Post-Acute Physician Home Visit Program

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

COMPLETED

Clinical Phase

NA

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-06

Study Completion Date

2018-01-20

Brief Summary

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New or worsening symptoms following discharge from the hospital likely leads to unplanned readmission. These rates are higher than desired and costly to patients, payers, and providers. Many interventions have unsuccessfully attempted to reduce readmissions, but few have provided in-home personnel to patients transitioning from acute care back to ambulatory care. Still fewer have involved a physician in the home. We therefore will test the effect of a physician home visit to a patient's home who was discharged in the last 4 days.

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Detailed Description

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Conditions

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A Patient Discharged From an Acute-care Hospital Who Had an Acute Illness

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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Home visit

A participant in this arm will receive a home visit after discharge from the hospital.

Group Type EXPERIMENTAL

Home visit

Intervention Type OTHER

The visit will be entirely patient tailored, last approximately one hour, and at a minimum will entail:

* Medical assessment
* Psychosocial assessment
* Medication reconciliation
* Follow-up of inpatient primary team's specific recommendations
* Follow-up, as needed, with primary care team or inpatient team

Usual Care

A participant in this arm will not receive a home visit after discharge from the hospital.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Home visit

The visit will be entirely patient tailored, last approximately one hour, and at a minimum will entail:

* Medical assessment
* Psychosocial assessment
* Medication reconciliation
* Follow-up of inpatient primary team's specific recommendations
* Follow-up, as needed, with primary care team or inpatient team

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Resides within either a 5-mile or 20-minute driving radius of Brigham and Women's Hospital (BWH) or Brigham and Women's Faulkner Hospital (BWFH) emergency room
* Has capacity to consent to study
* \>=18 years old