Embrace, a model for integrated elderly care: study protocol of a randomized controlled trial on the effectiveness regarding patient outcomes, service use, costs, and quality of care

BMC Geriatrics

Study Protocol

Sophie LW Spoorenberg¹  Sijmen A Reijneveld¹  Berrie Middel¹  Ronald J Uittenbroek¹  Klaske Wynia²  Berry PH Kremer³ 

[1] Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, P.O. BOX 196, 9700, Groningen, AD, The Netherlands;Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, P.O. BOX 196, 9700, Groningen, AD, The Netherlands;Department of Neurology, University Medical Center Groningen, University of Groningen, Groningen, P.O. BOX 30.001, 9700, Groningen, RB, The Netherlands;Department of Neurology, University Medical Center Groningen, University of Groningen, Groningen, P.O. BOX 30.001, 9700, Groningen, RB, The Netherlands;

关键词: Integrated health care systems;    Population-based care;    Chronic Care Model;    Ageing;    Chronic disease;    Patient outcomes;    Quality of care;    Cost effectiveness;   

DOI  :  10.1186/1471-2318-13-62

 received in 2013-03-15, accepted in 2013-06-13,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundOngoing growth in health care expenditures and changing patterns in the demand for health care challenge societies worldwide. The Chronic Care Model (CCM), combined with classification for care needs based on Kaiser Permanente (KP) Triangle, may offer a suitable framework for change. The aim of the present study is to investigate the effectiveness of Embrace, a population-based model for integrated elderly care, regarding patient outcomes, service use, costs, and quality of care.Methods/DesignThe CCM and the KP Triangle were translated to the Dutch setting and adapted to the full elderly population living in the community. A randomized controlled trial with balanced allocation was designed to test the effectiveness of Embrace. Eligible elderly persons are 75 years and older and enrolled with one of the participating general practitioner practices. Based on scores on the INTERMED-Elderly Self-Assessment and Groningen Frailty Indicator, participants will be stratified into one of three strata: (A) robust; (B) frail; and (C) complex care needs. Next, participants will be randomized per stratum to Embrace or care as usual. Embrace encompasses an Elderly Care Team per general practitioner practice, an Electronic Elderly Record System, decision support instruments, and a self-management support and prevention program – combined with care and support intensity levels increasing from stratum A to stratum C. Primary outcome variables are patient outcomes, service use, costs, and quality of care. Data will be collected at baseline, twelve months after starting date, and during the intervention period.DiscussionThis study could provide evidence for the effectiveness of Embrace.Trial registrationThe Netherlands National Trial Register NTR3039

【 授权许可】

CC BY   
© Spoorenberg et al.; licensee BioMed Central Ltd. 2013