NCT02762695

Effectiveness of a Case Management Model for Patients With Hypertension and Type II Diabetes in Chile

Evaluation of a Model of Care for People With Hypertension and Type II Diabetes Based on Case Management and Risk Adjustment

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 616 (estimated)
• Sponsor: Pontificia Universidad Catolica de Chile · Academic / Other
• Sex: All
• Age: 18 Years – 82 Years
• Healthy volunteers: Not accepted

Summary

The purpose of this study is to evaluate whether a new model of health care for chronic patients, based on Case Management and guided by a nurse which targets the patient´s risk, is more effective than usual care at Primary Health care in Chile. Additionally, this intervention would provide a better quality of care and a more efficient health provision.

Conditions

• Hypertension
• Diabetes Mellitus, Type 2

Interventions

Type	Name	Description
OTHER	Case Management	A model of health care for chronic patients, based on Case Management and guided by a nurse which targets the patient´s risk. The core elements of this strategy are: a. processes to identify specific population and their risk; b. evidence-based practice guidelines according to risk (higher risk, more interventions and monitoring by a nurse, lower risk, higher emphasis on self-care); c. Practice models based on collaboration between health team members leaded by a nurse; d. self-management education for patients; e. monitoring patients face to face or by telephone to ensure to follow the care program (blood test, medical consultation, for example); e. measurement of process and outcomes.
OTHER	Usual Care	Usual Care at Primary Health Care Center

Timeline

• Start date: 2016-05-04
• Primary completion: 2018-06-01
• Completion: 2018-06-01
• First posted: 2016-05-05
• Last updated: 2017-09-28

Locations

1 site across 1 country: Chile