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

NCT ID: NCT01985074

Last Updated: 2015-09-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

15000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-07-31

Study Completion Date

2016-12-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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The Focus is to Investigate Effect of a Case Management Interventions in Frequent Visitors to Emergency Departments

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Case-management intervention

Receiving nurse-managed intervention

Group Type EXPERIMENTAL

Case-management intervention

Intervention Type BEHAVIORAL

The participants in the intervention group receives a nurse-managed case-management intervention that is regularly delivered by telephone or, when necessary, in person.

Control arm

Control group not receiving any intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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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.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Region Stockholm

OTHER_GOV

Sponsor Role collaborator

Ostergotland County Council, Sweden

OTHER

Sponsor Role collaborator

Vastra Gotaland Region

OTHER_GOV

Sponsor Role collaborator

Uppsala County Council, Sweden

OTHER_GOV

Sponsor Role collaborator

Sormland County Council, Sweden

OTHER

Sponsor Role collaborator

Health Navigator

OTHER

Sponsor Role lead

Responsible Party

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Gustaf Edgren

Senior scientific advisor / associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gsutaf Edgren, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Health Navigator

Locations

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Stockholms Läns Landsting

Stockholm, , Sweden

Site Status

Countries

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Sweden

References

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Reinius P, Johansson M, Fjellner A, Werr J, Ohlen G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013 Oct;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a.

Reference Type RESULT
PMID: 22960802 (View on PubMed)

Other Identifiers

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HN-AHS-MBS-1

Identifier Type: -

Identifier Source: org_study_id

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