Chronic diseases in frail patients (at-home dependent patients) Not Applicable
Conditions
Interventions
Five Primary Health-Care Centers (PHCs) from the OSI Donostialdea are randomised to the experimental group and five PHCs to the control group. Within the experimental group (five PHCs), individuals wi
Sponsors
Hospital Universitario Donostia
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Frail patients 2. Living at home 3. Barthel Index score lower than 60 4. Agree to participate 5. No age limits
Exclusion criteria
Exclusion criteria: Do not agree to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Number of physical consultations, taken from information systems during the 1-year follow up 2. Number of visits to ED, taken from information systems during the 1-year follow up 3. Mortality, taken from mortality registry at the end of the 1-year follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Number of admissions, registered by information systems during the 1-year follow up 2. Length of stay, the mean number of days if the patients suffers more than one admission, registered by information systems during the 1-year follow up 3. Perceived quality of care, measured using standard questionnaire at the end of the 1-year follow-up | — |
Countries
Spain
Outcome results
None listed