Interest of the Use of the Web Platform LICORNE (LIaison and COoRdination With a NumériquE Health Reseau) Concerning Coordination of Care for Dependant Elderly Patients

NCT02809417 | Completed

• 1 other identifier: 14-PP-17
• Study Type: observational
• Target: 57
• Locations: 1 country
• Sites: 1

Brief Summary

This project is associating partners from the public area (university hospital of Nice, Nice university) and the private area (Agfa Health Care, Radhuis, Domicalis) to create a unique medico-psycho-social shared record. The purpose of this project is to significantly improve coordination of care, especially between hospital and home. We can expect a significant improvement in the patient's living conditions, improving its management, its security and ultimately, lower health care costs.

Conditions

Polypathology

Outcome Measures

Primary Outcomes (1)

• Improvment of the coordinnation around the patient defined by a change of at least one point on a 6 points Likert scale

  6 months

Secondary Outcomes (3)

• Increase of the number of DMP for the patient using the plateform. Decrease of early hospital readmission

  > 15 days

• Increase of the number of DMP for the patient using the plateform. Decrease of late hospital readmission

  1 month

• Decrease of the time ration hospital/home during the 6 month experimentation

  6 months

Study Arms (2)

LICORNE platform

Control

Eligibility Criteria

• Age: 60 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

old patient with polypathologies and loss of autonomy

You may qualify if:

• Age\> 60 years
• multiple pathologies : having at least two active chronic conditions.
• Polypharmacy : having at least 4 different molecules in its treatment.
• Dependence : GIR 4 or equivalent and less before hospitalization.
• Need medical care at home at least 5 days a week .
• Patient requiring social intervention ( this criterion of judgment is left to the social worker in the patient's file)

You may not qualify if:

• Life threatening pathology during current hospitalization .
• Patients undergoing a hospitalization home service .
• Patients without administrative or judicial freedom if the authorization of the legal representative can not be collected.

Sponsors & Collaborators

• Centre Hospitalier Universitaire de Nice: lead

Study Sites (1)

CHU de Nice

Nice, 06000, France

Location

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 20, 2016
• First Posted: June 22, 2016
• Study Start: January 28, 2016
• Primary Completion: January 5, 2017
• Study Completion: January 5, 2017
• Last Updated: September 25, 2017

Record last verified: 2017-09

Locations

FR (1)