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Can a 'Hotspotter' approach cut ER visits and improve lives?

NCT ID NCT05878054

Disease control Sponsor: Leiden University Medical Center Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing This study
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

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.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

41 people

The number who actually took part.

Started

Aug 2023

Expected to finish

Dec 2026

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * The patients are ≥ 18yrs * The patients are registered within one of the participating GP practices. * Patients with at least two acute care encounters in the past 12 months. Acute care encounter is defined as an encounter with out-of-hours GP service, emergency care or acute mental health care.Patients have problems registered in the GP Information system on at least two out of three of the following domains: somatic, mental or social. Somatic problems is having at least one ICPC code on the problem list. Mental problems is having at least one ICPC code from the "P"-chapter on either the problem list, as a reason for encounter, and/or having medication prescribed related to mental health problems. Social problems is having at least one ICPC code from the "Z"-chapter or as reason for encounter, and/or having medication prescribed related to social problems. Exclusion Criteria: * The patient is terminal. * The patient is living in a residential home. * The patient has dementia or a disability that prevents them from communicating effectively.The patient already has experience with the positive health tool. * The patient is not competent to make decisions concerning their health. This wil be assessed by the patient's own general practitioner. * Veto of the GP

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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.

Chronic disease Complex patient Multimorbidity Psychosocial problem

Contacts and locations

Locations

  • Leiden University Medical centre, department of Public Healht and Primary care (PHEG), location Health Campus The Hague

    Leiden, 2333ZA, Netherlands

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