Patient Navigation to Improve Care and Reduce Costs for High Utilizers of the Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Number of ED visits
研究概览
简要总结
A large proportion of frequent ED users have Medicaid insurance. The purpose of this study is to evaluate the effectiveness of patient navigation for reducing Emergency Department (ED) visits and hospitalizations and improving patient-centered outcomes (e.g., self-reported health status, quality of life, access/barriers to care) among Medicaid patients who are high utilizers of the ED, as well as to identify best practices for engaging and providing healthcare services to underserved patients using patient navigation. This study will address needs that have been identified within the New Haven community and the local healthcare system, contribute to knowledge and literature surrounding the use of patient navigation to improve care for underserved patients and improve health system efficiency, and inform the design and development of programs that address these needs both locally and in other communities.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 62 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •4-18 ED visits per year
- •Frequent ED users
- •age 18 to 62
- •Medicaid insurance only
- •Those living in the greater New Haven area (i.e. having a zip code that matches that)
排除标准
- •the current visit for primary psychiatric or substance abuse
- •more than 50% of all ED visits in the past year for primary psychiatric or substance abuse.
结局指标
主要结局
Number of ED visits
时间窗: One Year
Additional outcomes include number of hospitalizations, number of outpatient visits, and outpatient imaging utilization.
次要结局
- Number of hospitalizations(One Year)
- Number of outpatient visits(One Year)
- Costs by analyzing global use with Medicaid claims data(One year)