Evaluation of the Organization of Continuity of Care for Home Hospice Patients by Four Parisian Health Networks

Neoplasms Clinical Trial

— DICODOM  

Official title:

Evaluation of the Organization of Continuity of Care for Home Hospice Patients by Four Parisian Health Networks

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03336489
• Other study ID #: HPD_2016_24
• Status: Completed
• Start date: March 29, 2017
• Est. completion date: November 7, 2018

Study information

• Verified date: November 2017
• Source: Fondation Ophtalmologique Adolphe de Rothschild
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

In Paris, France, home hospice care for terminally ill patients is organized by four "palliative care networks". These networks are responsible for information sharing and coordination of all health care professionals working with the patient. Two different systems are in place to ensure continuity of care outside working hours, in such a setting. In the first system, palliative care specialists from the network are reachable over the phone 24/7 by the patient or its caregivers, whenever needed. In the second system, medical information about the patient, regularly updated by the network's medical team, is available to professionals via a secure website, so that in case the patient requires an urgent medical home visit outside working hours, the visiting physician has access to accurate information.

The study's goal is to compare patient's and caregiver's satisfaction between these two systems of continuity of care.

For that purpose, patients will be taken care of as usual by every palliative care network. In every instance where the patient or caregivers have reached out for medical help through the network's continuity of care system, the patient or caregiver will be called 5 days later by the investigation team to go through a satisfaction questionnaire (Likert scales)

Recruitment information / eligibility

• Status: Completed
• Enrollment: 200
• Est. completion date: November 7, 2018
• Est. primary completion date: June 20, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Patient has a disease with fatal prognosis and requires palliative care

• Patient lives in Paris, France

• Patient benefits from home hospice care through one of the four official Paris palliative care networks

Exclusion Criteria:

• Pregnant women

• Breastfeeding womed

• Altered cognitive function with a Mini Mental Status below 20

• Patient not able to communicate or not speaking French

• Patient legally not capable of giving informed consent

Related Conditions & MeSH terms

• Neoplasms
• Neurodegenerative Diseases
• Terminal Illness

Locations

Country	Name	City	State
France	Reseau ENSEMBLE	Paris
France	Reseau QUIETUDE	Paris
France	Reseaux ParisOuest	Paris
France	Reseaux ROPE	Paris

Sponsors (1)

Lead Sponsor	Collaborator
Fondation Ophtalmologique Adolphe de Rothschild

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Satisfaction about the response given by the network's continuity of care system	Patient's (or caregiver's) satisfaction about the response given by the network's continuity of care system, after the patient or caregiver activated this system at night time or during week-ends or bank holliday, as measured on a 4-level Likert scale (verbal questionnaire by phone call)	between the first and tenth day after the patient or caregiver activated the network's continuity of care system