Study protocol of a quasi-experimental trial to compare two models of home care for older people in the primary setting
Por:
Burgos-Diez, C, Sequera-Requero, R, Tarazona-Santabalbina, F, Contel-Segura, J, Monzo-Planella, M and Santaeugenia-Gonzalez, S
Publicada:
12 mar 2020
Categoría:
Geriatrics and gerontology
Resumen:
BackgroundPreventive home visits are suited for patients with reduced mobility, such as older people. Healthcare needs for older patients are expected to increase due to the extended life expectancy estimated in coming years. The implementation of low-cost, patient-centered methodologies may buffer this rise in health care costs without affecting the quality of service. In order to find the best home care model with less investment, this paper describes a study protocol comparing two models of home care for older people.MethodsWe describe a quasi-experimental study that compares the outcome of two different home care models already implemented in two primary care centers in Badalona (Barcelona, Spain). The traditional model (control model) is integrated in the sense that is continuous, the same primary care center team looks after its assigned patients both at the center and in preventive home visits. The new functional home care model (study model), consisting of a highly trained team, is specifically designed to meet patient needs and give total attention to preventive home interventions. The study will start and end on the expected dates, June 2018 to October 2020, and include all patients over 65years old already enrolled in the home care programs of the primary care centers selected. The primary endpoint assessed will be the difference in hospitalization days between patients included in both home care programs. Other variables regarding health status, quality of care and resource utilization will also be compared between the two models.DiscussionThe study in progress will assess whether a functional and highly trained home care team will meet the ever-aging population needs in terms of cost and health outcomes better than a traditional, integrated one. Lessons learned from this pilot study will provide guidelines for a future model of home care based on the IHI Triple Aim: better care, better health, and lower costs.Trial registrationRegistered in ClinicalTrials.gov (Identifier: NCT03461315; March 12, 2018).
Filiaciones:
Burgos-Diez, C:
Univ Barcelona PC 08036, Fac Med, Dept Surg & Surg Specializat, Barcelona, Catalonia, Spain
Badalona Serv Assistencials, Primary Care Ctr Apenins, Badalona, Catalonia, Spain
Sequera-Requero, R:
Inst Catala Salut, Primary Care Ctr Gran Sol, Badalona, Catalonia, Spain
:
Hosp Univ Ribera, Geriatr Med Dept, Valencia, Spain
Contel-Segura, J:
Minist Hlth, Chron Care Program, Barcelona, Catalonia, Spain
Monzo-Planella, M:
Univ Barcelona PC 08036, Fac Med, Dept Surg & Surg Specializat, Barcelona, Catalonia, Spain
Santaeugenia-Gonzalez, S:
Minist Hlth, Chron Care Program, Barcelona, Catalonia, Spain
Cent Univ Catalonia UVIC UCC, Univ Vic, Ctr Hlth & Societal Care Res CESS, C3RG, C Miquel Marti i Pol 1, Vic 08500, Spain
Green Published, gold
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