Can a 'Hotspotter' approach cut ER visits and improve lives?
NCT ID NCT05878054
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests a new way of caring for 'hotspotters'—people with multiple health and social problems who frequently use emergency services. The approach brings together a doctor, mental health nurse, social worker, and the patient to create a personalized care plan, with a coordinator staying in touch. Researchers will measure whether this reduces healthcare costs and improves quality of life for 41 participants in Dutch primary care practices.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- proactive, integrated and personalised care (care coordination, multidisciplinary meetings, personalised care plan)
- What this could lead to
- If it works, this could show that personalized, team-based care reduces emergency visits and improves quality of life for patients with complex health and social problems.
- What could go wrong
- This is a small, early-stage study with only 41 participants, so results may not apply broadly. The intervention is complex and may be hard to scale or sustain in other settings.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Leiden University Medical centre, department of Public Healht and Primary care (PHEG), location Health Campus The Hague
Leiden, 2333ZA, Netherlands
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