跳至主要内容
临床试验/NCT03784950
NCT03784950已完成不适用

Application of Behavioral Economics to Improve the Quality and Value of eConsult Specialty Reviews

University of Southern California2 个研究点 分布在 1 个国家目标入组 220 人开始时间: 2017年3月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
220
试验地点
2
主要终点
Rating - Medical Decision Making

研究概览

简要总结

Using behavioral economics, the study objective is to increase the efficiency, quality, and timeliness of care for Los Angeles County (LAC) Department of Health Services (DHS) patients by nudging specialists toward more effective use of eConsult, a web-based consultation and communication portal for Primary Care Providers (PCPs) and specialists, improving access for patients in greatest need of specialty care.

详细描述

Historically, the Los Angeles County (LAC) Department of Health Services (DHS) Safety Net system has faced challenges in delivering specialty services that are timely, geographically equitable, and coordinated in a patient centered manner. Recently, LACDHS improved infrastructure through implementation of eConsult, a web-based consultation and communication portal for Primary Care Providers (PCPs) and specialists, improving access for patients in greatest need of specialty care. The study investigators will conduct a pragmatic randomized trial with the goal of increasing the efficiency, quality, and timeliness of care for LACDHS patients by nudging specialists toward more effective use of eConsult. If successful, these nudges may reduce the number and increase the value of face-to-face consults.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Sequential
主要目的
Health Services Research
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • LACDHS providers who are eConsult system users

排除标准

  • 未提供

研究组 & 干预措施

Rating tool only

Experimental

Rating eConsults from peer specialists in first phase

干预措施: Rating tool (Behavioral)

Feedback only

Experimental

Receiving feedback from peer specialists in first phase

干预措施: Feedback (Behavioral)

Rating Tool plus Feedback

Experimental

Both rating and feedback in second phase.

干预措施: Rating tool (Behavioral)

Rating Tool plus Feedback

Experimental

Both rating and feedback in second phase.

干预措施: Feedback (Behavioral)

结局指标

主要结局

Rating - Medical Decision Making

时间窗: Baseline to Post-Intervention, up to 12 months

Peers' ratings of Medical Decision Making in Specialists' responses to PCPs

Rating - Relationship Building

时间窗: Baseline to Post-Intervention, up to 12 months

Peers' ratings Relationship Building in Specialists' responses to PCPs

Rating - Application of Expected Practices

时间窗: Baseline to Post-Intervention, up to 12 months

Peers' ratings of Expected Practices in Specialists' responses to PCPs

Rating - Expert Elicitation

时间窗: Baseline to Post-Intervention, up to 12 months

Peers' ratings of Specialists' skill in elicitation of information from PCPs

Rating - Educational Value

时间窗: Baseline to Post-Intervention, up to 12 months

Peers' ratings of Educational Value of eConsults

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Daniella Meeker

Assistant Professor

University of Southern California

研究点 (2)

Loading locations...

相似试验