Clinical trial NCT03336489: Evaluation of the Organization of Continuity of Care for Home Hospice Patients by Four Parisian Health Networks
Official title: Evaluation of the Organization of Continuity of Care for Home Hospice Patients by Four Parisian Health Networks
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Neoplasms
Neurodegenerative Diseases
Terminal Illness
Lead sponsor: Fondation Ophtalmologique Adolphe de Rothschild
Sponsor class: NETWORK
First posted: 2017-11-08
Enrollment: 200
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All patients newly followed for home hospice care by the four palliative care networks of Paris, France, during the inclusion period (up to the inclusion of 200 patients)

Brief summary: In Paris, France, home hospice care for terminally ill patients is organized by four "palliative care networks". These networks are responsible for information sharing and coordination of all health care professionals working with the patient. Two different systems are in place to ensure continuity of care outside working hours, in such a setting. In the first system, palliative care specialists from the network are reachable over the phone 24/7 by the patient or its caregivers, whenever needed. In the second system, medical information about the patient, regularly updated by the network's medical team, is available to professionals via a secure website, so that in case the patient requires an urgent medical home visit outside working hours, the visiting physician has access to accurate information.

The study's goal is to compare patient's and caregiver's satisfaction between these two systems of continuity of care.

For that purpose, patients will be taken care of as usual by every palliative care network. In every instance where the patient or caregivers have reached out for medical help through the network's continuity of care system, the patient or caregiver will be called 5 days later by the investigation team to go through a satisfaction questionnaire (Likert scales)


Eligibility criteria: Inclusion Criteria:

* Patient has a disease with fatal prognosis and requires palliative care
* Patient lives in Paris, France
* Patient benefits from home hospice care through one of the four official Paris palliative care networks

Exclusion Criteria:

* Pregnant women
* Breastfeeding womed
* Altered cognitive function with a Mini Mental Status below 20
* Patient not able to communicate or not speaking French
* Patient legally not capable of giving informed consent

Primary outcomes:
measure: Satisfaction about the response given by the network's continuity of care system
timeFrame: between the first and tenth day after the patient or caregiver activated the network's continuity of care system
Secondary outcomes:
Other outcomes:
Locations:
city: Paris
country: France
facility: Reseau QUIETUDE
city: Paris
country: France
facility: Reseaux ROPE
city: Paris
country: France
facility: Reseau ENSEMBLE
city: Paris
country: France
facility: Reseaux ParisOuest
Study officials:
affiliation: Clinical Research Department, Rothschild Foundation, Paris (France)
name: Herve PICARD, MD MSc
role: PRINCIPAL_INVESTIGATOR
References: