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临床试验/NCT03479034
NCT03479034撤回不适用

A Prospective Qualitative and Quantitative Controlled Study, Exploring the Impact of Patient Centred Digital Prescriptions on Health, in Patients With Chronic Health Conditions

Holdsworth House Medical Practice0 个研究点开始时间: 2019年1月最近更新:
适应症

试验速览

阶段
不适用
状态
撤回
主要终点
Patient preference

研究概览

简要总结

A prospective qualitative and quantitative controlled study, exploring the impact of patient centred digital prescriptions on health, in patients with chronic health conditions.

详细描述

ScalaMed is an innovative new consumer centred solution for securing prescriptions through a blockchain solution - a cryptographic distributed database, that can give consumer access to their prescriptions at all times. It aims to solve interoperability challenges that exist in healthcare, by creating a ledger of prescriptions, and giving consumers access to this information to own and share as they need. The solution will be accessed through an application available on a smart phone, will be fully compliant with security and privacy laws, and will be made available to consumers, clinicians, and pharmacies enrolled in this study free of charge. The system also allows patients to monitor the usage of their prescriptions - eg when they need a new one, and allows them to choose how and where they want to use their prescriptions like with paper.

This study will explore whether empowering consumers with their digital prescriptions in a digital format through a blockchain based methodology of storing and accessing their data, will improve the flow of clinically important information, improve the frequency of data sharing, improve the self-management of the patient, improve adherence to treatments, reduce interactions and adverse events associated with medications, reduce the burden on clinical practice, improve efficiency, reduce the amount of paper, increase consumer engagement and improve patient satisfaction.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 85 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Ages 18-85
  • Cognitively able to understand instructions and care for themselves
  • Lives in the community (not institutionalised)
  • Owner of a smartphone and able to use Apps
  • On 3 or more chronic prescription medications
  • Informed consent as documented by signature (Appendix Informed Consent Form)
  • Has had experience with prescriptions in Australia for at least 1 year
  • For the clinicians - any clinician who is using the ScalaMed prescription system in the Holdsworth House
  • For pharmacists - who are utilising the ScalaMed system in one of the four clinics

排除标准

  • Known or suspected non-compliance, drug or alcohol abuse
  • Inability to follow the procedures of the study due to language problems, psychological disorders, dementia of the participant
  • Previous enrolment into the current study

结局指标

主要结局

Patient preference

时间窗: 6 months

Primary outcome is the change from baseline in patient preference for ScalaMed over previous prescription management tools after 3-months, determined through a questionnaire using a 4 point Likert scale. 9) I prefer Scalamed to my previous system of managing prescriptions 1. Strongly agree 2. Somewhat agree 3. somewhat disagree 4. strongly disagree

次要结局

  • Clinician prefence(3 months)
  • Prescriber satisfaction(6 months)
  • Clinical Implications(6 months)
  • Patient measures(6 months)
  • Digital sharing(6 months)
  • Care implications(6 months)
  • Pharmacy engagement(6 months)

研究者

申办方类型
Other
责任方
Sponsor

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Patients Empowered With Digital Scripts: ScalaMed | 临床试验