Impact of a Permanently Maintained Healthcare Multidisciplinary Facility (PASS-MULTI) on Unscheduled Readmissions at 12 Months for Persons in Precarious Situations.

NCT03986801 | Unknown

• 1 other identifier: 2019-03
• Study Type: interventional
• Target: 1,858
• Locations: 1 country
• Sites: 1

Brief Summary

Created in 1998, PASS departments are mostly intrahospital structures providing primary care to vulnerable patients. The main objective of the project will be to measure the impact of a multidisciplinary PASS benefiting from outpatient pharmaceutical interviews on the rate of unplanned rehospitalization of patients in precarious situations. The impact of the implementation of such a device will also be measured on other indicators of major interest in the course of care of the precarious patient: average lengths of stay, emergency room, improved continuity of treatment, quality of life of the patient related to his health, medication compliance, effective accessibility to social rights, qualitative improvement in the use of care, medico-economic efficiency of the intervention compared to existing practice. The study will be multicenter: 6 centers spread throughout France (Marseille, Paris, Nice, Toulouse, Poitiers and Bayonne).

Conditions

Vulnerable Patients

Outcome Measures

Primary Outcomes (1)

• The number of unscheduled hospitalizations

  12th month of the study

Study Arms (2)

PASS pharmaceutical interview

EXPERIMENTAL

Other: pharmaceutical interview

Usual management out of hospital

NO INTERVENTION

Interventions

pharmaceutical interview OTHER

pharmaceutical interview at the end of hospitalization

PASS pharmaceutical interview

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Years and older
• Informed consent form signed by the subject
• Inpatient hospitalized for over 24 hours
• Precarious socioeconomic conditions (EPICES Score 30)
• Incomplete social security cover

You may not qualify if:

• Children
• Refusal of consent
• Outpatients
• No precarious socioeconomic conditions (EPICES Score Under 30)
• Complete social security cover (AMU, CMUc, ACS, ALD)
• Majors in tutorship or guardianship, pregnant women and persons deprived of liberty

Sponsors & Collaborators

• Assistance Publique Hopitaux De Marseille: lead

Study Sites (1)

Assistance Publique Hôpitaux de Marseille

Marseille, 13354, France

Location

Study Officials

• Jean-Olivier ARNAUD

  Assistance Publique des Hôpitaux de Marseille

  STUDY DIRECTOR

Central Study Contacts

Pascal Auquier

CONTACT

+33 4 91 38 47 44; Pascal.AUQUIER@ap-hm.fr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Eligible patients will be randomized between a non-interventional group (standard management of patients according to the institution of origin) or intervention group (setting up a PASS pharmaceutical interview on the day of discharge from hospital and follow-up multidisciplinary until rights are obtained).

Study Record Dates

• First Submitted: June 13, 2019
• First Posted: June 14, 2019
• Study Start: September 2, 2019
• Primary Completion: September 2, 2020
• Study Completion: September 2, 2021
• Last Updated: June 14, 2019

Record last verified: 2019-06

Locations

FR (1)