Dignity Care - Digitally Supported Person-centered Care Systems
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 93
- 试验地点
- 2
- 主要终点
- Quality of patient summary and follow-up plan
研究概览
简要总结
The case history of patients with complex and long-term needs is often stored in fragments across many different care providers, each with a separate electronic health record. Even when the notes are stored in the same organization, the large volume of information makes it difficult for practitioners to grasp the full overview of the patient's situation.
The DigiTeam tool, combines information management features to present notes from across the care pathway from the three main providers: General Practice, Health and Social care Services, and Secondary care. It also includes summaries of the patient's concerns, conditions, and treatment plan. It provides links to the source documents that are the basis for the summaries.
The overarching aim is to examine the effect of physicians' use of the DigiTeam for three patient cases derived from real-world pseudonymized notes, on the quality of the physcians' ensuing case summary and treatment plan. In the comparator arms, physicians use usual care tools, i.e. only one or three sources of notes and no information management features.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
盲法说明
The Outcome Assessor of the primary outcome is a large language model, which assesses the answers provided by the participants without any information about group allocation.
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •General practitioner OR
- •Physician who has graduated within the last five years.
- •If the recruitment is difficult, medical students and other physicians may be included.
- •To recruit participants, the trial will be announced through known networks, social media, the researchers' network, and general announcements.
排除标准
- •There is no exclusion criterium.
结局指标
主要结局
Quality of patient summary and follow-up plan
时间窗: Immediately after completing the the task for each patient
The primary outcome is the quality of the patient summary and follow-up plan Participants are asked to create a summary as preparation for a care planning meeting with colleagues, using the information available in the digital tool to write 1) a Comprehensive summary of the patient's situation and 2. A care plan. Quality of summaries and care plans will be measured by Microsoft Copilot. An expert group of three clinicians will create gold-standard summaries. These will be converted into a list of clear, mutually exclusive items using standardized rules. Copilot will be prompted to identify whether each item is present in participant responses. The item list will be validated by comparing scoring consistency (Kappa statistics) between researchers and Copilot, aiming for ≥0.7 agreement with researchers and ≥0.9 between Copilot runs. Final scores will reflect the number of items included per response.
次要结局
- Time spent completeing the patient case overviews and follow-up plans(Immediately after completing the the task for each patient)
- System Usability Scale(Immediately after completing the the task for each patient)
- Information support for solving tasks(Immediately after completing the the task for each patient)
- Experience with conducting the task(Immediately after completing the the task for each patient)