Assessing the Provider Implementation and Experience of TeleHealth During COVID-19 and Impact on Acute Encounters
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 1,000
- 试验地点
- 1
- 主要终点
- Radiation Oncology providers perception of of telehealth for on treatment patients in lieu of in person on treatment visits during COVID-19
研究概览
简要总结
The primary objective of this research study is to assess Radiation Oncology healthcare providers (i.e. faculty, residents and advanced practice providers (APPs) implementation and perception of telehealth for on treatment patients in lieu of in person on treatment visits during standard of care radiotherapy during COVID-19.
详细描述
A secondary aim will be to evaluate the rates of acute care during COVID-19 with telehealth in comparison to the rates during our prior Quality Improvement (QI) project (NCT04277650), considering the risk prediction based on our previously developed ML algorithm. Patient risk during this period will be assessed by the ML algorithm and actual rates of Emergency Department visits and hospitalizations (acute encounters) will be compared to the results of our prior QI project. These data will be used to discern how actual rates of acute care compare to providers' expectations both with and without telehealth implementation. Reasons for acute encounters and associated healthcare costs compared to patients undergoing standard of care assessments in NCT04277650 will be assessed to determine the percentage that are COVID-19 related. Basic demographic, disease, location of acute care, form of clinical assessments (video, in-person, telephone, etc.), and treatment information regarding the patients will also be captured following the completion of the research project for assessment.
These endpoints will establish how our current COVID-19-based precautions impact treatment-related outcomes in patient care.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 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
- •started outpatient radiation therapy with or without concurrent systemic therapy at Duke Cancer Center during the COVID-19 outbreak
排除标准
- •undergoing total body radiation therapy for hematopoetic stem cell transplantation
- •undergoing therapy as inpatient
- •completed radiation therapy prior to algorithm execution
研究组 & 干预措施
Radiation Oncology Providers
Faculty physicians, residents and advanced practice providers in the Radiation Oncology Department in Duke University Health System (DUHS)
干预措施: Telehealth (Other)
结局指标
主要结局
Radiation Oncology providers perception of of telehealth for on treatment patients in lieu of in person on treatment visits during COVID-19
时间窗: 12 months
survey assessment scored as strongly agree (positive perception) through strongly disagree (negative perception)
次要结局
- Number of missed telehealth clinical evaluation visits during COVID-19(12 months)
- Number of unplanned emergency department visits or hospital admissions during COVID-19(12 months)
- Number of acute care visits with listed reason as anemia, nutrition (including dehydration), diarrhea, emesis, infectious (including fever, pneumonia, and sepsis), nausea, neutropenia, pain category during COVID-19(12 months)