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The Cirrhosis Medical Home: A Feasibility Study

肝硬化医疗之家：可行性研究

基本信息

批准号：
9978477
负责人：
Eric Orman
金额：
$ 12.15万
依托单位：
INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-07-01 至 2022-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9978477
关键词：
Acute Address American Ascites Behavioral Caring Chronic Disease Cirrhosis Clinical Cognitive Communities Complex Computer software Custom Data Data Collection Dementia Development Dropout Enrollment Ensure Feasibility Studies Feedback Frail Elderly Future Gastrointestinal Hemorrhage Goals Healthcare Systems Hepatic Encephalopathy Home environment Hospitalization Hospitals Impairment Indiana Individual Infection Inpatients Institute of Medicine (U.S.)Intervention Lead Length of Stay Liver Cirrhosis Measures Medical Mental Depression Modeling Morbidity - disease rate Nature Outcome Outcome Assessment Patient Care Patient-Centered Care Patients Physical Function Population Preparation Process Protocols documentation Quality of life Randomized Clinical Trials Randomized Controlled Trials Research Personnel Resources Social Functioning Societies Symptoms Testing United States Centers for Medicare and Medicaid Services Universities Vulnerable Populations biopsychosocial care coordination chronic liver disease collaborative care cost disability disabling symptom efficacy trial experience health care service health care service utilization hospital readmission improved innovation medical schools mortality novel patient oriented patient population personalized care personalized intervention psychologic randomized trial rehabilitation service screening success tool treatment as usual trial comparing

项目摘要

PROJECT SUMMARY Liver cirrhosis places a significant burden on individuals and society, causing diminished quality of life, increased disability, morbidity, and mortality; and high costs and utilization of health care resources. These outcomes could be improved with existing resources, but the current fragmented nature of the health care system does not allow for the necessary coordination to best care for this population. To address the general lack of care coordination in the health care system, collaborative care models have been developed for a wide range of clinical settings, and have successfully improved care for patients with numerous chronic diseases. Researchers at the Indiana University School of Medicine have over 20 years of experience in developing, testing, and implementing collaborative care for patients with dementia, depression, and other conditions. Building on these successes, investigators have customized the collaborative care model to best meet the unique needs of patients with decompensated cirrhosis: The Cirrhosis Medical Home (CMH). This proposal aims to establish the feasibility of performing a randomized controlled trial comparing the CMH to usual care for patients discharged from the hospital with decompensated cirrhosis. The specific aims are: (1) to test the screening and enrollment processes for a randomized trial of the CMH compared to usual care for patients discharged from the hospital with decompensated cirrhosis; (2) to assess the data collection process, outcome assessment, and the acceptability of the CMH randomized trial; and (3) to estimate the effect size of the CMH intervention on quality of life after six months. Upon completion of the proposed study, the investigators will have demonstrated the feasibility of enrolling and retaining subjects in a randomized trial of the CMH, and they will have established an estimated effect size that will ensure adequate power for a future randomized trial that will evaluate the efficacy of the CMH.

项目总结