An observational study in Delivery of Health Care, Health Services and Costs and Cost Analysis, sponsored by Geriatric Education and Research Institute. Completed at 1 site in Singapore. Open to participants aged 40 Years to 99 Years. Per ClinicalTrials.gov, last updated 2023-09-21.
Sponsored by Geriatric Education and Research Institute · Observational
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 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.
Geriatric Education and Research Institute is the lead sponsor of 11 studies on the registry; 3 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Older adults aged 40 years and above who reside in Whampoa, Singapore, and have complex healthcare needs.
Key inclusion criteria:
i. Aged 40 years and above ii. Lives in Whampoa, Singapore iii. Enrolled in PCMH after 1 September 2017
Exclusion criteria:
i. Aged less than 40 years ii. Does not live in Whampoa Singapore
New model of care defined by care provision by a team of people centered in the community that is both proactive and coordinated to improve the health and wellness of the people in that community.
Healthcare utilisation: Primary care
Primary care visits
Time frame: Change from baseline to post-3 months, and to post-6 months
Healthcare utilisation: Inpatient visits
Inpatient visits
Time frame: Change from baseline to post-3 months, and to post-6 months
Healthcare utilisation: Specialist outpatient care
Specialist outpatient clinic visits
Time frame: Change from baseline to post-3 months, and to post-6 months
Healthcare utilisation: A&E
A\&E visits
Time frame: Change from baseline to post-3 months, and to post-6 months
Patient-reported outcome measure for patient activation
PAM-13
Time frame: Change from baseline to post-3 months, and to post-6 months
Patient-reported outcome measure for quality of life
EQ-5D-5L
Time frame: Change from baseline to post-3 months, and to post-6 months
Patient-reported outcome measure for quality of life in old age
CASP-19
Time frame: Change from baseline to post-3 months, and to post-6 months
Patient experience of care
CAHPS
Time frame: 6 months
Economic evaluation and cost analysis
Cost comparison between intervention group and non-intervention group
Time frame: Change from baseline to post-3 months, and to post-6 months
Plan to share: No
This study is completed, as verified in Oct 2020. You cannot join it, but the record below documents what was studied.
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Geriatric Education and Research Institute