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NCT Number: NCT04594967

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

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.

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Key information

Conditions

Delivery of Health Care Costs and Cost Analysis Health Services Quality of Life

Age range

40 year–99 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Geriatric Education and Research Institute

Singapore, 768024

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Patient-centred care home (PCMH)

Other

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.

Primary outcomes

  1. Healthcare utilisation: Primary care

    Time frame: Change from baseline to post-3 months, and to post-6 months

    Primary care visits

  2. Healthcare utilisation: Inpatient visits

    Time frame: Change from baseline to post-3 months, and to post-6 months

    Inpatient visits

  3. Healthcare utilisation: Specialist outpatient care

    Time frame: Change from baseline to post-3 months, and to post-6 months

    Specialist outpatient clinic visits

  4. Healthcare utilisation: A&E

    Time frame: Change from baseline to post-3 months, and to post-6 months

    A&E visits

  5. Patient-reported outcome measure for patient activation

    Time frame: Change from baseline to post-3 months, and to post-6 months

    PAM-13

  6. Patient-reported outcome measure for quality of life

    Time frame: Change from baseline to post-3 months, and to post-6 months

    EQ-5D-5L

  7. Patient-reported outcome measure for quality of life in old age

    Time frame: Change from baseline to post-3 months, and to post-6 months

    CASP-19

  8. Patient experience of care

    Time frame: 6 months

    CAHPS

  9. Economic evaluation and cost analysis

    Time frame: Change from baseline to post-3 months, and to post-6 months

    Cost comparison between intervention group and non-intervention group

Sponsors and collaborators

Lead sponsor

Geriatric Education and Research Institute

Other Gov

Collaborators

  • National Healthcare Group, Singapore
  • Tsao Foundation

Registry information

Official study 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.

Important dates

Study start
2017
Primary completion
2020
Study completion
2020
First posted
Oct 20, 2020
Registry last updated
Sep 21, 2023

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.

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