Electronic and Lab Pre-screening of New Rheumatology Patients
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 200
- 主要终点
- To increase referral efficiencies through an electronic system to decrease the timeline prior
研究概览
简要总结
By forming the foundation of a delivery system that integrates primary care (PC) and rheumatology, this initiative strives to strengthen the roles of both primary care and rheumatology practices as they co-manage patients in a quality care delivery system. Importantly, it strives to fill an unmet need, the rapid evaluation by Primary Care providers; the appropriate and timely referral of inflammatory disease patients to a rheumatologist; and the implementation of early aggressive therapy in the management of patients with rheumatoid arthritis (RA) with tight control. Given the call for improved quality, value, and demonstration of results[1], this initiative uses the tenets of National Center for Quality Assurance's Patient Centered Specialty Program[1] (PCSP) and it successfully masters and streamlines coordination of care.
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 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •First ever referral to a rheumatologist.
排除标准
- 未提供
结局指标
主要结局
To increase referral efficiencies through an electronic system to decrease the timeline prior
时间窗: One year enrollment period
Mean and median time (in days) to the first rheumatology visit from PCP referral for both cohorts
次要结局
- To assess difference in disease activity progression using Clinical Disease Activity Index (CDAI) at both 12 and 24 months.(One year enrollment period with two year follow-up period.)
- To assess difference in disease activity progression using Routine Assessment of Patient Index Data (RAPID3) at both 12 and 24 months.(One year enrollment period with two year follow-up period.)
- To assess radiographic progression using sharp scores in the electronically referred cohorts versus the traditional cohort.(One year enrollment period with two year follow-up period.)