Effectiveness of a Case Management Model for Patients With Hypertension and Type II Diabetes in Chile

Evaluation of a Model of Care for People With Hypertension and Type II Diabetes Based on Case Management and Risk Adjustment

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02762695

Enrollment

616

Registered

2016-05-05

Start date

2016-05-04

Completion date

2018-06-30

Last updated

2017-09-28

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

Conditions

Diabetes Mellitus, Type 2, Hypertension

Keywords

Hypertension, Diabetes Mellitus, Type 2, Case Management

Brief summary

The purpose of this study is to evaluate whether a new model of health care for chronic patients, based on Case Management and guided by a nurse which targets the patient´s risk, is more effective than usual care at Primary Health care in Chile. Additionally, this intervention would provide a better quality of care and a more efficient health provision.

Interventions

OTHERCase Management

A model of health care for chronic patients, based on Case Management and guided by a nurse which targets the patient´s risk. The core elements of this strategy are: a. processes to identify specific population and their risk; b. evidence-based practice guidelines according to risk (higher risk, more interventions and monitoring by a nurse, lower risk, higher emphasis on self-care); c. Practice models based on collaboration between health team members leaded by a nurse; d. self-management education for patients; e. monitoring patients face to face or by telephone to ensure to follow the care program (blood test, medical consultation, for example); e. measurement of process and outcomes.

OTHERUsual Care

Usual Care at Primary Health Care Center

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to 82 Years

Healthy volunteers

Inclusion criteria

* Adults diagnosed with Hypertension and/ or Type 2 Diabetes

Exclusion criteria

* Severe mental illness and / or deterioration of cognitive abilities. * Severe hearing loss. * Diagnosed with cancer * Stage 4 or 5 of chronic kidney disease

Design outcomes

Primary

Measure	Time frame
Glycated Hemoglobin	One year
Systolic and Diastolic Blood Pressure	One year

Secondary

Measure	Time frame	Description
Quality of Care	one year	Measured by Clinical records audits
Patient satisfaction	one year	Measured by a questionnaire
Medication adherence	one year	Measured by Morisky- Green questionnaire

Countries

Chile

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026