Continuity of Care and Use of Urgent Healthcare in Multimorbid Patients

Sponsor:

Collaborators:

Information provided by (Responsible Party):

Alexandre MALMARTEL，University of Paris 5 - Rene Descartes

Tracking Information

First Submitted Date ^ICMJE

October 2, 2018

First Posted Date ^ICMJE

October 5, 2018

Last Update Posted Date

October 5, 2018

Actual Study Start Date ^ICMJE

January 15, 2019

Estimated Primary Completion Date

January 15, 2020 (Final data collection date for primary outcome measure)

Current Primary Outcome Measures ^ICMJE

Continuity of care[ Time Frame: over the past 1year ]

Bice-Boxerman index, measuring continuity of care (from 0 to 1, 1 = good continuity of care)

care pathway[ Time Frame: over the past 1 year ]

the number of health care consultations with any physician (primary care, emergency department, hospitalisation), collected from the French national health insurance database

Original Primary Outcome Measures ^ICMJE

Same as current

Current Secondary Outcome Measures ^ICMJE

global quality of life[ Time Frame: over the past 1 year ]
EuroQol Health Questionnaire in 5 questions measuring quality of life by the EuroQol Group. (from 0 to 100, 100= good quality of life)
burden of traitement[ Time Frame: over the past 1 year ]
Treatment Burden Questionnaire developped by VT Tran (from 0 to 130, 130 = treatments are a huge problem for the patient)

Descriptive Information

Brief Title ^ICMJE

Continuity of Care and Use of Urgent Healthcare in Multimorbid Patients

Official Title ^ICMJE

Continuity of Care and Use of Urgent Healthcare in Multimorbid Patients

Brief Summary

Chronic disease management is a public health problem that faces monitoring difficulties related to complex care pathways. This study will analyze the use of unscheduled or urgent care according to the continuity of care in multimorbid patients

Detailed Description

The prevalence of chronic diseases in the population is increasing significantly. It represents a new challenge for doctors and health authorities. However, patients often have at least two chronic diseases. These are referred to as "multimorbid" patients, whose continuity of care has not been well studied to date. This observational study evaluates the association between the continuity of care in multimorbid patients seen in general practice and their use of urgent healthcare, their quality of life and their burden of treatment.

Study Type ^ICMJE

Observational

Study Phase

Study Design ^ICMJE

Allocation:
Intervention Model:
Intervention Model Description:
Masking: Observational
Masking Description:
Primary Purpose:

Condition ^ICMJE

Intervention ^ICMJE

Study Arms

: multmorbid patients
patients with 2 chronic diseases (medical conditions requiring management for more than 6 months)

Recruitment Information

Recruitment Status ^ICMJE

Not yet recruiting

Estimated Enrollment ^ICMJE

600

Original Estimated Enrollment ^ICMJE

Same as current

Estimated Study Completion Date

June 15, 2020

Estimated Primary Completion Date

January 15, 2020 (Final data collection date for primary outcome measure)

Eligibility Criteria ^ICMJE

Inclusion Criteria: - over 18 years of age, seen in consultation in the office by an investigating doctor, with a follow-up for more than 12 months in the office, presenting at least two chronic disease , having given their written consent to participate in the study Exclusion Criteria: - seen at home - unable to respond (cognitive problems or language barrier)

Sex/Gender

Sexes Eligible for Study:

All

Ages

18 Years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Listed Location Countries ^ICMJE

Removed Location Countries

Administrative Information

Has Data Monitoring Committee

U.S. FDA-regulated Product

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

IPD Sharing Statement

Plan to Share IPD:

Responsible Party

Alexandre MALMARTEL，University of Paris 5 - Rene Descartes

Study Sponsor ^ICMJE

University of Paris 5 - Rene Descartes

Collaborators ^ICMJE

Investigators ^ICMJE

PRS Account

University of Paris 5 - Rene Descartes

Verification Date

October 2018

^ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP

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