Satellite-supplementation of Medical Outreach Clinics: a Feasibility Study
- Conditions
- TelemedicinePrimary Health CareDeveloping CountriesDiagnosisTherapeutics
- Interventions
- Other: TelemedicineOther: In-person physician interaction
- Registration Number
- NCT01821014
- Lead Sponsor
- Mayo Clinic
- Brief Summary
Much of the basic general medical care and chronic disease management in rural Honduras comes from groups of volunteers setting up temporary clinics run by volunteers. These clinics, also known as brigades, or medical missions, are often criticized for their lack of quality and the lack of follow-up, both of which stem, in part, from understaffing with volunteer physicians. This study is designed to assess if it is feasible, safe, and acceptable to treat patients in short-term mobile medical clinics in rural Honduras using US physicians connected with patients by videoconference.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 144
- Able to give informed consent
- Non-emergent medical complaints
- At least 18 yrs in age
- Pregnancy
- Mental Disability
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Telemedicine First Telemedicine Patients whose first physician visit during the clinic was using videoconference, a form of telemedicine, and whose second physician visit during the clinic was with a physician in-person. Telemedicine First In-person physician interaction Patients whose first physician visit during the clinic was using videoconference, a form of telemedicine, and whose second physician visit during the clinic was with a physician in-person. Telemedicine Second Telemedicine Patients whose first physician visit during the clinic was with a physician in-person, and whose second physician visit during the clinic was using videoconference, a form of telemedicine. This is the reverse order of visits of the "Telemedicine fist" arm. Telemedicine Second In-person physician interaction Patients whose first physician visit during the clinic was with a physician in-person, and whose second physician visit during the clinic was using videoconference, a form of telemedicine. This is the reverse order of visits of the "Telemedicine fist" arm. Two physician visits In-person physician interaction Patients who had two sequential visits with different in-person physicians.
- Primary Outcome Measures
Name Time Method Clinical Diagnoses Same Day as clinic visit (less than 6 hours) The diagnoses resulting from the two physician visits will be compared and a cohen's kappa statistic will be calculated for diagnoses between the visits.
Recommended clinical treatments Same Day as clinic visit (less than 6 hours) After each of a patient's two physician visits, the physician's resulting recommended treatments will be gathered for comparison between the two visits.
- Secondary Outcome Measures
Name Time Method Patient opinions of physician interactions Immediately following physician interactions (less than 6 hours) Patients will receive a survey following each interaction with a doctor. These surveys cover communication, comfort and satisfaction.
Volunteer opinions of physician-patient interactions immediately following experience with the clinic (Less than 48 hours) Volunteers who helped with physician interactions will receive a survey about their experience concerning physician patient communication, volunteer educational value and perceived value of the experience.
Physician opinions of patient interactions immediately following volunteer activities with the clinic (less than 48 hours) doctors will fill out a survey about their patient interactions after they complete their experience volunteering with the clinic.
Trial Locations
- Locations (1)
Global Brigades
🇭🇳Tegucigalpa, Francisco Morazan, Honduras