The SUMMIT ambulatory-ICU primary care model for medically and socially complex patients in an urban federally qualified health center: study design and rationale.
Brian ChanSamuel T EdwardsMeg DevoeRichard GilMatthew MitchellHonora EnglanderChristina NicolaidisDevan KansagaraSomnath SahaP Todd KorthuisPublished in: Addiction science & clinical practice (2018)
The SUMMIT A-ICU is an intensive primary care intervention for high-utilizers impacted by homelessness. Use of a wait-list control design balances community and staff stakeholder needs, who felt all participants should have access to the intervention, while addressing research needs to include control populations. Design limitations include prolonged follow-up period that increases risk for attrition, and conflict between practice and research; including partner stakeholders and embedded researchers familiar with the population in study planning can mitigate these barriers. Trial registration ClinicalTrials.gov NCT03224858, Registered 7/21/17 retrospectively registered https://clinicaltrials.gov/ct2/show/NCT03224858.
Keyphrases
- primary care
- healthcare
- randomized controlled trial
- end stage renal disease
- intensive care unit
- mental health
- ejection fraction
- clinical trial
- newly diagnosed
- public health
- chronic kidney disease
- blood pressure
- study protocol
- prognostic factors
- mechanical ventilation
- computed tomography
- peritoneal dialysis
- mental illness
- magnetic resonance imaging
- climate change
- dual energy
- hiv testing
- patient reported
- human immunodeficiency virus
- men who have sex with men
- health information
- pet ct
- hiv infected
- acute respiratory distress syndrome