Home-based Primary Care for Homebound Seniors
NCT02965508 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 230
Last updated 2020-10-19
Summary
The objective of this pragmatic randomized controlled trial is to compare the impact of physician directed home-based primary care with office-based primary care on hospitalizations, symptom control, caregiver burden, healthcare costs and other outcomes for older homebound adults and to conduct a dissemination and implementation evaluation to support future home-based primary care adoption
Conditions
- Home-bound Adults
Interventions
- OTHER
-
Home-based Primary Care
Care in the programs is inter-professional and team-based. Each physician leads a team charged with the care of a panel of patients and directs the team's activities. New patients are assigned a Mount Sinai Visiting Doctors (MSVD) primary care physician or the Chelsea Village House Calls Program (CVHCP) who makes an initial visit within 2 weeks of the patient's enrollment in the program. The primary care physician completes a comprehensive medical history and physical exam during the initial visit including standardized assessments of physical functioning and cognition. The primary care physician then provides ongoing management of the patients' acute and chronic health problems, including palliative and home hospice care when needed, every 2 to 12 weeks as determined on a case-by-case basis.
- OTHER
-
Usual Care
Office based care
Sponsors & Collaborators
-
National Institutes of Health (NIH)
collaborator NIH -
National Institute on Aging (NIA)
collaborator NIH - collaborator OTHER
-
University of California, San Francisco
collaborator OTHER -
Visiting Nurse Service of New York
collaborator OTHER -
The New Jewish Home
collaborator UNKNOWN -
Icahn School of Medicine at Mount Sinai
lead OTHER
Principal Investigators
-
Alex Federman, MD, MPH · Icahn School of Medicine at Mount Sinai
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-02-08
- Primary Completion
- 2020-07-10
- Completion
- 2020-07-10
Countries
- United States
Study Locations
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