Support program for elderly patients after hospital discharge
This study tests a support program that helps elderly patients with multiple health conditions stay healthy after leaving the hospital. A navigator will call you regularly to help manage your medications, appointments, and questions.
Summary written for real people, not researchers, by Clin2.
Who can take part
- You are 60 years old or older
- You have at least two chronic health conditions (like diabetes, heart disease, or arthritis) documented in your medical records
- You were hospitalized in one of the main clinical units and are being discharged to go home
- You have access to a telephone and a primary caregiver who can help you communicate if needed
- You are not already receiving similar follow-up care or navigation support from another program
- You are not currently in palliative (comfort-focused 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 study is designing and testing a person-centered plan to help you use your medicines correctly when you leave the hospital. It involves you, your family or caregiver, and your usual healthcare team to reduce medication problems across care settings.
This study tests a program where a team of healthcare workers helps frail older adults transition from the hospital back home. It aims to prevent health problems and support you in managing your health after discharge.
This study tests whether support from a pharmacist, using digital tools like apps or texts, can help you manage your health after leaving the hospital and reduce the chance of coming back. If you qualify, you'll get extra guidance on your medications and follow-up care.
This trial tests a new support program for older adults who live alone and need help with daily tasks like shopping or managing medications. A specially trained worker will visit you at home to provide extra assistance and help you stay independent.
This trial tests a telehealth program to help frail older adults after they leave the hospital. You'll get remote support from a team to help you recover safely at home.
This study tests a program designed to help families of migrant children (born outside Canada or whose parents were born elsewhere) who have special health needs. It provides a peer navigator to guide families through transitions between different types of care, like moving from a family doctor to a specialist or hospital.
Hear when a new Multimorbidity trial opens
We’ll email you when one opens — at most once a week, no account needed, unsubscribe anytime.