Clinical Trials Logo

Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT00461201
Other study ID # PI060715
Secondary ID
Status Not yet recruiting
Phase N/A
First received April 16, 2007
Last updated April 16, 2007
Start date January 2009

Study information

Verified date April 2007
Source Catalan Institute of Health
Contact Begoña Iglesias, Physician
Phone 0034938931216
Email biglesias@ambitcp.catsalut.net
Is FDA regulated No
Health authority Spain: Ministry of Health
Study type Interventional

Clinical Trial Summary

The purpose of this study is to compare the effectiveness of nursing care in relation to usual medical care in adult patients who demand to be visited the same day in Primary Care Teams in Catalonia, as it is suggested in other countries.


Description:

The primary care demand is rapidly growing and the family physicians feel overflowed by the demand and their capacity to solve things is limited by lack of time. Many organizational interventions have been planned to solve this problem. One of these is to imply the nurse professional to solve and control health problems that traditionally were the doctor’s job. So, to demonstrate the nursing care is as effective as the medical care, we will compare, among both collectives, the ‘quality’ of care received by patients who ask an appointment for the same day.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 1640
Est. completion date
Est. primary completion date
Accepts healthy volunteers No
Gender Both
Age group 15 Years and older
Eligibility Inclusion Criteria:

- patients requesting same day consultations in primary care

- assigned to the practice

Exclusion Criteria:

- do not want to participate

- difficulties to follow-up

- serious illness that makes the intervention impossible

- home visits

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research


Related Conditions & MeSH terms


Intervention

Procedure:
Nurse practitioner care of patients


Locations

Country Name City State
n/a

Sponsors (4)

Lead Sponsor Collaborator
Catalan Institute of Health Carlos III Health Institute, Jordi Gol i Gurina Foundation, Netherlands: Ministry of Health, Welfare and Sports

References & Publications (7)

Effectiveness of health checks conducted by nurses in primary care: final results of the OXCHECK study. Imperial Cancer Research Fund OXCHECK Study Group. BMJ. 1995 Apr 29;310(6987):1099-104. — View Citation

Horrocks S, Anderson E, Salisbury C. Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ. 2002 Apr 6;324(7341):819-23. Review. — View Citation

Kinnersley P, Anderson E, Parry K, Clement J, Archard L, Turton P, Stainthorpe A, Fraser A, Butler CC, Rogers C. Randomised controlled trial of nurse practitioner versus general practitioner care for patients requesting "same day" consultations in primary care. BMJ. 2000 Apr 15;320(7241):1043-8. — View Citation

Mundinger MO, Kane RL, Lenz ER, Totten AM, Tsai WY, Cleary PD, Friedewald WT, Siu AL, Shelanski ML. Primary care outcomes in patients treated by nurse practitioners or physicians: a randomized trial. JAMA. 2000 Jan 5;283(1):59-68. — View Citation

Shum C, Humphreys A, Wheeler D, Cochrane MA, Skoda S, Clement S. Nurse management of patients with minor illnesses in general practice: multicentre, randomised controlled trial. BMJ. 2000 Apr 15;320(7241):1038-43. — View Citation

Venning P, Durie A, Roland M, Roberts C, Leese B. Randomised controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care. BMJ. 2000 Apr 15;320(7241):1048-53. — View Citation

Zwarenstein M, Bryant W. Interventions to promote collaboration between nurses and doctors. Cochrane Database Syst Rev. 2000;(2):CD000072. Review. Update in: Cochrane Database Syst Rev. 2009;(3):CD000072. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Description of the capacity of resolution of the nurse:
Primary To determine if there are differences in the proportion of patients that make a second appointment for the same reason in the next 2 weeks, comparing the two groups.
Primary To determine if there are differences in the resolution of symptoms in 2 weeks after the visit comparing the two groups.
Primary To determine if there are differences in the proportion of admission to hospital or to emergency room the next 2 weeks comparing the two groups.
Primary To determine if there are differences in the satisfaction and resolution of the worries about the users state of health in 2 weeks after the visit comparing the two groups.
Primary To determine if there are differences comparing the two groups in the perceived status of health, perception of the information, received attention, resource utilization and future intention to consult again with the same professional.
Secondary Description of the clinical demands of the users and their demographic characteristics.
Secondary To identify if there is a type of user in which the effectiveness of the intervention is higher.
Secondary To determine the proportion of users visited by the nurse not having to be visited by the doctor afterwards for that reason.
See also
  Status Clinical Trial Phase
Completed NCT03832257 - Improving Safety of Transitions to Skilled Nursing Care Using Videoconferencing N/A
Completed NCT02917213 - Imaging Silent Brain Infarct And Thrombosis in Acute Myocardial Infarction
Completed NCT00186342 - Sibling and Unrelated Donor Hematopoietic Cell Transplant in Hematologic Malignancies N/A
Recruiting NCT04615065 - Acutelines: a Large Data-/Biobank of Acute and Emergency Medicine
Completed NCT02568475 - Involving Nursing Home Residents and Their Families in Acute Care Transfer Decisions N/A
Terminated NCT00563654 - Randomized Trial Comparing Alfuzosin GITS 10 mg Daily With Placebo for Trial Without Catheter in Acute Urinary Retention With Long Term Follow up N/A
Terminated NCT00073372 - A Study of Effectiveness and Safety of Abciximab in Patients With Acute Ischemic Stroke (AbESTT-II) Phase 3
Recruiting NCT05708768 - Digital, Innovative, Sustainable, and Knowledge-based Acute Municipal Healthcare Services Illness and Trauma
Completed NCT04571021 - Implementation of the Individual Danish Emergency Process Triage N/A
Completed NCT03982589 - Telomere Length in Relation to Acute Stress Response in Critical Care Patients
Suspended NCT04519086 - The Optimization of a Low-dose CT Protocol in Patients With Suspected Uncomplicated Acute Appendicitis and BMI >30 N/A
Recruiting NCT02688244 - Irrigation Versus Suction in Complicated Acute Appendicitis N/A
Completed NCT02474277 - How Well Does the 30-Second Chair Stand Test Predict Rehabilitation Needs in Acutely Admitted Elderly Patients N/A
Recruiting NCT02422901 - A Long-term Study to Describe the Use of PASCORBIN® 7.5 g in Patients With Vitamin C Deficiency
Completed NCT01278199 - Bronchial Artery Embolization and Medical Measures in Non Severe Acute Hemoptysis of Mild-moderate Abundance N/A
Recruiting NCT05506683 - Improving Nighttime Access to Care and Treatment; Part 2- Ghana N/A
Recruiting NCT06421246 - Activity in Geriatric Patients and Validation of the Danish Version of the Acute Care Mobility Assessment
Completed NCT02912624 - Simple Intensive Care Studies I (SICS-I)
Recruiting NCT02800122 - PAthwAy of Dyspneic patIent in Emergency (PArADIsE)
Completed NCT02915640 - Use of a Mobile Remote Device to Optimize Pediatric Inter-facility Transportation: A Feasibility Study N/A