Evidence map›Paper›PMID 32164542›Full record

ArticleBMC geriatrics2020

Study protocol of a quasi-experimental trial to compare two models of home care for older people in the primary setting.

Carolina Burgos-Díez, Rosa Maria Sequera-Requero, Francisco José Tarazona-Santabalbina, Joan Carles Contel-Segura, Marià Monzó-Planella, Sebastià Josep Santaeugènia-González

Registry-linked trialAbstract read
In one paragraph

Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03461315 ("COMPARATIVE STUDY OF TWO MODELS OF PREVENTIVE HOME VISITS "), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03461315 naunknown statusnot on this map

"comparative study of two models of preventive home visits "

TypeinterventionalSponsorBadalona Serveis AssistencialsRan2018 to 2020Enrolled354ConditionsManaged Care Program, Home CareArmsFunctional assistance model
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Carolina Burgos-DíezDepartment of Surgery and Surgical Specializations, Faculty of Medicine, University of Barcelona (PC 08036), Barcelona, Catalonia, Spain.
Rosa Maria Sequera-RequeroPrimary Care Center Gran Sol, Institut Català de la Salut, Badalona, Catalonia, Spain.
Francisco José Tarazona-SantabalbinaGeriatric Medicine Department, Hospital Universitario de la Ribera, Alzira, Valencia, Spain.
Joan Carles Contel-SeguraChronic Care Program, Ministry of Health, Barcelona, Catalonia, Spain.
Marià Monzó-PlanellaDepartment of Surgery and Surgical Specializations, Faculty of Medicine, University of Barcelona (PC 08036), Barcelona, Catalonia, Spain.
Sebastià Josep Santaeugènia-GonzálezChronic Care Program, Ministry of Health, Barcelona, Catalonia, Spain. sebastia.santaeugenia@gencat.cat.ORCID 0000-0002-2725-4065

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreventive home visits are suited for patients with reduced mobility, such as older people. Healthcare needs for older patients are expected to increase due to the extended life expectancy estimated in coming years. The implementation of low-cost, patient-centered methodologies may buffer this rise in health care costs without affecting the quality of service. In order to find the best home care model with less investment, this paper describes a study protocol comparing two models of home care for older people.

methodsWe describe a quasi-experimental study that compares the outcome of two different home care models already implemented in two primary care centers in Badalona (Barcelona, Spain). The traditional model (control model) is integrated in the sense that is continuous, the same primary care center team looks after its assigned patients both at the center and in preventive home visits. The new functional home care model (study model), consisting of a highly trained team, is specifically designed to meet patient needs and give total attention to preventive home interventions. The study will start and end on the expected dates, June 2018 to October 2020, and include all patients over 65 years old already enrolled in the home care programs of the primary care centers selected. The primary endpoint assessed will be the difference in hospitalization days between patients included in both home care programs. Other variables regarding health status, quality of care and resource utilization will also be compared between the two models. DISCUSSION: The study in progress will assess whether a functional and highly trained home care team will meet the ever-aging population needs in terms of cost and health outcomes better than a traditional, integrated one. Lessons learned from this pilot study will provide guidelines for a future model of home care based on the IHI Triple Aim: better care, better health, and lower costs.

trial registrationRegistered in ClinicalTrials.gov (Identifier: NCT03461315; March 12, 2018).

Indexed as

Home Care ServicesQuality of LifeAgedAged, 80 and overClinical Trial Protocols as TopicFemaleHumansMalePilot ProjectsPostural BalanceSpainTime and Motion StudiesGeriatric assessmentHome care modelsPreventive home visitsPrimary care

Identifiers

PMID32164542
PMCPMC7068968

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.