Infections Clinical Trial
Official title:
Digital Versus Telephone Symptom Assessment and Triage in Primary Care
A 'digital-first' approach is currently under implementation in several Swedish regions. The principles behind implementing an online service as an access way to primary care are based on an expectation that it can make access easier, direct people to appropriate levels of care, and increase both availability of heath care and cost efficiency. However, a recent Swedish report concluded that digital triage in primary care has not been investigated in a clinical real-world setting, including real patients, meaning that the benefits and risks for patients as well as on a system level remain unclear. The aim of this trial is to study the feasibility of a larger trial that will compare digital triage and traditional telephone triage on adherence to triaged health care level, in a randomized controlled study (feasibility study, RCT). The study will recruit a total of 120 patients, of which half will be randomized to telephone triage and half to digital triage.
Status | Recruiting |
Enrollment | 120 |
Est. completion date | December 31, 2024 |
Est. primary completion date | March 31, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Age 18 years or older who is listed at the health center Exclusion Criteria: - Patients <18 years or parents seeking advice for their children - Cannot communicate in Swedish or other communication difficulties in language or writing - Patients without a mobile Bank identification (to log in to the platform) - Administrative issues, e.g. rebooking of time |
Country | Name | City | State |
---|---|---|---|
Sweden | Veronica Milos Nymberg | Malmö | Region Skane |
Lead Sponsor | Collaborator |
---|---|
Region Skane |
Sweden,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Recruitment rate as percentage of patients included in the study measured using data from the primary health care center | Percentage of patients that accept to be included in the study of all patients that contact the primary care center during the studied period of time | 6 months | |
Primary | Drop-out rate as percentage of patients that drop-out from the trial | Percentage of patients that drop-out from the trial | 6 months | |
Primary | Eligibility criteria in percentage of patients being eligible to be included in the study | Age 18 years or older and listed on the primary care center | 6 months | |
Secondary | Adherence to recommended health care level as percentage of patients that adhere to recommended care level | Within 2 months after the triage contact, data collected from the regional data base | 2 months | |
Secondary | Interrater reliability | agreement between the care-level suggested by the online symptom checker and the care-level suggested by the nurse, data collected from the electronic medical journals | 2 months |
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