The Medical journal of Australia
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Randomized Controlled Trial
Coordinated care versus standard care in hospital admissions of people with chronic illness: a randomised controlled trial.
To determine whether Care Navigation (CN), a nurse-led hospital-based coordinated care intervention, reduced the use of hospital services and improved quality of life for patients with chronic illness. ⋯ CN did not improve quality of life or reduce unplanned hospital presentations or admissions despite community health services almost doubling. Future service development should explore potential benefits of linking navigated intrahospital care to ongoing, proactive care planning and delivery in the community.
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Randomized Controlled Trial
Facilitators and barriers to implementation of a pragmatic clinical trial in Aboriginal health services.
To identify facilitators and barriers to clinical trial implementation in Aboriginal health services. ⋯ Despite strong community and health service support, major investments in time and resources are needed to ensure successful implementation and minimal disruption to already overstretched, routine services. Trial budgets will necessarily be inflated as a result. Funding agencies need to consider these additional resource demands when supporting trials of a similar nature.