Health Care Appropriateness Assessment and Support Programme at a University Hospital Centre (CHU) in Bordeaux

NCT04908501 | Completed

• 1 other identifier: CHUBX 2019/65
• Study Type: observational
• Target: 63
• Locations: 1 country
• Sites: 1

Brief Summary

Non-appropriateness of care is a common and serious phenomenon that affects healthcare institutions in France. Appropriateness in health care is about adequacy of any type of health care with patient's needs. Relying on structuring innovative tools, the hospital university centre of Bordeaux is implementing a health care appropriateness assessment and support programme ("sPREAd pertinence"). By using a mixed method, the project's main objective is to evaluate programme effectiveness on the improvement of care appropriateness in hospital university centre of Bordeaux. Other assessments are considering impact on: specific care appropriateness indicators, care related adverse events frequency, organizational climate, and work life satisfaction. The economic impact of this program in terms of induced costs and avoided costs will be evaluated. A qualitative approach will be used to identify the programme transferability conditions with a view to produce an Operational Model for the Implementation of Appropriateness at a Healthcare Institution.

Conditions

Any Conditions

Keywords

(Health care) appropriateness; (Health care) programme assessment; e-feedbacks

Outcome Measures

Primary Outcomes (1)

• Global proportion of patient stays appropriate regarding health cares concerned with feedback indicators available at the start of the trial.

  This proportion is calculated by dividing the number of appropriate patient stays for all indicators corresponding to targeted health care by the number of patients who received targeted health care for at least one of the indicators.

  Primary outcome is assessed 14 months after the start of the intervention

Secondary Outcomes (4)

• Appropriate stays proportion specific to each feedback indicator available at the start of the trial

  two months before and fourteen months after applying the programme in the first cluster.

• Incidence density of serious adverse events

  two months before and fourteen months after applying the programme in the first cluster.

• Dimension Scores of the Comet questionnaire

  two months before and fourteen months after applying the programme in the first cluster.

• Work life satisfaction

  two months before and fourteen months after applying the programme in the first cluster.

Study Arms (2)

Intervention group

Services of the non-transversal clinical departments of the Bordeaux University Hospital willing to participate to the programme.

Other: Intervention

Control group

Services of the non-transversal clinical departments of the Bordeaux University Hospital not willing to participate to the programme.

Interventions

Intervention OTHER

The program intervention has three focuses : the prioritization of appropriateness indicators, the automation and visualization of the prioritized indicators, and support for practice analysis groups (PAG) based on e-feedback from automated indicators

Intervention group

Eligibility Criteria

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

Study Population

There are 3 study populations in this trial: - Health care professionals : medical and paramedical staffs - Patients - Hospital stays

You may qualify if:

• Services: services of the non-transversal clinical departments of the Bordeaux University Hospital.
• Health professionals: Medical and paramedical professionals working during the day or night in the participating services for at least one month and at least one day per week.
• Patients: Stays of patients hospitalized at the Bordeaux University Hospital benefiting from care targeted by the automated indicators and made available by the feedback system at the start of the trial.

You may not qualify if:

• Services of the transversal and medico-technical departments (Medical Imaging department, Biology and Pathology department, Health Products department, Public Health department and Anesthesia-Intensive care department) and department with specific activity.
• Professionals: planning to be absent during the data collection period.
• Patients: none

Sponsors & Collaborators

• University Hospital, Bordeaux: lead

Study Sites (1)

CHU de Bordeaux

Bordeaux, France

Location

MeSH Terms

Interventions

Methods

Intervention Hierarchy (Ancestors)

Investigative Techniques

Study Design

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

Study Record Dates

• First Submitted: May 7, 2021
• First Posted: June 1, 2021
• Study Start: October 7, 2021
• Primary Completion: September 19, 2023
• Study Completion: September 19, 2023
• Last Updated: March 6, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)