Evaluation Program of the Benefit of the Coordination of the Course of the Elderly Patient in Health Establishment - Pilot Study.

Study Overview
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Brief Summary
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The large share of chronic diseases correlated with an aging population calls to develop necessary coordination between the hospital and non-hospital (professional of the city, home ...) to create new complementarities. Since July 2013, the Nantes University Hospital experiences the establishment of a coordinator route patient in Gerontology. The evaluation program of the benefit of coordinating the course in elderly patients in health establishment (PROCOPES) must allow to prove the efficiency of the intervention of a coordinator route patient, following elderly patients in complex situations, both within the hospital and outside the hospital (home, nursing home,...). The objective of PROCOPES is to show the added value of an innovative position that can make the link between the hospital and the city on deemed complex situations.The pilot study results present a strong interest for health care settings, nursing home and in the world of research. It will also permit to have preliminary data for bigest studies.

Official Title
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Evaluation Program of the Benefit of the Coordination of the Course of the Elderly Patient in Health Establishment - Pilot Study.

Conditions
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Elderly Patients in Complex Situations

Intervention / Treatment
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* Other: Coordinator
* Other: Classic plan


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient of 70 and more years old Patient living on Nantes Hospitalized in Nantes UH Patient whose the hospitalization is not relevant at the time of the request of trajectory case manager Patient whose the situation is complex (without solution at the time of the request) Patient (or legal representative) having given his assent of participation Exclusion Criteria: Patient (or legal representative) refusing to participate in the protocol Patient whose follow-up is impossible (ex: programmed move, life expectation)

Ages Eligible for Study
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Minimum Age: 70 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

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| With coordinator<br>Elderly patients, in complex situation, taken care by coordinator | Other: Coordinator<br>* Patients in complex situation taken care by coordinator<br>|
| Without coordinator<br>Elderly patients, in complex situation, taken care by the classic plan | Other: Classic plan<br>* Patients in complex situation taken care by classic plan<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cost-utility analysis (CUA) | A differential cost-utility ratio will be used to compare both interventions. The evaluation of costs will take into account direct health care insurance cost, hospital costs and patient cost (according to the french health care insurance system). The evaluation of utility will be based on the evaluation of patient's quality of life, measured by EuroQol EQ-5D. | 6 months |