Post-Acute Physician Home Visit Program

Mass General Brigham

Status: Completed

Conditions: A Patient Discharged From an Acute-care Hospital Who Had an Acute Illness

Treatments: Other: Home visit

Study type: Interventional

Funder types: Other

Identifiers

NCT03178513

P000719

Details and patient eligibility

About

New or worsening symptoms following discharge from the hospital likely leads to unplanned readmission. These rates are higher than desired and costly to patients, payers, and providers. Many interventions have unsuccessfully attempted to reduce readmissions, but few have provided in-home personnel to patients transitioning from acute care back to ambulatory care. Still fewer have involved a physician in the home. We therefore will test the effect of a physician home visit to a patient's home who was discharged in the last 4 days.

Enrollment: 51 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Resides within either a 5-mile or 20-minute driving radius of Brigham and Women's Hospital (BWH) or Brigham and Women's Faulkner Hospital (BWFH) emergency room
• Has capacity to consent to study
• >=18 years old

Exclusion criteria

• Undomiciled
• In police custody
• Domestic violence screen positive

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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51 participants in 2 patient groups

Home visit

Experimental group

Description:

A participant in this arm will receive a home visit after discharge from the hospital.

Treatment:

Other: Home visit

Usual Care

No Intervention group

Description:

A participant in this arm will not receive a home visit after discharge from the hospital.