The COPACC Study: Utilization, Health and Economic Evaluation of a Community-Based Primary Care Geriatric Hub at Whampoa

NCT04594967 | Completed

• 1 other identifier: 2017/00352
• Study Type: observational
• Target: 184
• Locations: 1 country
• Sites: 1

Brief Summary

This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore.

Conditions

Delivery of Health Care; Health Services; Costs and Cost Analysis; Quality of Life

Keywords

patient-centred care; patient-centred medical home; older adults; complex needs; healthcare utilisation; economic evaluation; cost analysis; health services research

Outcome Measures

Primary Outcomes (9)

• Healthcare utilisation: Primary care

  Primary care visits

  Change from baseline to post-3 months, and to post-6 months

• Healthcare utilisation: Inpatient visits

  Inpatient visits

  Change from baseline to post-3 months, and to post-6 months

• Healthcare utilisation: Specialist outpatient care

  Specialist outpatient clinic visits

  Change from baseline to post-3 months, and to post-6 months

• Healthcare utilisation: A&E

  A\&E visits

  Change from baseline to post-3 months, and to post-6 months

• Patient-reported outcome measure for patient activation

  PAM-13

  Change from baseline to post-3 months, and to post-6 months

• Patient-reported outcome measure for quality of life

  EQ-5D-5L

  Change from baseline to post-3 months, and to post-6 months

• Patient-reported outcome measure for quality of life in old age

  CASP-19

  Change from baseline to post-3 months, and to post-6 months

• Patient experience of care

  CAHPS

  6 months

• Economic evaluation and cost analysis

  Cost comparison between intervention group and non-intervention group

  Change from baseline to post-3 months, and to post-6 months

Interventions

Patient-centred care home (PCMH) OTHER

New model of care defined by care provision by a team of people centered in the community that is both proactive and coordinated to improve the health and wellness of the people in that community.

Eligibility Criteria

• Age: 40 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Older adults aged 40 years and above who reside in Whampoa, Singapore, and have complex healthcare needs.

You may qualify if:

• i. Aged 40 years and above ii. Lives in Whampoa, Singapore iii. Enrolled in PCMH after 1 September 2017

You may not qualify if:

• i. Aged less than 40 years ii. Does not live in Whampoa Singapore

Sponsors & Collaborators

• Geriatric Education and Research Institute: lead
• Tsao Foundation: collaborator
• National Healthcare Group, Singapore: collaborator

Study Sites (1)

Geriatric Education and Research Institute

Singapore, 768024, Singapore

Location

Related Publications (1)

• Lim ZZB, Mohamed Kadir M, Ginting ML, Vrijhoef HJM, Yoong J, Wong CH. Early Implementation of a Patient-Centered Medical Home in Singapore: A Qualitative Study Using Theory on Diffusion of Innovations. Int J Environ Res Public Health. 2021 Oct 24;18(21):11160. doi: 10.3390/ijerph182111160.

  PMID: 34769680 DERIVED

Study Officials

• Chek Hooi Wong

  Geriatric Education and Research Institute

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: October 6, 2020
• First Posted: October 20, 2020
• Study Start: October 4, 2017
• Primary Completion: April 30, 2020
• Study Completion: June 30, 2020
• Last Updated: September 21, 2023

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will not share

Locations

SG (1)