Effectiveness of a Educational Intervention to Improve the Resolution Capacity of Primary Health Care Teams.

Referral and Consultation Clinical Trial

Official title:

Phase IV Cluster Randomised Controlled Trial With 2 Parallel Groups, to Evaluate the Effectiveness of a Educational Intervention to Improve the Resolution Capacity.

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT00140283
• Other study ID #: PI031409
• Secondary ID: P03/30
• Status: Active, not recruiting
• Phase: Phase 4
• First received: August 31, 2005
• Last updated: August 31, 2005
• Start date: July 2004
• Est. completion date: May 2005

Study information

• Verified date: August 2005
• Source: Catalan Institute of Health
• Contact: n/a
• Is FDA regulated: No
• Health authority: Spain: Ministry of Health
• Study type: Interventional

Clinical Trial Summary

There is a great variability in the different primary care teams referral rate. And variability means inappropriateness somewhere in the process of care. The most important determinants of the variability are the attitude and knowledge of the professional, the existence and availability of evidence, the resources available and the professionals practice style. To improve the knowledge of the professionals could be a way to decrease the variability. Because of this, we have the aim to determinate the effectiveness of an educational intervention to improve the primary care teams from the city of Barcelona referral rate.

Description:

The aim of our study is to determinate if an active educational intervention (interactive sessions discussing clinical cases plus the minimal intervention) reduces the professionals referral rate compared with the minimal intervention group (written adapted clinical practice guidelines and feedback about their referral rate compared with other primary care teams). It is a cluster-randomized controlled trial stratified by the percentage of reform and the referral rate. The subjects were primary care physicians of the 51 teams of Barcelona city attending 1.160.748 inhabitants.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 48
• Est. completion date: May 2005
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Primary care teams who agree to participate.

• Primary care teams attending adult population (older than 14).

Exclusion Criteria:

• Primary care teams where the intervention would be difficult to take place.

• Primary care teams where the referral rate is not available.

• Primary care teams with a percentage of reform lower than 40%.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Educational/Counseling/Training

Related Conditions & MeSH terms

• Referral and Consultation

Intervention

Procedure:
• Educational interactive intervention

Locations

Country	Name	City	State
Spain	Àmbit Barcelona (Catalan Institute of Health)	Barcelona

Sponsors (2)

Lead Sponsor	Collaborator
Catalan Institute of Health	Fondo de Investigacion Sanitaria

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Total number of referrals of the selected condition done by the primary care professionals to specialized consultants by 100 patients attended in 1 year.