NCT03130283

Study Design of the Empirical Evaluation of the AISBE Program in Catalonia

Completed NA Last updated 6 September 2019

What this trial tests

NA trial testing Home Hospitalization in Unrecognized Condition in 400 participants. Completed in 1 December 2018.

Timeline

1 December 2017

Primary endpoint
30 July 2018

1 December 2018

Quick facts

Lead sponsor	Hospital Clinic of Barcelona
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	non randomized
Design	parallel
Masking	none
Primary purpose	health services research
Enrollment	400
Start date	1 December 2017
Primary completion	30 July 2018
Estimated completion	1 December 2018
Sites	1 location across Spain

Drugs / interventions tested

• Home Hospitalization
• Conventional Hospitalization

Conditions studied

• Unrecognized Condition — all drugs for Unrecognized Condition →

Sponsor

Hospital Clinic of Barcelona

Who can join

18 and older, any sex, with Unrecognized Condition. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The project has a threefold aim: (i) Assessment of Home Hospitalization and Early Discharge (HH/ED) deployment at Hospital Clinic over a period of 10 years (2006-2015) as a preliminary analysis fo the second aim (ii) Large scale deployment of HH/ED and Transitional Care services; and, (iii) Population-based study on cost-effectiveness of integrated care services in the urban healthcare sector of Barcelona-Esquerra (540.000 inhabitants). The central hypothesis is that the approach will show safety and effectiveness with high level of user's acceptance and health value generation leading to sustainability of the service.The preliminary data indicate that HH/ED shows potential to strengthen care coordination between highly specialized hospital-based care and home-based services involving different levels of complexity. The need for appropriately designed transitional care services has been identified as the best option, not only for an efficient transference of patients from hospital to the community after hospital discharge, but as a way to overcome well identified limitations for generalization of community-based integrated care services.

AISBE is a population-based health initiative aiming at deployment of integrated care in one urban healthcare sector (Barcelona-Esquerra, 540.000 inhabitants) in the city of Barcelona. Within this initiative, the HH/ED program carried out by Hospital Clinic provides home-based hospitalization. Moreover, the program aims to implement transitional care strategies for optimal discharge.

The current document describes three studies: (Study 1) Analysis of the period 2006-2015; (Study 2) Program-based analysis of Home Hospitalization/Early Discharge (HH/ED) , and, (Study 3) Population-based analysis of cost-effectiveness of AISBE-based services. Study 2 is a program-based analysis of Home Hospitalization/Early Discharge (HH/ED). A quasi-experimental design. That is, a non-randomized intervention group (integrated care) will be compared with a control group (usual care) using propensity score matching wherein age, gender and health risk scoring will be main matching variables. The population-based evaluation will be done using registry data obtained from the Catalan Health Surveillance System (CHSS).

The protocol evaluation follows a Triple Aim approach considering pre-defined outcome variables for: a) health and well-being, b) experience with care, and c) costs.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

1. Implementation of Home Hospitalization and Early Discharge as an Integrated Care Service: A Ten Years Pragmatic Assessment.
   Hernández C, Aibar J, Seijas N, Puig I, et al · · 2018 · cited 43× · PMID 30127696 · DOI 10.5334/ijic.3431
2. Evaluation of integrated care services in Catalonia: population-based and service-based real-life deployment protocols.
   Baltaxe E, Cano I, Herranz C, Barberan-Garcia A, et al · · 2019 · cited 27× · PMID 31185997 · DOI 10.1186/s12913-019-4174-2
3. Health Outcomes from Home Hospitalization: Multisource Predictive Modeling.
   Calvo M, González R, Seijas N, Vela E, et al · · 2020 · cited 11× · PMID 33026357 · DOI 10.2196/21367
4. Prospective cohort study for assessment of integrated care with a triple aim approach: hospital at home as use case.
   Herranz C, González-Colom R, Baltaxe E, Seijas N, et al · · 2022 · cited 8× · PMID 36071439 · DOI 10.1186/s12913-022-08496-z
5. The value of admission avoidance: cost-consequence analysis of one-year activity in a consolidated service.
   Hernandez C, Herranz C, Baltaxe E, Seijas N, et al · · 2024 · cited 7× · PMID 38622593 · DOI 10.1186/s12962-024-00536-1
6. The Value of Admission Avoidance: Cost-Consequence Analysis of One-Year Activity in a Consolidated Service
   Hernandez C, Herranz C, Baltaxe E, Seijas N, et al · · 2023 · cited 1× · DOI 10.1101/2023.01.05.23284217
7. The Value of Admission Avoidance: Cost-Consequence Analysis of One-Year Activity in a Consolidated Service
   Hernandez C, Herranz C, Baltaxe E, Seijas N, et al · · 2023 · DOI 10.21203/rs.3.rs-2505061/v1