A Case Management Study Targeted to Reduce Health Care Utilization for Frequent Emergency Department Visitors

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Status: Unknown

Conditions: The Focus is to Investigate Effect of a Case Management Interventions in Frequent Visitors to Emergency Departments

Treatments: Behavioral: Case-management intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT01985074

HN-AHS-MBS-1

Details and patient eligibility

About

The aim of the study is to determine whether a nurse-managed telephone-based case-management intervention can reduce healthcare utilization and improve self-assessed health status in frequent emergency department users.

Full description

The study tests a nurse-run case-management intervention targeted towards frequent emergency department visitors. The aim is to reduce visits to emergency departments as well as to improve quality of life by facilitating coping mechanisms as well as redirecting these patients to more suitable health care facilities.

Enrollment: 15,000 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Recent history of frequent visits to emergency department
• Anticipated sustained high visit frequency
• Living in one of five Swedish counties where trial is ongoing

Exclusion criteria

• Moribund patients
• Psychosis
• Severe hearing impairment or language difficulties
• Other factors that may make it impossible or impractical for a patient to participate in the study

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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15,000 participants in 2 patient groups

Case-management intervention

Experimental group

Description:

Receiving nurse-managed intervention

Treatment:

Behavioral: Case-management intervention

Control arm

No Intervention group

Description:

Control group not receiving any intervention