Improving the Outpatient Referral Process With Electronic Communications

Not Applicable

Completed

• Conditions: Communication; Interprofessional Relations

• Registration Number: NCT00129064
• Lead Sponsor: Brigham and Women's Hospital

Brief Summary

An electronic referral application will be developed and integrated into the existing outpatient information system. The primary goal of this software is to improve the quality and coordination of patient care by increasing physician-to-physician communication. The investigators anticipate that improved communications will also enhance physician and patient satisfaction and provide cost savings. These outcomes will be formally evaluated following implementation of the application.

Detailed Description

A trial will be performed to test and quantify the benefits of electronic referrals. Primary care physicians (PCPs) from 2 community-based clinics will be recruited for enrollment. The control group will initiate referrals using the pre-existing paper forms; physician-to-physician communication can occur by e-mail, phone, or mail at the discretion of the referring physician as is currently the standard. Physicians randomized to the intervention arm will be asked to use the electronic application for every referral during the study period. For 6 months, every new referral initiated within the study groups will be assessed for the completeness of patient information and timing of feedback to the referring physician via physician surveys. In addition, a subgroup of patients in the control and intervention arms will be surveyed to assess the impact of the intervention on patient satisfaction with the referral process.

Study Timeline

• Study First Submitted: 2005-08-09
• Study First Submitted QC: 2005-08-09
• Study First Posted: 2005-08-11
• Study Start: 2005-11
• Study Completion: 2007-03
• Status Verified: 2007-04
• Last Update Submitted: 2007-04-23
• Last Update Posted: 2007-04-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

• Any referral initiated by a PCP at the study sites for a patient to go to a specialist for the first time

Exclusion Criteria

• Referrals for repeat specialist visits or referrals not initiated by a PCP

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Percentage of referral requests with complete information
Percentage of referrals with timely information exchanged

Secondary Outcome Measures

Name	Time	Method
Physician satisfaction
Patient satisfaction

Trial Locations

Locations (1)

Brigham and Women's; 🇺🇸 Boston, Massachusetts, United States