NCT04080570

Remote Physician Care for Home Hospital Patients

Remote Physician Care for Home Hospital Patients: A Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 172 (actual)
• Sponsor: Brigham and Women's Hospital · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This study examines the implications of providing remote physician care to home hospitalized patients compared to usual home hospital care with in-person/in-home physician visits.

Detailed description

Home hospital care is hospital-level care at home for acutely ill patients. In multiple publications, home hospital care delivered cost-effective, high-quality, excellent experience care with similar quality and safety as traditional hospital care. Most home hospital models require a licensed independent practitioner to see their patients physically in their home. To further improve the efficiency and scalability of home hospital care, the investigators propose to test remote care, where the physician would provide care via a video interaction, instead of in-home/in-person care. The investigators propose a non-inferiority evaluation of this intervention.

Conditions

• Infection
• Heart Failure
• Chronic Obstructive Pulmonary Disease
• Asthma
• Gout Flare
• Chronic Kidney Diseases
• Hypertensive Urgency
• Atrial Fibrillation Rapid
• Anticoagulants; Increased

Interventions

Type	Name	Description
OTHER	Remote Visit	After an initial in-home visit, the physician will see home hospitalized patients by facilitated video.

Timeline

• Start date: 2019-08-03
• Primary completion: 2020-04-27
• Completion: 2020-04-27
• First posted: 2019-09-06
• Last updated: 2020-11-30

Locations

2 sites across 1 country: United States