Effectiveness of an Innovative Program in Primary Care for Vulnerable and Precarious Population With Access Barriers to Healthcare System: PASS de Ville

NCT ID: NCT04321824

Last Updated: 2020-03-25

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

Total Enrollment

488 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-05-01

Study Completion Date

2023-11-01

Brief Summary

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Since the end of 2018, the Care and Orientation Center (CASO)of Marseille corridnated by Medecins du Monde has been investigated an innovative program aimed at direct referrals to primary care for vulnerable and precarious population with access barriers to healthcare system (no being coveraged at time of the study).

Patients consulting at the CASO MDM in Marseille are accompanied and were received, free of charge, by primary care professionals (general practitioners, specialists, pharmacy, analysis laboratory, etc).

This is an observational, comparative study, with two arms: the CASO MDM in Marseille for the intervention site and the CASO MDM in Bordeaux for the control site (where the innovative program does not exist).

A total of 610 patients will be included (305 in the innovative group / 305 in the control group).

The main objective is to evaluate the effectiveness of the innovative programm (PASS de ville) compared to the standard of care by assessing the rate of emergency departement visits at one year in each group.

Duration of inclusion: 12 months; Duration of follow-up: 18 months; Total duration of the study: 36 months.

Both quantitative and qualitative analyses will be conducted to address overall outcomes.

Univariate and multivariate analyzes will be performed on the primary outcome as well as the secondary outcomes in order to highlight significant differences between the two groups and to identify predictive factors for improved effectiveness. The analysis will be conducted in accordance with Good Epidemiological Practices, and the final report will be written according to the CONSORT (Consolidated Standards of Reporting Trials) recommendations. An intention to treat analysis will be conducted.

Detailed Description

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Conditions

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Vulnerable and Precarious Poupulation

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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the innovative programm (PASS de ville)

specific care for precarious people

No interventions assigned to this group

the standard of care

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* at least 18 years old
* without health coverage
* having medical needs
* not presenting a vital emergency
* not requiring hospital technical platform
* having declared to want to stay in the area at least 18 months afetr inclusion in the study
* having signed the notice of non opposition to the study

Exclusion Criteria

* less than 18 years old
* having effective health coverage
* in a life-saving emergency
* needing access to the hospital technical platform
* presenting cognitive impairment that limits comprehension
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique Hopitaux De Marseille

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean-Olivier ARNAUD

Role: STUDY_DIRECTOR

AP-HM

Locations

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Service Epidémiologie et Economie de la Santé - AP-HM

Marseille, , France

Site Status

Countries

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France

Central Contacts

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Pascal AUQUIER

Role: CONTACT

33(0)4 91 38 47 44

Facility Contacts

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Pascal AUQUIER

Role: primary

33(0)4 91 38 47 44

Other Identifiers

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2019-23

Identifier Type: -

Identifier Source: org_study_id

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