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Municipality-based Post-discharge Follow-up Visits

NCT02094040 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 531

Last updated 2014-03-21

No results posted yet for this study

Summary

The purpose of this study is to determine whether discharge follow-up visit by primary physician and community-based nurse affects the risk of early re-hospitalisation among high risk older people discharged from a medical ward.

Conditions

  • Frailty
  • Readmission
  • Transition
  • Primary Care

Interventions

BEHAVIORAL

Receive municipality-based follow-up visit

Systematic electronic referral from hospital to municipality of high risk people at discharge from a medical ward. Contact from municipality service to primary physician and citizen, to arrange first home visit within 7 days with focus on: medication, rehabilitation plan and health care appointments, functional level and need for further health care initiatives. The visit is concluded by planning of further visits (up till tree) and division of responsibilities between primary physician and the municipality service.

Sponsors & Collaborators

  • Region Sjælland

    collaborator OTHER

  • Danish Institute for Public Health

    collaborator OTHER

  • Holbaek Sygehus

    lead OTHER

Principal Investigators

  • Thomas Gjørup · Medicinsk Afdeling, Holbæk Sygehus

Study Design

Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Model
PARALLEL

Eligibility

Min Age
65 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2012-02-29
Primary Completion
2013-12-31
Completion
2013-12-31

Countries

  • Denmark

Study Locations

More Related Trials

Entities

Diseases

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT02094040 on ClinicalTrials.gov