Study protocol of a quasi-experimental trial to compare two models of home care for older people in the primary setting
| Autor: | Sebastià Josep Santaeugènia-González, Marià Monzó-Planella, Rosa Maria Sequera-Requero, Carolina Burgos-Díez, Joan Carles Contel-Segura, Francisco José Tarazona-Santabalbina |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_treatment Control (management) Population Psychological intervention Pilot Projects lcsh:Geriatrics Preventive home visits Study Protocol 03 medical and health sciences Clinical Trial Protocols as Topic 0302 clinical medicine Health care Clinical endpoint Humans Medicine 030212 general & internal medicine education Postural Balance Aged Aged 80 and over Protocol (science) education.field_of_study Rehabilitation business.industry 030503 health policy & services medicine.disease Primary care Home Care Services Geriatric assessment lcsh:RC952-954.6 Spain Time and Motion Studies Quality of Life Life expectancy Female Medical emergency Geriatrics and Gerontology 0305 other medical science business Home care models |
| Zdroj: | BMC GERIATRICS r-FISABIO: Repositorio Institucional de Producción Científica Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) r-FISABIO. Repositorio Institucional de Producción Científica instname BMC Geriatrics, Vol 20, Iss 1, Pp 1-10 (2020) BMC Geriatrics |
| ISSN: | 1471-2318 |
| Popis: | Background Preventive home visits are suited for patients with reduced mobility, such as older people. Healthcare needs for older patients are expected to increase due to the extended life expectancy estimated in coming years. The implementation of low-cost, patient-centered methodologies may buffer this rise in health care costs without affecting the quality of service. In order to find the best home care model with less investment, this paper describes a study protocol comparing two models of home care for older people. Methods We describe a quasi-experimental study that compares the outcome of two different home care models already implemented in two primary care centers in Badalona (Barcelona, Spain). The traditional model (control model) is integrated in the sense that is continuous, the same primary care center team looks after its assigned patients both at the center and in preventive home visits. The new functional home care model (study model), consisting of a highly trained team, is specifically designed to meet patient needs and give total attention to preventive home interventions. The study will start and end on the expected dates, June 2018 to October 2020, and include all patients over 65 years old already enrolled in the home care programs of the primary care centers selected. The primary endpoint assessed will be the difference in hospitalization days between patients included in both home care programs. Other variables regarding health status, quality of care and resource utilization will also be compared between the two models. Discussion The study in progress will assess whether a functional and highly trained home care team will meet the ever-aging population needs in terms of cost and health outcomes better than a traditional, integrated one. Lessons learned from this pilot study will provide guidelines for a future model of home care based on the IHI Triple Aim: better care, better health, and lower costs. Trial registration Registered in ClinicalTrials.gov (Identifier: NCT03461315; March 12, 2018). |
| Databáze: | OpenAIRE |
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