The COPACC Study: Utilization, Health and Economic Evaluation of a Community-Based Primary Care Geriatric Hub at Whampoa

Sponsor

Geriatric Education and Research Institute (Other)

Overall Status

Completed

CT.gov ID

NCT04594967

Collaborator

Tsao Foundation (Other), National Healthcare Group, Singapore (Other)

184

Enrollment

Location

32.9

Actual Duration (Months)

5.6

Patients Per Site Per Month

Study Details

Study Description

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.

Condition or Disease	Intervention/Treatment	Phase
Delivery of Health Care Health Services Costs and Cost Analysis Quality of Life	Other: Patient-centred care home (PCMH)

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.

Study Design

Study Type:

Observational

Actual Enrollment :

184 participants

Observational Model:

Cohort

Time Perspective:

Prospective

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.

Actual Study Start Date :

Oct 4, 2017

Actual Primary Completion Date :

Apr 30, 2020

Actual Study Completion Date :

Jun 30, 2020

Outcome Measures

Primary Outcome Measures

Healthcare utilisation: Primary care [Change from baseline to post-3 months, and to post-6 months]
Primary care visits
Healthcare utilisation: Inpatient visits [Change from baseline to post-3 months, and to post-6 months]
Inpatient visits
Healthcare utilisation: Specialist outpatient care [Change from baseline to post-3 months, and to post-6 months]
Specialist outpatient clinic visits
Healthcare utilisation: A&E [Change from baseline to post-3 months, and to post-6 months]
A&E visits
Patient-reported outcome measure for patient activation [Change from baseline to post-3 months, and to post-6 months]
PAM-13
Patient-reported outcome measure for quality of life [Change from baseline to post-3 months, and to post-6 months]
EQ-5D-5L
Patient-reported outcome measure for quality of life in old age [Change from baseline to post-3 months, and to post-6 months]
CASP-19
Patient experience of care [6 months]
CAHPS
Economic evaluation and cost analysis [Change from baseline to post-3 months, and to post-6 months]
Cost comparison between intervention group and non-intervention group