Interprofessional Collaborative Practice in Primary Care: Potentially Avoidable Hospitalization

Aged Clinical Trial

— SCOPE HPE  

Official title:

Collaborative Practice in Primary Care: a Comparison of the Global Rate of Potentially Avoidable Hospitalization, Depending on Whether Their General Practitioner is Part of a Primary Care Team. A Cohort Study With a 36-month Follow-up.

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06420128
• Other study ID #: RC21_0307
• Status: Not yet recruiting
• Start date: June 2024
• Est. completion date: December 2024

Study information

• Verified date: May 2024
• Source: Nantes University Hospital
• Contact: Cédric Rat, Doctor
• Phone: 02.40.41.28.28
• Email: cedric.rat[@]univ-nantes.fr
• Is FDA regulated: No
• Study type: Observational

Clinical Trial 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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 500000
• Est. completion date: December 2024
• Est. primary completion date: December 2024
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• 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.

Exclusion Criteria:

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

Related Conditions & MeSH terms

• Aged
• Hospitalization
• Primary Health Care

Intervention

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

Locations

Country	Name	City	State
France	University Hospital	Nantes

Sponsors (1)

Lead Sponsor	Collaborator
Nantes University Hospital

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	Comparison of criterion of quality	Comparison of criterion of quality (rate of potentially avoidable hospitalization with emergency enter, rate of potentially avoidable hospitalization for patients with chronic disease(s), rate of rehospitalization at one month, mortality in post-hospitalization and rate of emergency admission), 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	Comparison of Global rate of potentially avoidable hospitalization depending the model of primary care team	Comparison of Global rate of potentially avoidable hospitalization depending the model of primary care team Description: comparison of global rate of potentially avoidable hospitalization depending general practitioner is a member of a national model of primary care team or a regional model of primary care team. Use of reimbursement data of Health Insurance System.	36 months
Secondary	Medico-economic evaluation	To determine health expenditures per patient, annual and total. Use of reimbursement data of Health Insurance System.	36 months