Clinical trial NCT04151056: Impact of the Social Determinants of Health in the Central Catalan Region
Official title: Impact of the Social Determinants of Health in the Central Catalan Region
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Social Determinants of Health
Primary Health Care
Keywords: social determinants of health, reporting socials problems
Lead sponsor: Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina
Sponsor class: OTHER
Collaborators: name: Institut Català de la Salut
First posted: 2019-11-05
Enrollment: 1500
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Study population: Population assigned and attended at the 32 centers of primary care centers from the Catalan health institute of the Central Catalonia Sanitary Region.

Brief summary: The objective of this study is to increase the registry of social determinants of health in the primary care centers and evaluate the relationship that these social determinants of health with various variables of social impact.

Detailed description: Currently, the social problems are hidden behind clinical diagnostics. This may lead to overdiagnosis and overtreatment of some discomforts/pathologies that are observed in primary care centers that may respond better to community level interventions and promotion of health actions.

It is longitudinal , multicentered, pre and post intervention study, conducted by health professionals of central Catalonia sanitary region during 2019 Prior to the intervention, the number and type of social coded diagnoses in the clinical history is going to be described. Subsequently, an intervention will be carried out: training the professionals in the homogeneous codification of five selected social determinants. This codification will be systematically applied .The number and type of social diagnostics registered in the pre and post-intervention periods is going to be compared. Finally, the impact analysis of the social determinants is going to be carried out.

Afterwards the investigators plan to search solutions at Community level for the select social diagnoses

Eligibility criteria: Inclusion Criteria:

Phase I:

* Patients have been attended in their primary care centers during 23 September 2019 to 23 April 2020.
* The health professionals should complete the study checklist for each patient .

Phase II:

•Patients should sign the informed consent form to enter in a study cohort.

Exclusion Criteria:

Patients with advanced cognitive impairment because they would not be able to complete the study checklist. The study checklist is consist in answering five questions.

Primary outcomes:
measure: Population Taxes
timeFrame: 12 month
Secondary outcomes:
measure: Sociodemographic subcategories
timeFrame: 7 month
measure: Comparison with the post-intervention data of the six diagnostics with Chi Quadrat Test.
timeFrame: 7 month
measure: Social Impact. Parametric and non parametric test
timeFrame: 12 month
Other outcomes:
Locations:
city: Manresa
country: Spain
facility: Primary healthcare consultations of the Catalan health institute of the central catalonia region
state: Barcelona
Study officials:
affiliation: Institut Català de la Salut
name: Jacobo Mendioroz peña, MD
role: STUDY_CHAIR
References: