Case Management Study to Reduce Health Care Utilization for Frequent Hospital Care Users

Region Sjælland

Status: Unknown

Conditions: Quality of Life

Treatments: Behavioral: Interview followed by frequent telephone support

Study type: Interventional

Funder types: Other

Identifiers

NCT02583555

SJ-499

Details and patient eligibility

About

The purpose of this study is to identify persons with high risk of frequent hospital admissions and by counselling by one in depth interview followed by frequent telephone contacts improve their quality of life and reduce their healthcare utilization.

Full description

Participants are identified by administrative data and a model predicting high risk of future healthcare utilization. Participants are invited to the study by mail. After informed consent participants are randomized to either active treatment or control 3:1. Active patients have an in depth interview with a specially trained nurse. Further counselling by telephone weekly for 6-9 months.

Quality of Life is measured by SF-36 every 3 months for one year both in active participants and in controls.

Enrollment: 400 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient > 18 years
• Recent history of contact with hospital
• Anticipated sustained high visit frequency

Exclusion criteria

• Dementia (ICD10: F00-F03 or F051)
• Psychoses (ICD10: F20-F29)
• Drug abuse (ICD10: F10-F19)
• Metastases (ICD10: C77-C80)
• Hearing impairment or language difficulties
• Life expectancy < 1 year No telephone

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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400 participants in 2 patient groups

Active patient support

Active Comparator group

Description:

Interview followed by frequent telephone support Questionnaire every 3 months

Treatment:

Behavioral: Interview followed by frequent telephone support

Controls

No Intervention group

Description:

Questionnaire every 3 months