Using Electronic Medical Record Data to Improve HIV Primary Care: an Audit and Feedback Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Unity Health Toronto
- Enrollment
- 13
- Locations
- 1
- Primary Endpoint
- Up to date viral load
Study Overview
Brief Summary
This cluster randomized control trial examines whether an audit and feedback study improves care of patients living with HIV/AIDS in a family health team setting.
Detailed Description
This cluster randomized control trial will use electronic medical record (EMR) data from the St. Michael's Hospital Academic Family Health Team to examine whether the quality of HIV care provided to patients can be improved through an audit and feedback (A&F) intervention. Our objective is to examine whether A&F targeting family physicians caring for people living with HIV/AIDS (PHLA) using EMR data can improve laboratory monitoring, engagement in primary care and the uptake of preventive interventions.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Family physicians at the St. Michael's Hospital Academic Family Health Team who have at least 20 PLHA.
Exclusion Criteria
- Not provided
Arms & Interventions
Intervention
Audit and feedback directed at family physicians, including reports a one-on-one meeting.
Intervention: Audit and Feedback (Behavioral)
Control
Usual care; may receive the intervention at the end of the study if successful
Outcomes
Primary Outcomes
Up to date viral load
Time Frame: Within six months
Percentage of HIV infected patients who have an up to date HIV viral load
Secondary Outcomes
- Clinic visit(Within the last 6 months)
- Up-to-date cancer screenings(1-3 years)
- Vaccinations(Since 2013)
- Screening for diabetes(Within 1 year)
- Screening for hypercholesterolemia(Within 1 year)
- Screening for osteoporosis(Within 5 years)