Care for frail elderly Not Applicable
Conditions
Interventions
Control group: Usual care
Intervention: Walcheren Integrated Care Model
The Walcheren Integrated Care Model (WICM) is a comprehensive integrated model for the detecti
Sponsors
Netherlands Organisation for Health Research and Development (ZonMw) (Netherlands)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Elderly 75+ years old will be included: 1. If they score =4 on the Groningen Frailty Indicator (GFI) 2. If they have signed the consent form, or 3. If they are able to make that decision themselves 4. Included elderly will be asked to provide contact information for their informal caregiver
Exclusion criteria
Exclusion criteria: 1. Elderly on a waiting list for a nursing home 2. Elderly who are not able to decide themselves if they want to participate (e.g., in case of dementia) 3. Elderly with a life expectancy of <6 months due to a terminal illness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Elderly: Quality of life Data will be collected prospectively at three points in time: T0, T1 (3 months after inclusion), and T2 (12 months after inclusion). Data from the health professionals will be collected at T0 and T1 (18 months after full implementation of the model). For the cost-effectiveness study the outcome parameter used is cost per QALY (quality-adjusted life-year). For this, the EuroQol (EQ-6D) will be used to measure the quality of life of the elderly persons and will subsequently be converted into disability-adjusted life-years (DALYs). For the cost calculation, the volume of care will be linked to the actual, integral cost per medical service. This will be used to make the instructions for cost research in economic evaluations. Thus, the total care consumption of the elderly will be determined. The above-mentioned patient files, questionnaire, and time tracking form will provide insight into which care was received per elder, how much and from whom. | — |
Secondary
| Measure | Time frame |
|---|---|
| Elderly: 1. Ability to cope 2. Satisfaction, physical and social functioning 3. Mental well-being 4. Perceived health 5. Use of care Informal caregivers: Quality of life and burden Care-providers: Burden, knowledge, satisfaction with their job and continuity of care Society: Cost-effectiveness | — |
Countries
Netherlands
Outcome results
None listed