The long-term objective of this study is to examine the effectiveness of an intervention
program for older patients with hip fracture. First, an intervention program for elderly
patients with hip fracture will be developed and implemented, then, the effectiveness of the
intervention program will be examined. The specific aims are as follows:
1. To develop a well conceived and feasible protocol of hospital discharge and sub-acute
care that involves the coordinated work of health care professionals (physicians,
surgeons, nurses, and physical therapists) and the informal caregivers. The feasibility
of implementing such a protocol within the context of an intervention study subject to
the constraints of the clinical setting (i.e., CGMH) will be evaluated in a pilot study.
2. To conduct a randomized clinical trial to evaluate the outcomes and costs associated
with the proposed hospital discharge/sub-acute care protocol for elderly patients with
hip fracture. Both experimental and case study methods will be used. Information on
outcome indicators including clinical outcomes, quality of life, self-care ability,
family caregiving outcomes, patient and caregiver satisfaction, and services utilization
will be collected and compared between the control group and the experimental group.
3. To conduct a validation clinical trial to verify the results of the primary randomized
clinical trial and increase the generalization of the study findings.
4. To estimate the cost of this care model and its variations for individual patients.