Integrated care program for people with complex needs in Calgary
This program is designed to help people with complex health or social needs get better coordinated care. The goal is to reduce hospital readmissions by connecting you with extra support and resources after you leave the hospital.
Summary written for real people, not researchers, by Clin2.
Who can take part
- You are 18 years or older.
- You live in the Calgary Zone (Calgary and nearby areas).
- You have multiple health conditions, take several medications, have frailty, or face social or financial challenges that make it hard to manage your care on your own.
- You are at high risk of returning to the hospital or have difficulty accessing healthcare without extra support.
- You have a family doctor or can get access to primary care in the near future.
- You are not in the hospital for surgery, childbirth, or a psychiatric ward, and you are not being discharged to a nursing home, rehab, or receiving end-of-life care.
Quick eligibility check
Answer a few plain-language questions, based on this study's own requirements, to get a preliminary sense of fit.
Similar studies
Other trials that look related to this one.
This trial tests a care coordination and symptom management program for adults age 50+ who have two or more chronic health conditions and have been admitted to an intermediate care unit. The program aims to help patients manage their health better while staying at home.
This study tests a program that provides extra care management and supportive services to high-risk Medi-Cal members during transitions from hospitals or other facilities, aiming to improve health outcomes and reduce avoidable hospital stays.
This study tests a “hospital-to-home” transition plan to help children with complex medical needs safely manage care at home after discharge. You may be randomly placed into the program or usual care to see which better supports families.
This study tests whether a home care program helps people who need daily assistance or have complex health needs. It aims to see if this integrated support can improve well-being and reduce hospital visits.
This trial tests a program that helps older adults get back on their feet after a serious illness in the intensive care unit (ICU). A recovery navigator will work with you and your GP to plan your care after you leave the hospital.
This study tests a collaborative care program for family members of ICU recovery patients, designed to improve mental health support after a loved one's hospitalization.
Hear when a new Health Care Quality, Access, and Evaluation trial opens
We’ll email you when one opens — at most once a week, no account needed, unsubscribe anytime.