Interprofessional Collaborative Practice in Primary Care: Potentially Avoidable Hospitalization

NCT06420128 | Not Yet Recruiting

• 1 other identifier: RC21_0307
• Study Type: observational
• Target: 500,000
• Locations: 1 country
• Sites: 1

Brief Summary

The World Health Organization supports collaborative practice in primary care, defining it as "when multiple health professionals from different professional backgrounds work together with patients, families, carers and communities to deliver the highest quality of care across settings" (1). Previous research have shown that collaborative practice in primary care improves care pathways, efficiency of care (2,3), job satisfaction among health professionals (4-6), and economic efficiency (3,7). Riverin et al. found a reduction in post-hospitalization mortality with collaborative practice (8). In France, the establishment of primary care teams following the American model of Centered Medical Homes is encouraged. In the Pays de la Loire region, two models exist: A national and a regional model. A major issue for patient care team is the care of seniors (9,10).Hospitalizations can have adverse health effects for this population (11,12). 45% of emergency admissions follow by a hospitalization concern them (13). The hypothesis of the study is that collaborative practice could reduce the global rate of potential avoidable hospitalizations among seniors.

Conditions

Hospitalization; Aged; Primary Health Care

Keywords

Collaborative practice; Seniors; Potentially avoidable hospitalization; Primary Care Team

Outcome Measures

Primary Outcomes (1)

• Comparison of Global rate of potentially avoidable hospitalization

  Comparison of the global rate of potentially avoidable hospitalization of seniors, depending on whether their general practitioner is a member of a primary care team. Use of reimbursement data of Health Insurance System.

  36 months

Secondary Outcomes (3)

• Comparison of criterion of quality

  36 months

• Comparison of Global rate of potentially avoidable hospitalization depending the model of primary care team

  36 months

• Medico-economic evaluation

  36 months

Study Arms (2)

Primary care team

Patients whose general practitioner is a member of a primary care team since at least 12 months

Other: Primary care team

Traditional

Patients whose general practitioner is not part of a primary care team

Interventions

Primary care team OTHER

Patients whose general practitioner is a member of a primary care team since at least 12 months

Primary care team

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Seniors

You may qualify if:

• Patients over 75 years old and over 65 years old with chronic disease(s), with a general practitioner in Pays de la Loire, affiliated with the general health insurance system and have had at least one healthcare encounter, and residing in the Pays de la Loire region.

You may not qualify if:

• Patients whose general practitioner has ceased their practice or changed their affiliation, as well as patients who have switched to a new general practitioner.

Sponsors & Collaborators

• Nantes University Hospital: lead

Study Sites (1)

University Hospital

Nantes, 44093, France

Location

Central Study Contacts

Cédric Rat, Doctor

CONTACT

02.40.41.28.28; cedric.rat@univ-nantes.fr

Study Design

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

Study Record Dates

• First Submitted: May 3, 2024
• First Posted: May 17, 2024
• Study Start: June 1, 2024
• Primary Completion: December 1, 2024
• Study Completion: December 1, 2024
• Last Updated: May 17, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)