A Quality Rating Scale for Patients in Complex Situations

Study Overview
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Brief Summary
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The prevalence of multimorbid patients and complex care is increasing in France and elsewhere in the world. It concerns 60% of the over 65 years old. Comprehensive care, the involvement of the patient and his caregivers appear as the solutions for the management of these new care situations. The structures of multi-professional grouping, developing a coordinated exercise (GECO), appear as the privileged place to take care of these patients. These structures become the main place of exercise in France (improved working conditions for professionals, financial incentives, public policy, etc.); they have shown their ability to formulate patient care protocols, to produce coordinated exercise, to better involve the patient and caregivers in their care. The question of improving the quality of care arises. To date, there is no data on the subject apart from some evaluations mainly medico-economic. The patient's place in the evaluation showed his interest with the existence of a proven correlation between patient satisfaction in particular and his compliance and health outcomes.

Official Title
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Establish a Scale of Assessment of the Quality of Primary Care in Multi-functional Health Centers and Homes Integrating the Point of View of Complex Patients and Their Caregivers

Conditions
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Patients in Complex Situations

Intervention / Treatment
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* Other: Questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient followed in the primary care center, able to participate, speaking and understanding French, and being in a complex care situation, benefiting from a multi-professional care (at least two professionals different from the center including the general practitioner). Exclusion Criteria: Patient not in a complex care situation Patient followed only by the general practitioner of GECO Refusal of participation

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Questionnaire|Completion of the questionnaire by the patient after consultation with the general practitioner|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Construction of the questionnaire. | The main objective of this phase of the protocol is to structure the questionnaire in order to achieve a scale of assessment of the quality of primary care provided within the coordinated exercise groups from the point of view of complex care patients, their caregivers and patients and health professionals. This questionnaire doesn't exist so it has no name.This questionnaire is qualitative and not quantitative, so nos score is expected. | 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Multimorbidity, Exercise coordinated groups (GECO), Caregivers