Potentially Avoidable Hospitalisation in France (HPE-LR)

Are Potentially Avoidable Hospitalizations a Good Measure of Access To Primary Care in France?

Potentially Avoidable Hospitalizations (Pah) Are Studied As An Indirect Measure Of Access To Primary Care And Of The Interface Between Primary And Secondary Care. A Previous Work Unveils Considerable Geographic Variation In The Rate Of Pah In France And Suggest That Primary Care Organization Might Play A Role In This Variation. However, A Limitation Of This Work Lies In The Lack Of Data On Actual Primary Care Utilization.

The Aim Of This Study Is To Analyze The Role Of Primary Care In The Variation Of Potentially Avoidable Hospitalizations At the Zip Code Level, In The French Region Languedoc-Roussillon-Midi-Pyrénées.

The investigator will implement An Ecological Approach In Which The Geographic Variation In The Rate Of Pah Is Analyzed In The French Region Lrmp, Year 2014. Age- And Sex-Adjusted Rate Of Pah By Zip Codes (N=612) Is Modeled Using A Spatial Regression Model.

Study Overview

• Status: Completed
• Conditions: Heart Failure; Diabetes; COPD
• Intervention / Treatment: Other: measure of access to primary care and of the Interface Between Primary ans Secondary Care

• Study Type: Observational
• Enrollment (Actual): 12000

Contacts and Locations

Study Locations

• France
  • Montpellier, France, 34295
    • Uhmontpellier

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 90 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

All patients with at least one hospital admission in the LRMP region in 2014.

Description

Inclusion criteria:

• year 2014
• LRMP region
• Hospital admission in any public or private hospital

Exclusion criteria:

• none

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Rate of potentially avoidable admissions	24 months

Secondary Outcome Measures

Outcome Measure	Time Frame
Standardized Rate of potentially avoidable admissions	24 months

Collaborators and Investigators

• Sponsor: University Hospital, Montpellier
• Investigators: Study Director: Gregoire MERCIER, MD, PhD, University Hospital, Montpellier; Study Chair: Gregoire mercier, MD, PhD, University Hospital, Montpellier

Study record dates

Study Major Dates

• Study Start (Actual): June 1, 2016
• Primary Completion (Actual): December 1, 2016
• Study Completion (Actual): March 1, 2017

Study Registration Dates

• First Submitted: September 7, 2016
• First Submitted That Met QC Criteria: September 12, 2016
• First Posted (Estimate): September 13, 2016

Study Record Updates

• Last Update Posted (Actual): February 27, 2019
• Last Update Submitted That Met QC Criteria: February 26, 2019
• Last Verified: February 1, 2019

More Information

Terms related to this study

• Keywords: primary care; Avoidable hospitalizations; geographicvariation
• Additional Relevant MeSH Terms: Heart Diseases; Cardiovascular Diseases; Heart Failure
• Other Study ID Numbers: 9670

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO