Primary Health Care Clinical Trial
NCT number | NCT02955433 |
Other study ID # | IRB-824715 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | October 2016 |
Est. completion date | November 2017 |
Verified date | July 2019 |
Source | University of Pennsylvania |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study is a prospective clinical trial designed to primarily test the impact of
rideshare-based transportation services from a digital transportation network, Lyft, on
reducing primary care clinic missed appointments--a composite outcome of no-shows and same
day cancellations--for Medicaid patients. The study population consists of West Philadelphia
residents who are established patients at two of the Penn Medicine Primary Care Practices
within the University of Pennsylvania Health System. The study subjects are allocated into
the intervention or control arm using a pseudorandomization approach - those receiving an
appointment reminder on an even calendar day are in the intervention arm and odd calendar day
calls are in the control arm.
Secondary outcomes include the time of arrival to the clinics relative to actual appointment
time (both arms), prospective utilization of acute care settings (both arms), prospective
utilization of primary care (both arms), and description of programmatic metrics in the
intervention arm (travel time, misuse, and costs). The investigators will assess the patient
experience after each ride using a telephone-based survey and in-depth interviews. All adults
with established primary care at the Penn Medicine Clinics, who have Medicaid, and do not
require wheelchair accessible rides will be eligible for the rideshare service. The
investigators hypothesize that individuals offered a rideshare-based transportation service
will have a decreased proportion of missed appointments and same day cancellations as those
not offered the service.
Status | Completed |
Enrollment | 786 |
Est. completion date | November 2017 |
Est. primary completion date | April 2017 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Patients insured by Medicaid - Established primary care patient at the Penn Medicine Clinics - Address in West Philadelphia zip code Exclusion Criteria: - Requiring wheelchair accessible transportation. We are unable to guarantee vehicles that will be able to accommodate these patients' physical needs. |
Country | Name | City | State |
---|---|---|---|
United States | Penn Internal Medicine Primary Care Practice | Philadelphia | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
University of Pennsylvania | Lyft, Inc. |
United States,
Chaiyachati KH, Hubbard RA, Yeager A, Mugo B, Lopez S, Asch E, Shi C, Shea JA, Rosin R, Grande D. Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial. JAMA Intern Med. 2018 Mar 1;178(3):383-389. do — View Citation
Chaiyachati KH, Hubbard RA, Yeager A, Mugo B, Shea JA, Rosin R, Grande D. Rideshare-Based Medical Transportation for Medicaid Patients and Primary Care Show Rates: A Difference-in-Difference Analysis of a Pilot Program. J Gen Intern Med. 2018 Jun;33(6):86 — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The proportion of missed appointments (no-shows and same-day cancellation) in the intervention arm and the control arm | The missed appointment proportion is based on the one appointment for which patients were contacted to receive a free ride | Within 2 days of enrollment | |
Secondary | Arrival time to clinic relative to the scheduled time (both arms) | Within 2 days of enrollment | ||
Secondary | Post-intervention, utilization frequency of acute care settings (both arms) | 7-days, 30-days, and 6 months post-appointment | ||
Secondary | Post-intervention, utilization frequency of primary care (both arms) | 7-days, 30-days, and 6 months post-appointment | ||
Secondary | Post-intervention, frequency of missed primary care appointments (both arms) | 30-days and 6-months post-appointment |
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