Clinical trial NCT04594967: The COPACC Study: Utilization, Health and Economic Evaluation of a Community-Based Primary Care Geriatric Hub at Whampoa
Official title: The Community for Successful Ageing (ComSA) Patient-Centered Care (COPACC) Study: Utilization, Health and Economic Evaluation of a Community-Based Primary Care Geriatric Hub at Whampoa, Singapore.
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Delivery of Health Care
Health Services
Costs and Cost Analysis
Quality of Life
Keywords: patient-centred care
patient-centred medical home
older adults
complex needs
healthcare utilisation
economic evaluation
cost analysis
health services research
Lead sponsor: Geriatric Education and Research Institute
Sponsor class: OTHER_GOV
Collaborators: name: Tsao Foundation
name: National Healthcare Group, Singapore
First posted: 2020-10-20
Enrollment: 184
Sex: ALL
Minimum age (years): 40
Maximum age (years): 99
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Older adults aged 40 years and above who reside in Whampoa, Singapore, and have complex healthcare needs.

Brief summary: This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore.

Detailed description: This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore. This study aims to evaluate the impact of ComSA PCMH on health service utilisation, healthcare cost, clinical quality and effectiveness, as well as patient activation, quality of life, satisfaction and experience of care. The first component of the study is a single arm prospective pre-post cohort design, which aims to evaluate the impact on enrolled patients' self-reported health outcomes, experience of care, and cost effectiveness. The second component of the study evaluates the quality of the implementation processes via clinical quality indicators. The third component is a match-controlled retrospective pre-post study design, which aims to evaluate the impact on healthcare utilisation. Data sources include both survey data and administrative data.

Eligibility criteria: Key inclusion criteria:

i. Aged 40 years and above ii. Lives in Whampoa, Singapore iii. Enrolled in PCMH after 1 September 2017

Exclusion criteria:

i. Aged less than 40 years ii. Does not live in Whampoa Singapore

Primary outcomes:
measure: Healthcare utilisation: Primary care
timeFrame: Change from baseline to post-3 months, and to post-6 months
measure: Healthcare utilisation: Inpatient visits
timeFrame: Change from baseline to post-3 months, and to post-6 months
measure: Healthcare utilisation: Specialist outpatient care
timeFrame: Change from baseline to post-3 months, and to post-6 months
measure: Healthcare utilisation: A&E
timeFrame: Change from baseline to post-3 months, and to post-6 months
measure: Patient-reported outcome measure for patient activation
timeFrame: Change from baseline to post-3 months, and to post-6 months
measure: Patient-reported outcome measure for quality of life
timeFrame: Change from baseline to post-3 months, and to post-6 months
measure: Patient-reported outcome measure for quality of life in old age
timeFrame: Change from baseline to post-3 months, and to post-6 months
measure: Patient experience of care
timeFrame: 6 months
measure: Economic evaluation and cost analysis
timeFrame: Change from baseline to post-3 months, and to post-6 months
Secondary outcomes:
Other outcomes:
Locations:
city: Singapore
country: Singapore
facility: Geriatric Education and Research Institute
Study officials:
affiliation: Geriatric Education and Research Institute
name: Chek Hooi Wong
role: PRINCIPAL_INVESTIGATOR
References:
citation: Lim ZZB, Mohamed Kadir M, Ginting ML, Vrijhoef HJM, Yoong J, Wong CH. Early Implementation of a Patient-Centered Medical Home in Singapore: A Qualitative Study Using Theory on Diffusion of Innovations. Int J Environ Res Public Health. 2021 Oct 24;18(21):11160. doi: 10.3390/ijerph182111160.