Delivery of Health CareNCT04594967
The COPACC Study: Utilization, Health and Economic Evaluation of a Community-Based Primary Care Geriatric Hub at Whampoa
An observational study of Delivery of Health Care and Health Services, run by Geriatric Education and Research Institute at 1 site in Singapore.
Trial summary
This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore. Read more about this study
- Who is it for?
- Ages 40 to 99 years
- Conditions the study is for
- Delivery of Health Care, Health Services, Costs and Cost Analysis
- What is being tested?
- Patient-centred care home (PCMH)
- How many people
- 184 participants
- Where
- 1 siteSingapore
- Study dates
- 4 Oct 2017to 30 Jun 2020
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 to 99 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Older adults aged 40 years and above who reside in Whampoa, Singapore, and have complex healthcare needs.
Who may be able to join
- Aged 40 years and above ii. Lives in Whampoa, Singapore iii. Enrolled in PCMH after 1 September 2017
Who cannot join
- Aged less than 40 years ii. Does not live in Whampoa Singapore
Trial locations and contacts
1 site in 1 country.
Singapore1 site
Geriatric Education and Research Institute
Singapore, 768024
About this study
Official title: The Community for Successful Ageing (ComSA) Patient-Centered Care (COPACC) Study: Utilization, Health and Economic Evaluation of a Community-Based Primary Care Geriatric Hub at Whampoa, Singapore.
This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore.
Read the detailed description
This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore. This study aims to evaluate the impact of ComSA PCMH on health service utilisation, healthcare cost, clinical quality and effectiveness, as well as patient activation, quality of life, satisfaction and experience of care. The first component of the study is a single arm prospective pre-post cohort design, which aims to evaluate the impact on enrolled patients' self-reported health outcomes, experience of care, and cost effectiveness. The second component of the study evaluates the quality of the implementation processes via clinical quality indicators. The third component is a match-controlled retrospective pre-post study design, which aims to evaluate the impact on healthcare utilisation. Data sources include both survey data and administrative data.
- Being tested
- Patient-centred care home (PCMH)
- Keywords
- patient-centred care, patient-centred medical home, older adults, complex needs, healthcare utilisation, economic evaluation, cost analysis, health services research
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Patient-centred care home (PCMH)Other
New model of care defined by care provision by a team of people centered in the community that is both proactive and coordinated to improve the health and wellness of the people in that community.
What is being measured
The primary outcome is the main question the study is designed to answer.
Healthcare utilisation: Primary care
Primary care visits
Measured: Change from baseline to post-3 months, and to post-6 months
Healthcare utilisation: Inpatient visits
Inpatient visits
Measured: Change from baseline to post-3 months, and to post-6 months
Healthcare utilisation: Specialist outpatient care
Specialist outpatient clinic visits
Measured: Change from baseline to post-3 months, and to post-6 months
Healthcare utilisation: A&E
A\&E visits
Measured: Change from baseline to post-3 months, and to post-6 months
Patient-reported outcome measure for patient activation
PAM-13
Measured: Change from baseline to post-3 months, and to post-6 months
Patient-reported outcome measure for quality of life
EQ-5D-5L
Measured: Change from baseline to post-3 months, and to post-6 months
Patient-reported outcome measure for quality of life in old age
CASP-19
Measured: Change from baseline to post-3 months, and to post-6 months
Patient experience of care
CAHPS
Measured: 6 months
Economic evaluation and cost analysis
Cost comparison between intervention group and non-intervention group
Measured: Change from baseline to post-3 months, and to post-6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Oct 2020
- Study start4 Oct 2017
- Primary completion30 Apr 2020
- Study completion30 Jun 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Delivery of Health CareStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 184 participants (actual)
Sponsor and investigators
- Lead sponsor
- Geriatric Education and Research Institute
- Sponsor type
- Other government
- Collaborators
- Tsao Foundation, National Healthcare Group, Singapore
- Responsible party
- Sponsor
- Investigators
- Chek Hooi Wong, Principal investigator, Geriatric Education and Research Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04594967
- Sponsor's protocol ID
- 2017/00352
- Other IDs
- 2017
- Status last verified
- Oct 2020
- First submitted
- 6 Oct 2020
- Last updated
- 21 Sep 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Lim ZZB, Mohamed Kadir M, Ginting ML, Vrijhoef HJM, Yoong J, Wong CH. Early Implementation of a Patient-Centered Medical Home in Singapore: A Qualitative Study Using Theory on Diffusion of Innovations. Int J Environ Res Public Health. 2021 Oct 24;18(21):11160. doi: 10.3390/ijerph182111160.
PubMed 34769680
Study at a glance
From the registry record, last updated by the sponsor on 21 Sep 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Community for Successful Ageing (ComSA) Patient-Centered Care (COPACC) Study: Utilization, Health and Economic Evaluation of a Community-Based Primary Care Geriatric Hub at Whampoa, Singapore.
- ClinicalTrials.gov ID
- NCT04594967
- Acronym / sponsor ID
- 2017/00352
- Keywords
- patient-centred care, patient-centred medical home, older adults, complex needs, healthcare utilisation, economic evaluation, cost analysis, health services research
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 184 participants (actual)
- Lead sponsor
- Geriatric Education and Research InstituteOther government
- Collaborators
- Tsao Foundation, National Healthcare Group, Singapore
- Study start
- 4 Oct 2017 (actual)
- Primary completion
- 30 Apr 2020 (actual)
- Study completion
- 30 Jun 2020 (actual)
- First posted
- 20 Oct 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore.
Detailed description
This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore. This study aims to evaluate the impact of ComSA PCMH on health service utilisation, healthcare cost, clinical quality and effectiveness, as well as patient activation, quality of life, satisfaction and experience of care. The first component of the study is a single arm prospective pre-post cohort design, which aims to evaluate the impact on enrolled patients' self-reported health outcomes, experience of care, and cost effectiveness. The second component of the study evaluates the quality of the implementation processes via clinical quality indicators. The third component is a match-controlled retrospective pre-post study design, which aims to evaluate the impact on healthcare utilisation. Data sources include both survey data and administrative data.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 40 to 99 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Older adults aged 40 years and above who reside in Whampoa, Singapore, and have complex healthcare needs.
Key inclusion criteria (1 listed)
- Aged 40 years and above ii. Lives in Whampoa, Singapore iii. Enrolled in PCMH after 1 September 2017
Key exclusion criteria (1 listed)
- Aged less than 40 years ii. Does not live in Whampoa Singapore
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Patient-centred care home (PCMH)New model of care defined by care provision by a team of people centered in the community that is both proactive and coordinated to improve the health and wellness of the people in that community. | Other | – |
Primary outcome
Healthcare utilisation: Primary care
Time frame: Change from baseline to post-3 months, and to post-6 months
Primary care visits
Healthcare utilisation: Inpatient visits
Time frame: Change from baseline to post-3 months, and to post-6 months
Inpatient visits
Healthcare utilisation: Specialist outpatient care
Time frame: Change from baseline to post-3 months, and to post-6 months
Specialist outpatient clinic visits
Healthcare utilisation: A&E
Time frame: Change from baseline to post-3 months, and to post-6 months
A\&E visits
Patient-reported outcome measure for patient activation
Time frame: Change from baseline to post-3 months, and to post-6 months
PAM-13
Patient-reported outcome measure for quality of life
Time frame: Change from baseline to post-3 months, and to post-6 months
EQ-5D-5L
Patient-reported outcome measure for quality of life in old age
Time frame: Change from baseline to post-3 months, and to post-6 months
CASP-19
Patient experience of care
Time frame: 6 months
CAHPS
Economic evaluation and cost analysis
Time frame: Change from baseline to post-3 months, and to post-6 months
Cost comparison between intervention group and non-intervention group
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Sep 2023.
- Derived from this study: PubMed 34769680Lim ZZB, Mohamed Kadir M, Ginting ML, Vrijhoef HJM, Yoong J, Wong CH. Early Implementation of a Patient-Centered Medical Home in Singapore: A Qualitative Study Using Theory on Diffusion of Innovations. Int J Environ Res Public Health. 2021 Oct 24;18(21):11160. doi: 10.3390/ijerph182111160.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Chek Hooi Wong principal investigator
Geriatric Education and Research Institute
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Delivery of Health Care and Health Services, run by Geriatric Education and Research Institute at 1 site in Singapore.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Singapore. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Healthcare utilisation: Primary care (time frame: Change from baseline to post-3 months, and to post-6 months). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04594967, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Sep 2023; AzTrials last refreshed its copy on 6 Nov 2026.