The Community for Successful Ageing (ComSA) Patient-Centered Care (COPACC) Study: Utilization, Health and Economic Evaluation of a Community-Based Primary Care Geriatric Hub at Whampoa, Singapore.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 184
- 试验地点
- 1
- 主要终点
- Patient experience of care
研究概览
简要总结
This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore.
详细描述
This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore. This study aims to evaluate the impact of ComSA PCMH on health service utilisation, healthcare cost, clinical quality and effectiveness, as well as patient activation, quality of life, satisfaction and experience of care. The first component of the study is a single arm prospective pre-post cohort design, which aims to evaluate the impact on enrolled patients' self-reported health outcomes, experience of care, and cost effectiveness. The second component of the study evaluates the quality of the implementation processes via clinical quality indicators. The third component is a match-controlled retrospective pre-post study design, which aims to evaluate the impact on healthcare utilisation. Data sources include both survey data and administrative data.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 40 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Patient experience of care
时间窗: 6 months
CAHPS
Healthcare utilisation: Inpatient visits
时间窗: Change from baseline to post-3 months, and to post-6 months
Inpatient visits
Healthcare utilisation: A&E
时间窗: Change from baseline to post-3 months, and to post-6 months
A\&E visits
Patient-reported outcome measure for patient activation
时间窗: Change from baseline to post-3 months, and to post-6 months
PAM-13
Patient-reported outcome measure for quality of life in old age
时间窗: Change from baseline to post-3 months, and to post-6 months
CASP-19
Healthcare utilisation: Specialist outpatient care
时间窗: Change from baseline to post-3 months, and to post-6 months
Specialist outpatient clinic visits
Patient-reported outcome measure for quality of life
时间窗: Change from baseline to post-3 months, and to post-6 months
EQ-5D-5L
Healthcare utilisation: Primary care
时间窗: Change from baseline to post-3 months, and to post-6 months
Primary care visits
Economic evaluation and cost analysis
时间窗: Change from baseline to post-3 months, and to post-6 months
Cost comparison between intervention group and non-intervention group
次要结局
未报告次要终点