The study of efficacy and feasibility of advanced case management for the patients with chronic diseases

The study of efficacy and feasibility of advanced case management for the patients with chronic diseases - The study of efficacy and and feasibility of advanced case management

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

JPRN

Registry ID

JPRN-UMIN000034440

Enrollment

200

Registered

2018-10-10

Start date

2016-10-01

Completion date

Unknown

Last updated

2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

The patients with chronic diseases including lifestyle related diseases and malignant tumors

Interventions

None listed

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: -The insured of Kure-city and Osaki National Health Insurance, and the Late Elderly Health Insurance System living in Kure-city and Osaki.Age =>20 years old. A patients fall under any of the following criteria 1 to 7. 1.A patient whose medical expenses are more than 1 million yen per month per month 2.A patient had two or more hospital admissions due to disease exacerbation last year 3.A patient had access to an intensive care unit from emergency outpatient last year 4.A patients' general condition is stable, but he can not decide on the recuperation 5.A patient has consulted frequently more than 10 days a month for the past 3 months or more 6.A patient takes more than 10 types of internal medicine

Exclusion criteria

Exclusion criteria: -Age<20 -Acute illness -Accident injuries

Design outcomes

Primary

Measure	Time frame
1.Efficacy of model -Medical Economic Indicators: Medical costs and long-term care costs, and how the service were used -Physical indicators: blood pressure, respiration rate, and ADL -Clinical indicators: total protein, albumin, potassium, sodium, and CRP -Psychological indicators: QOL and PHQ9 scores 2.Contents of support -Details of advanced case management 3.Feasibility -Accurately extracting patiants that we should target -Appropriateness of positioning of advanced case managers -Change of the region	—

Measure

Time frame

1.Efficacy of model -Medical Economic Indicators: Medical costs and long-term care costs, and how the service were used -Physical indicators: blood pressure, respiration rate, and ADL -Clinical indicators: total protein, albumin, potassium, sodium, and CRP -Psychological indicators: QOL and PHQ9 scores 2.Contents of support -Details of advanced case management 3.Feasibility -Accurately extracting patiants that we should target -Appropriateness of positioning of advanced case managers -Change of the region

—

Countries

Japan

Contacts

Public ContactKana Kazawa

Graduate School of Biomedical and Health Sciences, Hiroshima University Department of Nursing

kkazawa@hiroshima-u.ac.jp0822575382

Outcome results