Point-of-Care Follow-Up With Primary Care After Emergency Department Discharge
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
- Self-reported follow-up visit
研究概览
简要总结
The purpose of this trial is to determine whether setting up a follow-up appointment for patients who received treatment and were discharged from the emergency department increases their compliance with the follow-up appointment. We are enrolling patients who need a follow-up visit, have health insurance but report do not have a primary care doctor. Patients are randomized to one of three treatment groups: (1) assistance setting up a follow-up appointment by a research assistant using ZocDoc; (2) ZocDoc information given to the subject to set up follow-up appointment by him/herself; or (3) usual discharge instructions by ED staff. Subjects are phoned approximately 2 weeks after the ED visit and asked whether they completed a follow-up visit, satisfaction with their ED visit, satisfaction with their follow-up visit, and additional ED treatment and recovery.
详细描述
This is a randomized controlled trial involving adult emergency department (ED) patients who need a follow-up visit as defined by the ED provider (importance of follow-up rated as 5 or greater on a 0 to 10 scale). There is software available called ZocDoc that provides a user the ability to identify primary care providers who have open appointments and will take the person's health insurance (in network and outside of network) and list the doctors based on their proximity to the person in need. We are testing whether booking appointments for ED patients using ZocDoc vs. giving patients the information to use ZocDoc themselves vs. standard discharge instructions given by ED staff (i.e. you should follow-up with a primary care doctor) affects compliance with self-reported follow-up visits. We are enrolling patients while they are in the ED, completed a short baseline interview and then another interview with them over the telephone approximately two weeks after the index ED visit. The follow-up interview asks subjects whether they have completed a follow-up visit, satisfaction with the ED visit and the primary care visit, any other additional ED treatment and extent of recovery from the problem that brought them to the ED the first time.
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
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 100 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with health insurance but report not having a primary care provider and are rated by the ED provider as needing a follow-up visit with a primary care provider (rated as moderate to high need by ED provider).
排除标准
- •Patients doesn't want a primary care provider or patient doesn't want a follow-up visit. Patient is unable to understand consent, is a prisoner, or does not have access to email (because ZocDoc sends appointment information to email).
研究组 & 干预措施
ZocDoc Assistance
Research assistant sets up follow-up appointment for subject using ZocDoc.
干预措施: ZocDoc Assistance (Behavioral)
ZocDoc Information
Research assistance provides subject with written information about ZocDoc.
干预措施: ZocDoc Information (Behavioral)
Usual Care
ED staff gives written and verbal discharge instructions to subject.
结局指标
主要结局
Self-reported follow-up visit
时间窗: 2-4 weeks after the index ED visit
patient-reported follow-up visit with a primary care doctor
次要结局
- Recovery from health problem(2-4 weeks after the index ED visit)
- Satisfaction with the ED visit(Measured 2 weeks after the index ED visit)
- Additional ED visit(s)(2-4 weeks after the index ED visit)
- Satisfaction with the primary care visit(2-4 weeks after the index ED visit)
研究者
Melissa McCarthy
Associate Professor
George Washington University
