Can a care team cut costs and boost life quality for the sickest patients?
NCT ID NCT05878054
First seen Feb 25, 2026 · Last updated Jun 20, 2026 · Updated 22 times
Summary
This study tests a new way of caring for 'hotspotters'—patients with multiple health and social problems who frequently use emergency care. The approach brings together a doctor, mental health nurse, social worker, and the patient to create a personalized care plan with ongoing support. Researchers want to see if this coordinated care improves quality of life and lowers overall healthcare costs.
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This is a summary of
the original study
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Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.
This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.
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Contacts and locations
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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
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 successful, this could show that personalized, team-based care improves quality of life and reduces healthcare costs for patients with complex needs.
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 difficult to scale or sustain.
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.