Clinical trial NCT05057520: Establish an Evaluation Scale for the Quality of Primary Care in Multi-professional Health Centres and Homes Integrating the Point of View of Patients in Complex Care Situations and Their Caregivers.
Official title: Establish an Evaluation Scale for the Quality of Primary Care in Multi-professional Health Centres and Homes Integrating the Point of View of Patients in Complex Care Situations and Their Caregivers.
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Patients in Complex Situations
Keywords: Multimorbidity
Exercise coordinated groups (GECO)
Caregivers
Lead sponsor: University Hospital, Brest
Sponsor class: OTHER
First posted: 2021-09-27
Enrollment: 250
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patient followed in the primary care center and being in a complex care situation, benefiting from a multi-professional care

Brief summary: 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.


Eligibility criteria: Inclusion Criteria:

* Patients over 18 years of age, followed in primary care centers, able to participate, speaking and understanding French,
* Patient in a complex care situation, benefiting from a multi-professional management (at least two different professionals from the center including the general practitioner),
* No opposition from the patient.

Exclusion Criteria:

* Patient not in a complex care situation
* Patient followed only by the the exercise coordinated group general practitioner
* Refusal to participate
* Patients who have already participated in phase 2 of the Qualsoprim project
* Adults under legal protection or unable to express their consent
* Persons deprived of their liberty by a judicial or administrative decision

Primary outcomes:
measure: Reliability of questionnaire
timeFrame: 1 day
Secondary outcomes:
measure: Concurrent validity of questionnaire
timeFrame: 1 day
measure: Anchor variables
timeFrame: 1 day
measure: Standardized scoring guide
timeFrame: 1 day
Other outcomes:
Locations:
city: Bannalec
country: France
facility: Maison de santé de Bannalec
city: Châteauneuf-du-Faou
country: France
facility: Maison de santé de Châteauneuf-du-Faou
city: Coray
country: France
facility: Maison de santé de Coray
city: Lanmeur
country: France
facility: Pôle de santé de Lanmeur
city: Trébeurden
country: France
facility: Maison de santé de Trébeurden
Study officials:
References: