Chronic Disease Clinical Trial
Official title:
Optimizing Medication Therapy Outcomes for Complex Patients Transitioning From Acute to Primary Care
Verified date | October 2018 |
Source | Memorial University of Newfoundland |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Patients who are discharged from hospital can be overwhelmed when they suddenly have to
manage new conditions or medications. These changes can be particularly difficult for people
on many medications or with multiple health conditions. There is a real risk that this will
lead to emergency room visits, hospital readmission, and even death. In addition to
endangering patients, these adverse events are very costly to the healthcare system. The good
news is that these events can be preventable if patients receive care that is better
coordinated.
Patient-oriented research will be conducted to determine if a pharmacist-led medication
therapy management service can improve health outcomes of 'medically complex' patients
transitioning from acute to primary care in Newfoundland and Labrador (NL). This a more
comprehensive service than their community pharmacist would normally provide. The program
will use a new Pharmacist Clinic service to provide care and support which does not currently
exist for patients in NL after they leave hospital. After discharge, patients will be
randomly divided into two groups: one group will receive care as usual from their doctor; the
other group will have their medications assessed by a clinic pharmacist within one week of
hospital discharge along with their usual care from their doctor. The two groups will be
compared to determine whether specialized pharmacist services after hospital discharge is
satisfactory to patients/providers, improves patient health, and reduces emergency room
visits, hospital readmissions, and repeat trips to the doctor. If successful, this project
will help ensure that patients are taking the right medications in the right way, improving
individual health and making better use of healthcare system resources.
Status | Terminated |
Enrollment | 89 |
Est. completion date | June 29, 2018 |
Est. primary completion date | April 30, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 50 Years and older |
Eligibility |
Inclusion Criteria: 1. 50 years of age or older 2. Admitted to a General Medicine ward 3. Take 5 or more chronic medications Exclusion Criteria: 1. Discharge to a long term care facility 2. Life expectancy less than 3 months 3. Have entered palliative care 4. Cognitive impairment (unless a responsible caregiver can provide consent and assist in participation) 5. Non-English speaking 6. Unable to provide informed consent |
Country | Name | City | State |
---|---|---|---|
Canada | Health Sciences Center | Saint John's | Newfoundland and Labrador |
Canada | St. Clares Mercy Hospital | St. John's | Newfoundland and Labrador |
Lead Sponsor | Collaborator |
---|---|
Memorial University of Newfoundland |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Patient Satisfaction Survey | Measured using a Likert scale questionnaire | Collected 3 - 6 months after study enrollment | |
Other | Pharmacist Satisfaction Survey | Measured using a Likert scale questionnaire | Collected at the end of study period (12-15 months) | |
Other | Physician Satisfaction Survey | Measured using a Likert scale questionnaire | Collected at the end of study period (12-15 months) | |
Other | Patient quality of life Short Form Health Survey | Measured using a Short Form Health Survey (SF-36) | Collected at time of hospital discharge | |
Other | Patient quality of life Short Form Health Survey | Measured using a Short Form Health Survey (SF-36) | Collected at 30, 60 and 90 days post hospital discharge | |
Primary | Composite Hospital Utilization Rate | A composite score of hospital readmission rate and ER visits | 30 days post discharge | |
Secondary | Number of Emergency Room Visits | 30 days post discharge | ||
Secondary | Number of Emergency Room Visits | 60 days post discharge | ||
Secondary | Number of Emergency Room Visits | 90 days post discharge | ||
Secondary | Rehospitalization Rate | 30 days post discharge | ||
Secondary | Rehospitalization Rate | 60 days post discharge | ||
Secondary | Rehospitalization Rate | 90 days post discharge | ||
Secondary | Mortality Rate | 30 days post discharge | ||
Secondary | Mortality Rate | 60 days post discharge | ||
Secondary | Mortality Rate | 90 days post discharge | ||
Secondary | Frequency of Family Physician Visits | 30 days post discharge | ||
Secondary | Frequency of Family Physician Visits | 60 days post discharge | ||
Secondary | Frequency of Family Physician Visits | 90 days post discharge |
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