A Case Management Study Targeted to Reduce Health Care Utilization for Frequent Emergency Department Visitors
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 15,000
- 试验地点
- 1
- 主要终点
- Number of hospitalizations
研究概览
简要总结
The aim of the study is to determine whether a nurse-managed telephone-based case-management intervention can reduce healthcare utilization and improve self-assessed health status in frequent emergency department users.
详细描述
The study tests a nurse-run case-management intervention targeted towards frequent emergency department visitors. The aim is to reduce visits to emergency departments as well as to improve quality of life by facilitating coping mechanisms as well as redirecting these patients to more suitable health care facilities.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Recent history of frequent visits to emergency department
- •Anticipated sustained high visit frequency
- •Living in one of five Swedish counties where trial is ongoing
排除标准
- •Moribund patients
- •Psychosis
- •Severe hearing impairment or language difficulties
- •Other factors that may make it impossible or impractical for a patient to participate in the study
结局指标
主要结局
Number of hospitalizations
时间窗: During first two years of follow-up
Number of outpatient visits to medical doctor
时间窗: During first two years of follow-up
次要结局
- Mortality(During first two years of follow-up)
- Total health care costs(During first two years of follow-up)
- Length of hospital stay(During first two years of follow-up)
研究者
Gustaf Edgren
Senior scientific advisor / associate professor
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