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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 . 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

Locations

  • 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.

Chronic Disease

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.