HospitalizationSCOPE HPENCT06420128
Interprofessional Collaborative Practice in Primary Care: Potentially Avoidable Hospitalization
An observational study of Hospitalization and Aged, run by Nantes University Hospital at 1 site in France.
Trial summary
The World Health Organization supports collaborative practice in primary care, defining it as "when multiple health professionals from different professional backgrounds work together with patients, families, carers and communities to deliver the highest quality of care across settings" (1). Read more about this study
- Who is it for?
- Ages 65 years and older
- Conditions the study is for
- Hospitalization, Aged, Primary Health Care
- What is being tested?
- Primary care team
- How many people
- 500,000 participants
- Where
- 1 siteFrance
- Study dates
- Jun 2024to Dec 2024
- 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 65 years and older
- All sexes
- Older adult
Study population: Seniors
Who may be able to join
- Patients over 75 years old and over 65 years old with chronic disease(s), with a general practitioner in Pays de la Loire, affiliated with the general health insurance system and have had at least one healthcare encounter, and residing in the Pays de la Loire region.
Who cannot join
- Patients whose general practitioner has ceased their practice or changed their affiliation, as well as patients who have switched to a new general practitioner.
Trial locations and contacts
1 site in 1 country.
France1 site
University Hospital
Nantes, 44093
Cédric RAT, Doctor, 02.40.41.28.28, cedric.rat@univ-nantes.fr
About this study
Official title: Collaborative Practice in Primary Care: a Comparison of the Global Rate of Potentially Avoidable Hospitalization, Depending on Whether Their General Practitioner is Part of a Primary Care Team. A Cohort Study With a 36-month Follow-up.
The World Health Organization supports collaborative practice in primary care, defining it as "when multiple health professionals from different professional backgrounds work together with patients, families, carers and communities to deliver the highest quality of care across settings" (1). Previous research have shown that collaborative practice in primary care improves care pathways, efficiency of care (2,3), job satisfaction among health professionals (4-6), and economic efficiency (3,7). Riverin et al. found a reduction in post-hospitalization mortality with collaborative practice (8).
In France, the establishment of primary care teams following the American model of Centered Medical Homes is encouraged. In the Pays de la Loire region, two models exist: A national and a regional model.
Read more
A major issue for patient care team is the care of seniors (9,10).Hospitalizations can have adverse health effects for this population (11,12). 45% of emergency admissions follow by a hospitalization concern them (13).
The hypothesis of the study is that collaborative practice could reduce the global rate of potential avoidable hospitalizations among seniors.
- Conditions
- Hospitalization, Aged, Primary Health Care
- Being tested
- Primary care team
- Keywords
- Collaborative practice, Seniors, Potentially avoidable hospitalization, Primary Care Team
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Primary care teamOther
Patients whose general practitioner is a member of a primary care team since at least 12 months
| Study group | Role | What they receive |
|---|---|---|
| Primary care team | Patients whose general practitioner is a member of a primary care team since at least 12 months Receives: Other: Primary care team | |
| Traditional | Patients whose general practitioner is not part of a primary care team |
What is being measured
The primary outcome is the main question the study is designed to answer.
Comparison of Global rate of potentially avoidable hospitalization
Comparison of the global rate of potentially avoidable hospitalization of seniors, depending on whether their general practitioner is a member of a primary care team. Use of reimbursement data of Health Insurance System.
Measured: 36 months
Secondary outcomes (3)
Comparison of criterion of quality
Comparison of criterion of quality (rate of potentially avoidable hospitalization with emergency enter, rate of potentially avoidable hospitalization for patients with chronic disease(s), rate of rehospitalization at one month, mortality in post-hospitalization and rate of emergency admission), depending on whether their general practitioner is a member of a primary care team. Use of reimbursement data of Health Insurance System.
Measured: 36 months
Comparison of Global rate of potentially avoidable hospitalization depending the model of primary care team
Comparison of Global rate of potentially avoidable hospitalization depending the model of primary care team Description: comparison of global rate of potentially avoidable hospitalization depending general practitioner is a member of a national model of primary care team or a regional model of primary care team. Use of reimbursement data of Health Insurance System.
Measured: 36 months
Medico-economic evaluation
To determine health expenditures per patient, annual and total. Use of reimbursement data of Health Insurance System.
Measured: 36 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 May 2024
- Study startJun 2024 (estimated)
- Primary completionDec 2024 (estimated)
- Study completionDec 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HospitalizationStudies 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
- Retrospective
- Enrolment
- 500,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Nantes University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06420128
- Sponsor's protocol ID
- RC21_0307
- Acronym
- SCOPE HPE
- Status last verified
- May 2024
- First submitted
- 3 May 2024
- Last updated
- 17 May 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 17 May 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Collaborative Practice in Primary Care: a Comparison of the Global Rate of Potentially Avoidable Hospitalization, Depending on Whether Their General Practitioner is Part of a Primary Care Team. A Cohort Study With a 36-month Follow-up.
- ClinicalTrials.gov ID
- NCT06420128
- Acronym / sponsor ID
- SCOPE HPE / RC21_0307
- Conditions
- Hospitalization, Aged, Primary Health Care
- Keywords
- Collaborative practice, Seniors, Potentially avoidable hospitalization, Primary Care Team
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 500,000 participants (estimated)
- Lead sponsor
- Nantes University HospitalUniversity, hospital or other
- Study start
- Jun 2024 (estimated)
- Primary completion
- Dec 2024 (estimated)
- Study completion
- Dec 2024 (estimated)
- First posted
- 17 May 2024 (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.
The World Health Organization supports collaborative practice in primary care, defining it as "when multiple health professionals from different professional backgrounds work together with patients, families, carers and communities to deliver the highest quality of care across settings" (1). Previous research have shown that collaborative practice in primary care improves care pathways, efficiency of care (2,3), job satisfaction among health professionals (4-6), and economic efficiency (3,7). Riverin et al. found a reduction in post-hospitalization mortality with collaborative practice (8).
In France, the establishment of primary care teams following the American model of Centered Medical Homes is encouraged. In the Pays de la Loire region, two models exist: A national and a regional model.
A major issue for patient care team is the care of seniors (9,10).Hospitalizations can have adverse health effects for this population (11,12). 45% of emergency admissions follow by a hospitalization concern them (13).
The hypothesis of the study is that collaborative practice could reduce the global rate of potential avoidable hospitalizations among seniors.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Primary care team | – | Other: Primary care teamPatients whose general practitioner is a member of a primary care team since at least 12 months |
| Traditional | – | –Patients whose general practitioner is not part of a primary care team |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Age groups
- Older adult
- Study population
- Seniors
Key inclusion criteria (1 listed)
- Patients over 75 years old and over 65 years old with chronic disease(s), with a general practitioner in Pays de la Loire, affiliated with the general health insurance system and have had at least one healthcare encounter, and residing in the Pays de la Loire region.
Key exclusion criteria (1 listed)
- Patients whose general practitioner has ceased their practice or changed their affiliation, as well as patients who have switched to a new general practitioner.
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 |
|---|---|---|
| Primary care teamPatients whose general practitioner is a member of a primary care team since at least 12 months | Other | Primary care team |
Primary outcome
Comparison of Global rate of potentially avoidable hospitalization
Time frame: 36 months
Comparison of the global rate of potentially avoidable hospitalization of seniors, depending on whether their general practitioner is a member of a primary care team. Use of reimbursement data of Health Insurance System.
3 secondary outcomes
Comparison of criterion of quality
Time frame: 36 months
Comparison of Global rate of potentially avoidable hospitalization depending the model of primary care team
Time frame: 36 months
Medico-economic evaluation
Time frame: 36 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 May 2024.
- 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.
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 Hospitalization and Aged, run by Nantes University Hospital at 1 site in France.
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: status not confirmed, as of the sponsor's last update on 17 May 2024. 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 France. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Cédric Rat, Doctor (02.40.41.28.28, cedric.rat@univ-nantes.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Comparison of Global rate of potentially avoidable hospitalization (time frame: 36 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 17 May 2024.