IRCCS INRCA Hospital
Ancona, 60127, Italy
Location status: Recruiting
Recruiting
NCT Number: NCT06893419
Geriatric Telemanagement of HEALTH Conditions in Nursing Home Residents Recently Discharged From the Hospital- GET HEALTH-I
Get-HEALTH-I study is a retrospective prospective interventional study to evaluate the impact of a geriatric telemanagement program on cost-effectiveness and clinical outcomes in nursing home residents post-hospital discharge.
Recruiting
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Request InfoKey information
Conditions
Age range
70 year and older
Sex eligibility
All sexes
Study type
Interventional
Phase
Not applicable
Primary location
About this study
The GET HEALTH-I is a before and after study, consisting of both a retrospective and prospective component. The retrospective component of the study includes nursing home residents in the Marche region (Italy) who are readmitted to the nursing home after a hospital discharge, before the implementation of geriatric telemanagement. The prospective component, includes nursing home residents who are readmitted to the nursing home after a hospital discharge and are managed with the geriatric telemedicine intervention in addition to usual care. The primary objective of the study is to develop a geriatric co-management governance model using telemedicine for elderly patients with multimorbidity discharged from the hospital to nursing homes.The model will integrate geriatric specialists with nursing home staff and general practitioners.
A secondary objective of the study is to measure the performance of the model in terms of effectiveness and cost-effectiveness. In particular, an evaluation will be conducted on the effects of implementing the geriatric telemanagement governance model on the risk of hospitalization, geriatric syndromes (falls, delirium, pressure ulcers), number of medications, and inappropriate prescriptions. Adherence to the intervention by GPs and nursing home staff, satisfaction and perception of utility, costs, healthcare resource utilization, and cost-effectiveness will be evaluated.
Who can participate
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
- Nursing home residents discharged from the hospital within one week of admission to the nursing home
Exclusion criteria
- Residents admitted for a short-term stay
Treatment and study plan
Geriatric telemanagement
OtherThe geriatrician will coordinate, through a telemedicine consultation, a team consisting of the general practitioner and the nursing home staff. The geriatrician will review the diagnoses, treatments, and results of the comprehensive geriatric assessment performed by the nursing home staff. Subsequently, the entire team will conduct a multidisciplinary conference.
Primary outcomes
-
reduction in hospitalization rate
Time frame: After 6 months from baseline
A minimum 15% reduction in the hospitalization rate will define the efficacy of the geriatric telemedicine consultation intervention
Study contacts
Contact information is provided by the study sponsor or research team.
Sponsors and collaborators
Lead sponsor
Istituto Nazionale di Ricovero e Cura per Anziani
Other
Collaborators
- Ministry of Health, Italy
Registry information
Official study title
Definition and Testing of a New Model of Clinical Governance Based on the Integration of Tools Such as Health Technology Assessment, Clinical Practice Guidelines, Clinical Pathways, and Healthcare Performance Measurement for Planning, Implementation and Management of Healthcare Interventions in Different Settings - INTEGRATE-HEALTH-GOV - Geriatric Telemanagement of HEALTH Conditions in Nursing Home Residents Recently Discharged From the Hospital GET HEALTH-I
Acronym: GET-HEALTH-I
Important dates
- Study start
- 2024
- Primary completion
- 2026
- Study completion
- 2026
- First posted
- Mar 25, 2025
- Registry last updated
- Sep 8, 2025
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.