SUSTAIN- Strengthening Care for Children (SC4C), Strengthening Care for Children, A stepped-wedge translational trial of paediatric care in GP practice to assess the impact on hospital burden.
- Conditions
- Paediatric AsthmaBronchiolitisinfant refluxUpper respiratory tract infectionconstipationPublic Health - Health service research
- Registration Number
- ACTRN12623000543684
- Lead Sponsor
- niversity of New South Wales
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 18
GP Practices
- Be located within either the SWSPHN, SENSWPHN or CESPHN.
- Have Best Practice or Medical Director 3 as their electronic medical record.
- Be accredited or working towards accreditation
- Manage bookings and reminders for paediatrician appointments.
- Agree to display material such as posters informing patients that the research is taking place in the practice
- Install GRHANITE software (for extracting GP medical record data).
- Sign a PEN CAT plus agreement (PHN required audit software);
- Record coded diagnosis and referral activities for all children and young people (<18)
- Complete all evaluation requirements, including GP surveys.
- Receive regular GP support visits from the project team; and
- Provide protected time
GPs
- Must sign a Consent Form
- See patients < 18-years
- Provide a minimum of 2 weeks of referral data during the control period
- Small GP practices with less than 3 GPs may participate as part of a cluster 2-3 small GP practices
Families Control and Intervention Surveys
- Families of children < 18 of age who have received care at the GP practice in the prior 3 months for both the control and the intervention period
Families:
- Children or young people who present to the GP practice without a parent/guardian
- Insufficient capabilities to complete the survey in languages other than English
Practice Managers:
- Practice managers who are also participating GPs will not be further recruited to participate as a practice manager.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The impact of SUSTAIN on GP referral to hospital outpatient clinics and EDs will be assessed as a composite primary outcome using a Pop-up software supported through GRHANITE technologies installed on each GP's desktop which allows data extraction of referral destination (including no referral made) for each paediatric visit to participating GPs.<br>[These data will be collected as part of paediatric GP consults at the beginning of the control data period and throughout the intervention period. of 12 months. ]
- Secondary Outcome Measures
Name Time Method