- ICH GCP
- Register voor klinische proeven in de VS.
- Klinische proef NCT01863290
Linking Former Inmates to Primary Care
Transitions Clinic Network: Linking High-Risk Medicaid Patients From Prison to Community Primary Care
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
The Transitions Clinic Network (TCN) is a network of 13 community-based transitional healthcare programs, which aim to improve health, improve health care, and lower costs for vulnerable, high-risk Medicaid patients returning from prison across the United States. The TCN aims to connect individuals released from prison to primary care using trained, culturally competent primary care providers and community health workers (CHWs). The providers and CHWs, help patients obtain timely healthcare; promote healthy reintegration into their communities; provide care coordination and chronic disease management; and prevent unnecessary emergency department utilization and hospitalizations.
The project supports ongoing quality improvement at each of the 13 clinical sites by measuring the health, health care utilization, and the costs of caring for recently released patients. We will prospectively examine the rates of primary care engagement, acute care utilization, substance abuse and reported health, and recidivism in a cohort of 2000 patients recently released from prison receiving primary care at the 13 TCN programs. We will compare these rates of utilization at 6, 12, 18, 24, 30, 36 months to patient self-reported utilization prior to incarceration and historical controls.
Additionally, we aim to describe the implementation of, fidelity to, and sustainability of the TCN model in each of these clinical programs. Specifically, we aim to capture assets and barriers to starting and sustaining primary care programs targeting returning prisoners.
Studietype
Inschrijving (Werkelijk)
Contacten en locaties
Studie Locaties
-
-
-
Caguas, Puerto Rico, 00725
- Corporacion SANOS
-
-
-
-
Alabama
-
Birmingham, Alabama, Verenigde Staten, 25294-4410
- University of Alabama
-
-
California
-
Martinez, California, Verenigde Staten, 94553
- Contra Costa Health Services (East and West Contra Costa)
-
San Francisco, California, Verenigde Staten, 94103
- Southeast Health Center
-
San Jose, California, Verenigde Staten, 95128
- Santa Clara Health Center
-
-
Connecticut
-
New Haven, Connecticut, Verenigde Staten, 06520
- Yale Primary Care Center
-
-
Maryland
-
Baltimore, Maryland, Verenigde Staten, 21287
- East Baltimore Medical Center
-
-
Massachusetts
-
Boston, Massachusetts, Verenigde Staten, 02118
- Boston Healthcare for the Homeless Program
-
-
New York
-
New York, New York, Verenigde Staten, 10025
- Morningside Clinic
-
New York, New York, Verenigde Staten, 10467
- Montefiore Transition Clinic
-
Rochester, New York, Verenigde Staten, 14642
- Medicine in Psychiatry Service clinic of the University of Rochester Medical Center
-
-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Bemonsteringsmethode
Studie Bevolking
Beschrijving
Inclusion Criteria:
- Recently-released from prison (within one month)
- Has >=1 chronic disease condition , and/or age >=50 years
- Plans to live in the TCN area for the duration of the study
- Understands English or Spanish and able to provide consent
Exclusion Criteria:
- Does not plan to live in the TCN area for the duration of the study
- Does not understand English or Spanish, or unable to provide consent
- Does not plan to receive healthcare through a TCN clinic
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
Cohorten en interventies
Groep / Cohort |
Interventie / Behandeling |
---|---|
Former inmates
Former inmates with a chronic disease condition or aged 50 years and above engaged into primary care through an innovative primary care redesign model of the Transitions Clinic Network.
|
Connect individuals released from prison to primary care using trained, culturally competent primary care providers and community health workers (CHWs).
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
---|---|---|
Health outcomes
Tijdsspanne: One year
|
Patient health outcomes and quality of life, including self reported health, depression severity, hypertension, and relapse to alcohol and substance use.
|
One year
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
---|---|---|
Cost savings to the Centers for Medicare & Medicaid Services
Tijdsspanne: 3 years
|
Cost savings from prevented emergency department visits and hospitalizations, as well as improved health and decreased recidivism
|
3 years
|
Health care utilization
Tijdsspanne: One year
|
Rates of engagement with primary care, all cause emergency department utilization and hospitalization rates, emergency department utilization and hospitalization rates for ambulatory care sensitive conditions.
|
One year
|
Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Hoofdonderzoeker: Emily A Wang, MD, MAS, Yale University
Publicaties en nuttige links
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 1301011280
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .
Klinische onderzoeken op Primary care redesign
-
Ullevaal University HospitalThe Royal Norwegian Ministry of Health; The Norwegian Women´s Public Health AssociationOnbekend
-
Thomas Jefferson UniversityRita & Alex Hillman FoundationVoltooidChronische obstructieve longziekteVerenigde Staten
-
Thomas Jefferson UniversityIndependence Blue CrossActief, niet wervendZiekte van Alzheimer | Frontotemporale degeneratie | Vasculaire dementie | Dementie van het Alzheimer-type | Lewy Body dementie | Gemengde dementie | Vasculaire cognitieve stoornissenVerenigde Staten
-
University of California, Los AngelesCase Western Reserve University; The MetroHealth System; American Academy of Family... en andere medewerkersNog niet aan het wervenPreventieve gezondheidsdiensten
-
University of California, Los AngelesAmerican Academy of Family Physicians National Research Network; DARTNetAanmelden op uitnodigingPreventieve gezondheidsdienstenVerenigde Staten
-
International Centre for Diarrhoeal Disease Research...VoltooidGeestelijke stoornisBangladesh
-
San Francisco Veterans Affairs Medical CenterWerving
-
University of Southern CaliforniaVoltooidNeurologische stoornisVerenigde Staten
-
Nexcella Inc.Nog niet aan het wervenLichte keten (AL) amyloïdoseVerenigde Staten
-
Second Affiliated Hospital, School of Medicine,...WervingRecidiverend en refractair B-cellymfoomChina