temporarily in the home of a family member.
- •the patients included in the home care Program due to the existence of barriers architectures to go to the Primary Care Center.
研究组 & 干预措施
Traditional Mode
Traditional Model: Team That Cares for the Rest of the Community
Study Model
Study Model:Team Dedicated Exclusively to the Home Patient
干预措施: Functional assistance model (Other)
结局指标
主要结局
difference in the average of days hospitalized for 12 months among the people served in an integrated model of home care and among those served in a functional model.
时间窗: 2 years
次要结局
未报告次要终点
研究者
Carolina Burgos Diez
Family physician
Badalona Serveis Assistencials