A Case Management Study Targeted to Reduce Health Care Utilization for Frequent Emergency Department Visitors

September 13, 2015 updated by: Gustaf Edgren, Health Navigator
The aim of the study is to determine whether a nurse-managed telephone-based case-management intervention can reduce healthcare utilization and improve self-assessed health status in frequent emergency department users.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

The study tests a nurse-run case-management intervention targeted towards frequent emergency department visitors. The aim is to reduce visits to emergency departments as well as to improve quality of life by facilitating coping mechanisms as well as redirecting these patients to more suitable health care facilities.

Study Type

Interventional

Enrollment (Anticipated)

15000

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Sweden
      • Stockholm, Sweden
        • Stockholms Läns Landsting

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Recent history of frequent visits to emergency department
  • Anticipated sustained high visit frequency
  • Living in one of five Swedish counties where trial is ongoing

Exclusion Criteria:

  • Moribund patients
  • Psychosis
  • Severe hearing impairment or language difficulties
  • Other factors that may make it impossible or impractical for a patient to participate in the study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Case-management intervention
Receiving nurse-managed intervention
Behavioral: Case-management intervention
The participants in the intervention group receives a nurse-managed case-management intervention that is regularly delivered by telephone or, when necessary, in person.
No Intervention: Control arm
Control group not receiving any intervention

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Number of outpatient visits to medical doctor
Time Frame: During first two years of follow-up
During first two years of follow-up
Number of hospitalizations
Time Frame: During first two years of follow-up
During first two years of follow-up

Secondary Outcome Measures

Outcome Measure
Time Frame
Mortality
Time Frame: During first two years of follow-up
During first two years of follow-up
Length of hospital stay
Time Frame: During first two years of follow-up
During first two years of follow-up
Total health care costs
Time Frame: During first two years of follow-up
During first two years of follow-up

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Health Navigator

Collaborators

Vastra Gotaland Region
Region Stockholm
Ostergotland County Council, Sweden
Uppsala County Council, Sweden
Sormland County Council, Sweden

Investigators

  • Principal Investigator: Gsutaf Edgren, MD PhD, Health Navigator

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

July 1, 2010

Primary Completion (Actual)

April 1, 2015

Study Completion (Anticipated)

December 1, 2016

Study Registration Dates

First Submitted

November 4, 2013

First Submitted That Met QC Criteria

November 8, 2013

First Posted (Estimate)

November 15, 2013

Study Record Updates

Last Update Posted (Estimate)

September 15, 2015

Last Update Submitted That Met QC Criteria

September 13, 2015

Last Verified

September 1, 2015

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • HN-AHS-MBS-1

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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