## Protocol Section
### Identification Module
**NCT ID:** NCT06420128

**Acronym:** SCOPE HPE

**Brief Title:** Interprofessional Collaborative Practice in Primary Care: Potentially Avoidable Hospitalization

**Official Title:** Collaborative Practice in Primary Care: a Comparison of the Global Rate of Potentially Avoidable Hospitalization, Depending on Whether Their General Practitioner is Part of a Primary Care Team. A Cohort Study With a 36-month Follow-up.

#### Organization Study ID Info
**ID:** RC21_0307
#### Organization
**Class:** OTHER
**Full Name:** Nantes University Hospital
### Status Module
#### Completion Date
**Date:** 2024-12

**Type:** ESTIMATED

#### Expanded Access Info
#### Last Update Post Date
**Date:** 2024-05-17

**Type:** ACTUAL

**Last Update Submit Date:** 2024-05-16

**Overall Status:** NOT_YET_RECRUITING

#### Primary Completion Date
**Date:** 2024-12

**Type:** ESTIMATED

#### Start Date
**Date:** 2024-06

**Type:** ESTIMATED

**Status Verified Date:** 2024-05

#### Study First Post Date
**Date:** 2024-05-17
**Type:** ACTUAL
**Study First Submit Date:** 2024-05-03
**Study First Submit QC Date:** 2024-05-16
### Sponsor Collaborators Module

#### Lead Sponsor

**Class:** OTHER

**Name:** Nantes University Hospital

#### Responsible Party

**Type:** SPONSOR

### Oversight Module

**Is FDA Regulated Device:** False

**Is FDA Regulated Drug:** False

**Oversight Has DMC:** False

### Description Module

**Brief Summary:** The World Health Organization supports collaborative practice in primary care, defining it as "when multiple health professionals from different professional backgrounds work together with patients, families, carers and communities to deliver the highest quality of care across settings" (1). Previous research have shown that collaborative practice in primary care improves care pathways, efficiency of care (2,3), job satisfaction among health professionals (4-6), and economic efficiency (3,7). Riverin et al. found a reduction in post-hospitalization mortality with collaborative practice (8).

In France, the establishment of primary care teams following the American model of Centered Medical Homes is encouraged. In the Pays de la Loire region, two models exist: A national and a regional model.

A major issue for patient care team is the care of seniors (9,10).Hospitalizations can have adverse health effects for this population (11,12). 45% of emergency admissions follow by a hospitalization concern them (13).

The hypothesis of the study is that collaborative practice could reduce the global rate of potential avoidable hospitalizations among seniors.

### Conditions Module

**Conditions:**

- Hospitalization

- Aged

- Primary Health Care

**Keywords:**

- Collaborative practice

- Seniors

- Potentially avoidable hospitalization

- Primary Care Team

### Design Module

#### Design Info

**Observational Model:** COHORT

**Time Perspective:** RETROSPECTIVE

#### Enrollment Info

**Count:** 500000

**Type:** ESTIMATED

**Study Type:** OBSERVATIONAL

### Arms Interventions Module

#### Arm Group 1

**Description:** Patients whose general practitioner is a member of a primary care team since at least 12 months

**Intervention Names:**

- Other: Primary care team

**Label:** Primary care team

#### Arm Group 2

**Description:** Patients whose general practitioner is not part of a primary care team

**Label:** Traditional

### Interventions

#### Intervention 1

**Arm Group Labels:**

- Primary care team

**Description:** Patients whose general practitioner is a member of a primary care team since at least 12 months

**Name:** Primary care team

**Type:** OTHER

### Outcomes Module

#### Primary Outcomes

**Description:** Comparison of the global rate of potentially avoidable hospitalization of seniors, depending on whether their general practitioner is a member of a primary care team. Use of reimbursement data of Health Insurance System.

**Measure:** Comparison of Global rate of potentially avoidable hospitalization

**Time Frame:** 36 months

#### Secondary Outcomes

**Description:** Comparison of criterion of quality (rate of potentially avoidable hospitalization with emergency enter, rate of potentially avoidable hospitalization for patients with chronic disease(s), rate of rehospitalization at one month, mortality in post-hospitalization and rate of emergency admission), depending on whether their general practitioner is a member of a primary care team. Use of reimbursement data of Health Insurance System.

**Measure:** Comparison of criterion of quality

**Time Frame:** 36 months

**Description:** Comparison of Global rate of potentially avoidable hospitalization depending the model of primary care team Description: comparison of global rate of potentially avoidable hospitalization depending general practitioner is a member of a national model of primary care team or a regional model of primary care team. Use of reimbursement data of Health Insurance System.

**Measure:** Comparison of Global rate of potentially avoidable hospitalization depending the model of primary care team

**Time Frame:** 36 months

**Description:** To determine health expenditures per patient, annual and total. Use of reimbursement data of Health Insurance System.

**Measure:** Medico-economic evaluation

**Time Frame:** 36 months

### Eligibility Module

**Eligibility Criteria:** Inclusion Criteria:

* Patients over 75 years old and over 65 years old with chronic disease(s), with a general practitioner in Pays de la Loire, affiliated with the general health insurance system and have had at least one healthcare encounter, and residing in the Pays de la Loire region.

Exclusion Criteria:

* Patients whose general practitioner has ceased their practice or changed their affiliation, as well as patients who have switched to a new general practitioner.

**Minimum Age:** 65 Years

**Sampling Method:** NON_PROBABILITY_SAMPLE

**Sex:** ALL

**Standard Ages:**

- OLDER_ADULT

**Study Population:** Seniors

### Contacts Locations Module

#### Central Contacts

**Contact 1:**

**Email:** cedric.rat@univ-nantes.fr

**Name:** Cédric Rat, Doctor

**Phone:** 02.40.41.28.28

**Role:** CONTACT

#### Locations

**Location 1:**

**City:** Nantes

**Contacts:**

***Contact 1:***

- **Email:** cedric.rat@univ-nantes.fr

- **Name:** Cédric RAT, Doctor

- **Phone:** 02.40.41.28.28

- **Role:** CONTACT

**Country:** France

**Facility:** University Hospital

**Zip:** 44093

### IPD Sharing Statement Module

**IPD Sharing:** NO

## Derived Section

### Misc Info Module

- Version Holder: 2024-05-31
