The Effect of Digital Team-based Communication Between Orthopaedic Surgery Patients and Healthcare Professionals on Patient-initiated Telephone Contacts to Hospital After Discharge: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 70
- 试验地点
- 2
- 主要终点
- Patient-initiated telephone contacts to hospital up to 8 weeks after discharge
研究概览
简要总结
The aim of this study is to investigate the effects of eDialogue versus standard communication pathways on patient-initiated telephone contacts to the hospital following discharge. Secondary aims are to explore the effect on other patient-initiated contacts after hospital discharge (mail, video, SMS, personal attendance) and, if digital team-based communication can positively affect patients experience of continuity of care.
详细描述
Transition of care from hospital to home following orthopaedic surgery pose a significant risk to patient safety. After discharge, patients or primary care providers may need to communicate with the specialized healthcare team at the hospital about symptoms, postoperative complications, rehabilitation, wounds and medication, but are hampered by a fragmented healthcare system with slow communication pathways. Communication through phone often involves several intermediaries and waiting time for both patients and healthcare professionals. The fact that patients and healthcare professionals must be present at the same time is inflexible and disruptive to work processes. However, cross-sectoral communication and collaboration with patients after hospital discharge are prerequisites to achieve high-quality care and good patient outcomes. Review of the literature show that few studies have explored the effects of digital team-based communication with the patient and across sectors to facilitate collaboration and knowledge sharing after discharge. On the basis of findings from a preliminary pilot study suggesting asynchronous digital team-based communication between orthopaedic surgery patients and healthcare professionals across sectors (eDialogue) may be a solution to the existing problems in communication pathways, we initiated this trial.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients admitted and operated at Aalborg University Hospital, who;
- •have complex care needs involving cross disciplinary and cross sectoral care after hospital discharge
- •will be discharged to their home
- •will need follow-up in the outpatient clinic after discharge
- •Patients at all ages, but:
- •if patient is < 15 years old, the parent(s) will be included in the study as user(s) of LetDialog.
- •if patient is 15-18 years old, the patient will be the user in LetDialog and answer the questionnaires to comply with existing Danish legislation Health Act §
- •If the patient wishes, parent(s) can be included as user(s) in LetDialog as well.
- •Have access to and ability to use a smartphone Have access to NemID (needed to create a GDPR-safe user profile in LetDialog)
排除标准
- •Patients, who:
- •have previously participated in the eDialogue pilot study
- •are discharged to a rehabilitation center, nursing home or similar
- •do not speak/read Danish or English well enough to understand participant information and use digital communication in Danish or English through LetDialog
- •are included in other ongoing randomized controlled trials or prospective follow-up studies in the Orthopaedic Surgery Department at Aalborg University Hospital, where participation could possibly affect the results of these studies
结局指标
主要结局
Patient-initiated telephone contacts to hospital up to 8 weeks after discharge
时间窗: 8 weeks
Questionnaire on patient-initiated telephone contacts to hospital after discharge distributed once a week for 8 weeks after discharge. The questionnaire is short, self-developed and not validated, but tested for wording and understanding in 12 orthopaedic surgery patients using qualitative interviewing.
次要结局
- Patient Continuity of Care(4 weeks)
- Other patient-initiated contacts to hospital or other healthcare facilities through email, video, SMS up to 8 weeks after discharge(8 weeks)
- Feeling safe and satisfied with access to healthcare professionals(8 weeks)
研究者
Ole Rahbek
Professor, MD
Aalborg University Hospital