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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04594967
Other study ID # 2017/00352
Secondary ID
Status Completed
Phase
First received
Last updated
Start date October 4, 2017
Est. completion date June 30, 2020

Study information

Verified date October 2020
Source Geriatric Education and Research Institute
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial 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.


Description:

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. This study aims to evaluate the impact of ComSA PCMH on health service utilisation, healthcare cost, clinical quality and effectiveness, as well as patient activation, quality of life, satisfaction and experience of care. The first component of the study is a single arm prospective pre-post cohort design, which aims to evaluate the impact on enrolled patients' self-reported health outcomes, experience of care, and cost effectiveness. The second component of the study evaluates the quality of the implementation processes via clinical quality indicators. The third component is a match-controlled retrospective pre-post study design, which aims to evaluate the impact on healthcare utilisation. Data sources include both survey data and administrative data.


Recruitment information / eligibility

Status Completed
Enrollment 184
Est. completion date June 30, 2020
Est. primary completion date April 30, 2020
Accepts healthy volunteers No
Gender All
Age group 40 Years to 99 Years
Eligibility Key inclusion criteria: i. Aged 40 years and above ii. Lives in Whampoa, Singapore iii. Enrolled in PCMH after 1 September 2017 Exclusion criteria: i. Aged less than 40 years ii. Does not live in Whampoa Singapore

Study Design


Intervention

Other:
Patient-centred care home (PCMH)
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.

Locations

Country Name City State
Singapore Geriatric Education and Research Institute Singapore

Sponsors (3)

Lead Sponsor Collaborator
Geriatric Education and Research Institute National Healthcare Group, Singapore, Tsao Foundation

Country where clinical trial is conducted

Singapore, 

Outcome

Type Measure Description Time frame Safety issue
Primary Healthcare utilisation: Primary care Primary care visits Change from baseline to post-3 months, and to post-6 months
Primary Healthcare utilisation: Inpatient visits Inpatient visits Change from baseline to post-3 months, and to post-6 months
Primary Healthcare utilisation: Specialist outpatient care Specialist outpatient clinic visits Change from baseline to post-3 months, and to post-6 months
Primary Healthcare utilisation: A&E A&E visits Change from baseline to post-3 months, and to post-6 months
Primary Patient-reported outcome measure for patient activation PAM-13 Change from baseline to post-3 months, and to post-6 months
Primary Patient-reported outcome measure for quality of life EQ-5D-5L Change from baseline to post-3 months, and to post-6 months
Primary 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
Primary Patient experience of care CAHPS 6 months
Primary 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
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