Clinical trial NCT04991558: Feasibility and Effectiveness of a Coordinated Healthcare Circuit Dedicated to Patients With Handicap
Official title: Prospective, Single-center Observational Study to Assess the Feasibility and Evaluate the Effectiveness of a Coordinated Healthcare Circuit Dedicated to Patients With Mental and Physical Disabilities Undergoing Planned Surgery
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Disabilities Physical
Disabilities Mental
Lead sponsor: Groupe Hospitalier Mutualiste de Grenoble
Sponsor class: OTHER
First posted: 2021-08-05
Enrollment: 46
Sex: ALL
Minimum age (years): 13
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patient with physical or mental disability, planned for surgical procedure and requiring an adaptation of their healthcare circuit

Brief summary: France currently has more than 10 million disabled people, including 3 millions who could be better treated. In fact, people with disabilities face many obstacles in accessing care and receiving appropriate support (physical access to certain locations, communication...). Difficulties are also encountered by the healthcare staff, leading to often heterogeneous practices in health establishments.

The INFRA health circuit has been set up at the "Groupe Hospitalier Mutualiste de Grenoble" since June 2018 according to the guidelines published by the French High Authority for Health (HAS) on improving professional practices "Reception, support and organization of care in health establishments for people in situation of handicap "of July 2017. The INFRA nurse collects and anticipates the necessary adaptations for the patient's stay, in conjunction with their caregivers (whether family or institutional). They are an interface with other healthcare professionals to adapt care procedures and protocols (body care, feeding methods, pain management, drug management) to the patient's disability. Before hospitalization and until the patient is discharged, the INFRA nurse transmits to the personnel involved all the information necessary for the proper continuation of care. In addition to legal and regulatory obligations, the INFRA nurse ensures the effective accessibility of the establishment's facilities and premises, and helps maintaining patient autonomy.

The INFRA study is an observational study aimed at assessing the feasibility of the INFRA health circuit and evaluating the benefit for the patients and the healthcare staff.


Eligibility criteria: Inclusion Criteria:

* 13 years old or more
* Physical or mental disability, according to french law n°2005-102 of February 11th, 2005
* Requiring an adaptation of the healthcare circuit
* Indication of a planned surgical procedure

Exclusion Criteria:

* Outpatient
* Emergency surgery

Primary outcomes:
measure: Number of patients who followed the entirety of INFRA circuit
timeFrame: At discharge, assessed up to 4 weeks
Secondary outcomes:
measure: Type of pain evaluation scale selected by the INFRA nurse
timeFrame: enrollment
measure: Number of healthcare adaptations implemented during hospitalization
timeFrame: At discharge, assessed up to 4 weeks
measure: Satisfaction of patients and caregivers
timeFrame: At discharge, assessed up to 4 weeks
measure: Satisfaction of healthcare staff
timeFrame: At discharge, assessed up to 4 weeks
Other outcomes:
Locations:
city: Grenoble
country: France
facility: Groupe Hospitalier Mutualiste de Grenoble
Study officials:
References: