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| ID | Type | Description | Link |
|---|---|---|---|
| 40025834 | Other Identifier | Fond National de la Recherche |
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| Name | Class |
|---|---|
| CHU UCL Namur | UNKNOWN |
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Nursing home (NH) residents have complex healthcare needs. Barriers to collaboration hinder the delivery of high-quality care in nursing homes. To bridge the gap between hospital-based and NH-based care, various innovative approaches have been proposed, including geriatric mobile teams. In Belgium, geriatric expertise has long been confined to hospital settings. Until recently, no specific organization existed for outpatient geriatric assessment, particularly for NH residents. In April 2024, the National Institute for Health and Disability Insurance (INAMI) introduced a new reimbursement code for geriatric consultations in NHs, promoting the development of extramural geriatric activities. However, evidence on the effectiveness of mobile geriatric teams remains limited, particularly regarding hospitalization prevention.
The geriatrics department of CHU UCL Namur is implementing a one-year pilot project involving a mobile team composed of a geriatrician and a nurse to conduct geriatric assessments in the three nursing homes. This non-randomized pilot project aims to establish a new standard of care for residents selected by their general practitioner, leveraging the new reimbursement code. The project is accompanied by a clinical study assessing the feasibility, effectiveness, and acceptability of this intervention. Prospectively collected data will also help define key indicators for a future large-scale study focused on cost-effectiveness.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group | Nursing home resident with a geriatric consultation at her place of residence |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Geriatric assessment | Other | The tertiary hospital's geriatrics department is implementing a one-year mobile team composed of a geriatrician and a nurse to conduct geriatric assessments (Anamnesis and heteroanamnesis - Clinical examination - Medication review - Proposed management plan provided to the general practionner, who independently decides which recommendations to implement) in three nursing homes. This non-randomized pilot project aims to establish a new standard of care for residents selected by their primary care physician. The project is accompanied by a clinical study designed to assess the feasibility, effectiveness, and acceptability of this intervention. Prospectively collected data will also help define key indicators for a future large-scale study focusing on cost-effectiveness. |
| Measure | Description | Time Frame |
|---|---|---|
| Feasability | Immediately after the initial consultation, with follow-up assessments at 3, 6, 9, and up to 12 months post-inclusion. |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptability | Immediately after the initial consultation, with follow-up assessments at 3, 6, 9, and up to 12 months post-inclusion | |
| Determine the outcomes for a future full evaluation study. | Immediately after the initial consultation, with follow-up assessments at 3, 6, 9, and up to 12 months post-inclusion |
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Inclusion Criteria:
Patients aged over 70 years
Presenting with one or more of the following conditions:
Exclusion Criteria:
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The study population will be defined based on the population identified within the geriatric consultation project in nursing homes. Eligible patients present with geriatric syndromes identified by their primary care physician. They are over 70 years old and reside in one of the three nursing homes participating in the project.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marie de Saint-Hubert | Contact | +3281424027 | marie.desainthubert@chuuclnamur.uclouvain.be |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU UCL Namur | Yvoir | 5530 | Belgium |
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| ID | Term |
|---|---|
| D015577 | Geriatric Assessment |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D006304 | Health Status |
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| D003710 |
| Demography |
| D011154 | Population Characteristics |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D015991 | Epidemiologic Measurements |
| D011634 | Public Health |
| D004778 | Environment and Public Health |