Primary Care-Hospital Embedding: a Prospective, Multicentric, Observational Study (PRIME)

Rovere Querini Patrizia

Status: Active, not recruiting

Conditions: Hypertension; Fever of Unknown Origin; Urinary Tract Infections; Chronic Obstructive Pulmonary Disease; Diabetes Mellitus; Deep Vein Thrombosis; Pneumonia; Heart Failure

Treatments: Other: Outpatient visit

Study type: Observational

Funder types: Other

Identifiers

NCT05723185

PRIME

Details and patient eligibility

About

This is a multicentric, prospective, observational study with two cohorts and adjunctive procedure. It aims at collecting and analyzing data about the function of an innovative hospital-territory integration health service for the management of patients with intermediate urgency, or emergency department "white codes." This service, activated in the participating centers, will be provided in two alternative modalities, one so-called "dual specialty" (cardiology and diabetes specialist outpatient clinic) and a second one more focused on the figure of the specialist in Internal Medicine.

The investigators will monitor the population treated in these centers (presenting complaint, medical history, clinical-radiological data, performed therapies and overall health path) and the degree of satisfaction of the General Practitioners who sent their patients there and the degree of satisfaction of the patients themselves. The data collected will also be used to evaluate the effectiveness of the outpatient clinics in terms of reducing improper admissions to the Emergency Departments and hospitalizations. The two modes of service delivery will be compared.

This is an 18-month study, sponsored by our Scientific Directorate and carried out on a nonprofit basis. The study will enroll 246 patients and 30 healthy volunteer General Practitioners. The clinical trial will be conducted in accordance with Good Clinical Practice standards.

Enrollment: 246 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients sent by General Practitioners for outpatient evaluation in the two models
• Patients able to read and sign the informed consent
• Patients able to read and fill the questionnaire

Exclusion criteria

• Pregnant women

Trial design

246 participants in 2 patient groups

Internal medicine model

Description:

This group of patients will be treated at the outpatient clinic which is run by internal medicine specialists

Treatment:

Other: Outpatient visit

Specialist model

Description:

This group of patients will be treated at the outpatient clinic which is run by cardiologists and/or diabetologists

Treatment:

Other: Outpatient visit