Home-based Primary Care for Homebound Seniors

Stopped early · Not applicable

Conditions studied: Home-bound Adults

In brief

The objective of this pragmatic randomized controlled trial is to compare the impact of physician directed home-based primary care with office-based primary care on hospitalizations, symptom control, caregiver burden, healthcare costs and other outcomes for older homebound adults and to conduct a dissemination and implementation evaluation to support future home-based primary care adoption

Key facts

Study ID

NCT02965508

Run by

Icahn School of Medicine at Mount Sinai

People needed

230

Starts

2017-02-08

Expected to finish

2020-07-10

Last updated by the study team

2020-10-19

Who can join

Age: 65 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age ≥65 years with Medicare
• Able to provide informed consent (patient or proxy)
• Permanently requires assistance in ≥2 activities of daily living
• Patient or proxy reports that patient is home-bound (leaves the home infrequently for non-medical purposes or cannot leave the home without assistance)
• ≥1 hospitalization in past 12 months
• Speaks English or Spanish
• Willingness to accept a home-based primary care physician as their primary care physician.

You may not qualify if…

• Patients must live in Manhattan, have access to a telephone 24 hours a day, 7 days a week, not be on hemodialysis, agree to open the door and allow access to the members of the team
• If there is any active drug use/sale or firearms in home, we exclude for safety reasons
• A 2-week prognosis will be based on the opinion of the patient's primary care provider or by consensus among physicians on the research team
• Patients in hospice at baseline
• Standard MSVD and CVHCP exclusion criteria also apply :(1) Patients must live in Manhattan, have access to a telephone 24/7, not be on hemodialysis, agree to open the door and allow access to the members of the team; (2) If there is any active drug use/sale or firearms in home, will exclude for safety reasons.

Where it is running

• Icahn School of Medicine at Mount Sinai — New York, New York, United States

Full record on ClinicalTrials.gov

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