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NCT05878054

Pursuing the Triple Aim in Hotspotters: Identification and Integrated Care

Active, enrolled NA Last updated 24 February 2026
What this trial tests

NA trial testing Proactive, integrated and personalised care in Complex Patient in 41 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
2 August 2023
Primary endpoint
31 December 2026
31 December 2026

Quick facts

Lead sponsorLeiden University Medical Center
PhaseNA
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingnone
Primary purposeother
Enrollment41
Start date2 August 2023
Primary completion31 December 2026
Estimated completion31 December 2026
Sites1 location across Netherlands

Drugs / interventions tested

Conditions studied

Sponsor

Leiden University Medical Center

Who can join

18 and older, any sex, with Complex Patient or Multimorbidity. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Hotspotters are patients with complex care needs, defined by problems in multiple life domains and high acute care use. These patients often receive mismatched care, resulting in overuse of care and increased healthcare costs. Reliable data on (cost-)effective interventions for these patients are scarce. The goal of this study is to assess the cost-effectiveness of pro-active and integrated care. This approach includes: an intake consultation with Positive Health; multidisciplinary meetings with physician, mental healthcare nurse, social worker and the patient; a personalised care plan and proactive care management. We aim to include 200 patients, divided over 20 primary care practices.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Hotspotters Project: a study protocol for a stepped wedge cluster RCT on the cost-effectiveness of 12-month proactive, integrated and personalised care for patients with problems on multiple life domains and high acute care use.
    Tiemes V, Leming KA, Borgdorff H, Bruijnzeels MA, et al · · 2025 · cited 1× · PMID 40784776 · DOI 10.1136/bmjopen-2024-087940

Verify or expand the search:

Other recruiting trials for Complex Patient

Currently open trials in the same condition.

Other Leiden University Medical Center trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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