Caring for the Whole Person
2017年6月13日 更新者：Providence Health & Services
Caring for the Whole Person: A Patient-Centered Assessment of Integrated Care Models in Vulnerable Populations
The goal of this study is to identify outcomes associated with Behavioral Health Integration (BHI) that matter to patients, to compare changes in outcome over time to measure the impact of different BHI models on different patients, and to create and maintain an Integration Learning Collaborative.
研究概览
地位
未知
条件
干预/治疗
- 其他：Access to Care
- 其他：Depression Screening
- 其他：Patient-Provider Relationship
- 其他：Patient-Clinic Interactions
- 其他：Stigma
- 其他：Provider Continuity
- 其他：Symptom Severity
- 其他：Diagnoses
- 其他：Social support
- 其他：Preventive Screening
- 其他：Inpatient Hospitalization Utilization
- 其他：Inpatient Readmissions
- 其他：Post-Admission follow-up
详细说明
Twelve safety net clinics have been selected to be a part of this study. The clinics vary on a BHI continuum level, which includes minimal collaboration, basic collaboration at a distance, basic collaboration on site, close collaboration (partially integrated) and close collaboration (fully integrated).
Twelve-thousand patients will be randomly selected from the 12 clinics to be invited to participate in the study. Patients who elect to participate will complete a survey at baseline to collect patient-reported outcomes and again twelve months later.
The Oregon All Providers All Claims (APAC) database will be accessed to analyze financial data regarding the patients at baseline and 12 months.
The hypothesis is that the degree of clinic BHI will predict patient outcomes.
研究类型
观察性的
注册 (预期的)
6000
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
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Oregon
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Portland、Oregon、美国、97213
- Center for Outcomes Research and Education, Providence Health & Services
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
取样方法
概率样本
研究人群
Patients accessing care at safety net clinic in Oregon.
描述
Inclusion Criteria:
- Age >= 18
- Received care at a safety net care clinic in Oregon
Exclusion Criteria:
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学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
干预/治疗 |
|---|---|
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Safety Net Clinic Patients
A Cohort of patients in 12 different primary care clinics will be studied to measure how changes in different integration factors impacts the following patient reported outcomes at baseline and 12 months: Access to Care, Patient-Provider Relationship, Patient-Clinic Interactions, Stigma, Provider Continuity, Symptom Severity, Diagnoses, and Social Support.
Health care claims data will be accessed to analyze Depression Screening, Preventive Screening, Inpatient Hospitalization Utilization, Inpatient Readmissions, and Post-Admission follow-up at baseline and 12 months.
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Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with access to care.
Analysis of health care claims data for depression screenings at baseline and 12 months.
Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with patient-provider relationship.
Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with patient-clinic interactions.
Patient reported outcome survey administered at baseline and 12 months to measure perceived stigma.
Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with provider continuity.
Patient reported outcome survey administered at baseline and 12 months to measure symptom severity.
Patient reported outcome survey administered at baseline and 12 months to measure diagnoses.
Patient reported outcome survey administered at baseline and 12 months to assess social support and outlets.
Analysis of health care claims data for preventive screenings at baseline and 12 months.
Analysis of health care claims data for Inpatient Hospitalization Utilization at baseline and 12 months.
Analysis of health care claims data for Inpatient Hospitalization Readmissions at baseline and 12 months.
Analysis of health care claims data for Post-Admission follow-up at baseline and 12 months.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Change in patient reported outcomes
大体时间：12 months
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Change in patient reported outcomes at baseline and 12 months
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12 months
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Change in health care claims
大体时间：12 months
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change in health care claims at baseline and 12 months
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12 months
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
合作者
调查人员
- 首席研究员：Bill J. Wright, PhD、Director, Center for Outcomes Evaluate and Education, Providence Health & Services
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2015年3月1日
初级完成 (预期的)
2017年12月1日
研究完成 (预期的)
2017年12月1日
研究注册日期
首次提交
2017年1月25日
首先提交符合 QC 标准的
2017年1月25日
首次发布 (估计)
2017年1月27日
研究记录更新
最后更新发布 (实际的)
2017年6月15日
上次提交的符合 QC 标准的更新
2017年6月13日
最后验证
2017年6月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
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