Comparative Study Between Two Models of Home Care.

NCT03461315 | Unknown

• 1 other identifier: P17/121
• Study Type: interventional
• Target: 354
• Locations: 0 countries
• Sites: N/A

Brief Summary

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.

Conditions

Managed Care Program; Home Care

Keywords

home care; primary care; preventive home visits

Outcome Measures

Primary Outcomes (1)

• 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.

  2 years

Study Arms (2)

Traditional Mode

NO INTERVENTION

Traditional Model: Team That Cares for the Rest of the Community

Study Model

EXPERIMENTAL

Study Model:Team Dedicated Exclusively to the Home Patient

Other: Functional assistance model

Interventions

Functional assistance model OTHER

Preventive home visits carried out by a Team Dedicated Exclusively to the Home Patient.

Study Model

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Badalona Serveis Assistencials: lead
• Rosa Maria Sequera Requero: collaborator
• Sebastià J. Santaeugènia González: collaborator
• Francisco José Tarazona Santabalbina: collaborator

Related Publications (1)

• Burgos-Diez C, Sequera-Requero RM, Tarazona-Santabalbina FJ, Contel-Segura JC, Monzo-Planella M, Santaeugenia-Gonzalez SJ. Study protocol of a quasi-experimental trial to compare two models of home care for older people in the primary setting. BMC Geriatr. 2020 Mar 12;20(1):101. doi: 10.1186/s12877-020-1497-0.

  PMID: 32164542 DERIVED

Central Study Contacts

Carolina Burgos Diez

CONTACT

34 647681373; carolinaburgosdiez@gmail.com

Sebastià Santaeugènia González

CONTACT

34 633896522; sebastia.santaeugenia@gencat.cat

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Family physician

Model Details: Quasi-experimental study .

Study Record Dates

• First Submitted: March 5, 2018
• First Posted: March 12, 2018
• Study Start: April 1, 2018
• Primary Completion: July 1, 2018
• Study Completion: April 1, 2020
• Last Updated: March 12, 2018

Record last verified: 2018-03