Continuity of Care and Use of Urgent Healthcare in Multimorbid Patients

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03697772

Acronym

MULTIPASS-2

Enrollment

200

Registered

2018-10-05

Start date

2021-10-15

Completion date

2022-12-15

Last updated

2023-05-09

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

Conditions

Continuity of Care, Multimorbidity

Keywords

continuity of care, primary care, multimorbidity, quality of life

Brief summary

Chronic disease management is a public health problem that faces monitoring difficulties related to complex care pathways. This study will analyze the use of unscheduled or urgent care according to the continuity of care in multimorbid patients

Detailed description

The prevalence of chronic diseases in the population is increasing significantly. It represents a new challenge for doctors and health authorities. However, patients often have at least two chronic diseases. These are referred to as multimorbid patients, whose continuity of care has not been well studied to date. This observational study evaluates the association between the continuity of care in multimorbid patients seen in general practice and their use of urgent healthcare, their quality of life and their burden of treatment.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Inclusion criteria

* over 18 years of age, seen in consultation in the office by an investigating doctor, with a follow-up for more than 12 months in the office, presenting at least two chronic disease , having given their written consent to participate in the study

Exclusion criteria

* seen at home * unable to respond (cognitive problems or language barrier)

Design outcomes

Primary

Measure	Time frame	Description
Continuity of care	over the past 1year	Bice-Boxerman index, measuring continuity of care (from 0 to 1, 1 = good continuity of care)
care pathway	over the past 1 year	the number of health care consultations with any physician (primary care, emergency department, hospitalisation), collected from the French national health insurance database

Secondary

Measure	Time frame	Description
global quality of life	over the past 1 year	EuroQol Health Questionnaire in 5 questions measuring quality of life by the EuroQol Group. (from 0 to 100, 100= good quality of life)
burden of traitement	over the past 1 year	Treatment Burden Questionnaire developped by VT Tran (from 0 to 130, 130 = treatments are a huge problem for the patient)

Countries

France

Outcome results