Establish an Evaluation Scale for the Quality of Primary Care in Multi-professional Health Centres and Homes Integrating the Point of View of Patients in Complex Care Situations and Their Caregivers.

NCT05057520 | Completed

• 1 other identifier: 29BRC21.0009
• Study Type: observational
• Target: 250
• Locations: 1 country
• Sites: 5

Brief Summary

The prevalence of multimorbid patients and complex care is increasing in France and elsewhere in the world. It concerns 60% of the over 65 years old. Comprehensive care, the involvement of the patient and his caregivers appear as the solutions for the management of these new care situations. The structures of multi-professional grouping, developing a coordinated exercise (GECO), appear as the privileged place to take care of these patients. These structures become the main place of exercise in France (improved working conditions for professionals, financial incentives, public policy, etc.); they have shown their ability to formulate patient care protocols, to produce coordinated exercise, to better involve the patient and caregivers in their care. The question of improving the quality of care arises. To date, there is no data on the subject apart from some evaluations mainly medico-economic. The patient's place in the evaluation showed his interest with the existence of a proven correlation between patient satisfaction in particular and his compliance and health outcomes.

Conditions

Patients in Complex Situations

Keywords

Multimorbidity; Exercise coordinated groups (GECO); Caregivers

Outcome Measures

Primary Outcomes (1)

• Reliability of questionnaire

  The main objective of this phase of the protocol is to confirm on an independent sample the reliability of the primary care quality assessment questionnaire scales provided within the coordinated exercise groups from the point of view of patients in complex care situations, their caregivers and health professionals.

  1 day

Secondary Outcomes (3)

• Concurrent validity of questionnaire

  1 day

• Anchor variables

  1 day

• Standardized scoring guide

  1 day

Interventions

Questionnaire OTHER

Completion of the questionnaire by the patient after consultation with the general practitioner

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

Patient followed in the primary care center and being in a complex care situation, benefiting from a multi-professional care

You may qualify if:

• Patients over 18 years of age, followed in primary care centers, able to participate, speaking and understanding French,
• Patient in a complex care situation, benefiting from a multi-professional management (at least two different professionals from the center including the general practitioner),
• No opposition from the patient.

You may not qualify if:

• Patient not in a complex care situation
• Patient followed only by the the exercise coordinated group general practitioner
• Refusal to participate
• Patients who have already participated in phase 2 of the Qualsoprim project
• Adults under legal protection or unable to express their consent
• Persons deprived of their liberty by a judicial or administrative decision

Sponsors & Collaborators

• University Hospital, Brest: lead

Study Sites (5)

Maison de santé de Bannalec

Bannalec, 29380, France

Location

Maison de santé de Châteauneuf-du-Faou

Châteauneuf-du-Faou, 29520, France

Location

Maison de santé de Coray

Coray, 29370, France

Location

Pôle de santé de Lanmeur

Lanmeur, 29620, France

Location

Maison de santé de Trébeurden

Trébeurden, 22560, France

Location

MeSH Terms

Interventions

Surveys and Questionnaires

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Design

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

Study Record Dates

• First Submitted: September 16, 2021
• First Posted: September 27, 2021
• Study Start: November 24, 2021
• Primary Completion: February 6, 2023
• Study Completion: February 6, 2023
• Last Updated: July 14, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Data will be available beginning five years and ending fifteen years following the final study report completion
• Access Criteria: Data access requests will be reviewed by the internal committee of BrestUH. Requestors will be required to sign and complete a data access agreement.

Locations

FR (5)