Quality of Health Care Clinical Trial
Official title:
Practical Health Co-operation - a Randomised Controlled Intervention Study. The Impact of a Referral Template on Quality of Care and Health Care Co-operation Between Primary and Secondary Care
Verified date | July 2014 |
Source | University Hospital of North Norway |
Contact | n/a |
Is FDA regulated | No |
Health authority | Norway: Regional Ethics Commitee |
Study type | Interventional |
The purpose of this study is to examine whether the implementation of a referral template
will increase quality of health care delivered and the quality of health care co-operation.
The investigators intent to implement a referral template, at the level of the general
practitioner (GP), for the referral of patients within 4 separate diagnostic groups:
- dyspepsia/upper GI symptoms
- colonic cancer investigation/lower GI symptoms
- chronic obstructive pulmonary disease (COPD)
- chest pain
Local GP clinics will be randomised to use the referral template or to use standard referral
practice. Using a predefined set of quality criteria the investigators will score the
process of care in each patient, and compare intervention and control groups. In addition
other criteria will be collected and compared between the two groups, e.g.
- time to diagnosis/treatment
- quality of referral
- more appropriate referrals
- patient satisfaction (as measured by a questionnaire)
The investigators hypothesize that the implementation of a referral template will lead to a
measurable increase in the quality of health care delivered.
Status | Completed |
Enrollment | 500 |
Est. completion date | January 2014 |
Est. primary completion date | January 2014 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - referral to medical department of University Hospital of North Norway, Harstad Exclusion Criteria: - children (< 18 years of age) - patients with reduced capacity to consent |
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
Country | Name | City | State |
---|---|---|---|
Norway | Medical department - University Hospital of North Norway Harstad | Harstad |
Lead Sponsor | Collaborator |
---|---|
University Hospital of North Norway | University of Tromso |
Norway,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Collated quality indicator score | Based on treatment guidelines and international quality assessment tools we have developed quality indicators score sets for each of the 4 diagnostic groups in the study. The scores will be compared between intervention and control GP offices to assess the effect of the referral template. | The care period for each patient (approx. 3 weeks up to 1 year) | No |
Secondary | Improved referral quality | The investigators will evaluate each referral against the referral template, and then compare between intervention and control groups. | The care period for each patient (approx. 3 weeks up to 1 year) | No |
Secondary | Waiting time from referral to appointment | The care period for each patient (approx. 3 weeks up to 1 year) | No | |
Secondary | Time from referral to initiation of treatment | Compare the time from referral to initiation of treatment/"decision no treatment" necessary between intervention and control groups | The care period for each patient (approx. 3 weeks up to 1 year) | No |
Secondary | Percentage of patients seen within investigation deadline | Compare the number of patients in the two groups seen within the limit set in national prioritisation guidelines | Assessed at end of study - approx 2 years | No |
Secondary | Number of patients designated with investigation deadline | Compare the number of patients in the intervention vs. control group that were designated with a investigation deadline according to national prioritisation guidelines | Assessed at end of study - approx 2 years | No |
Secondary | Patient satisfaction | Patient satisfaction as measured by self report questionnaire | The care period for each patient (approx. 3 weeks up to 1 year) | No |
Secondary | Positive predictive value of referral | Compare the percentage of referrals between the intervention and control groups which have lead to a diagnostic clarification, or a histological diagnosis, or a change in medical management |
The care period for each patient (approx. 3 weeks up to 1 year) | No |
Secondary | Number of appointments needed for diagnostic clarification | Compare the number of appointments needed to clarify diagnosis between intervention and control groups | The care period for each patient (approx. 3 weeks up to 1 year) | No |
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