Effectiveness of an Intervention in Primary Care: Randomized Controlled Trial Comparing Care for Patients Requesting Same Day Consultations by Nurse Practitioner vs General Practitioners
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 1,640
- 主要终点
- Description of the capacity of resolution of the nurse:
研究概览
简要总结
The purpose of this study is to compare the effectiveness of nursing care in relation to usual medical care in adult patients who demand to be visited the same day in Primary Care Teams in Catalonia, as it is suggested in other countries.
详细描述
The primary care demand is rapidly growing and the family physicians feel overflowed by the demand and their capacity to solve things is limited by lack of time. Many organizational interventions have been planned to solve this problem. One of these is to imply the nurse professional to solve and control health problems that traditionally were the doctor's job. So, to demonstrate the nursing care is as effective as the medical care, we will compare, among both collectives, the 'quality' of care received by patients who ask an appointment for the same day.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients requesting same day consultations in primary care
- •assigned to the practice
排除标准
- •do not want to participate
- •difficulties to follow-up
- •serious illness that makes the intervention impossible
- •home visits
结局指标
主要结局
Description of the capacity of resolution of the nurse:
To determine if there are differences in the proportion of patients that make a second appointment for the same reason in the next 2 weeks, comparing the two groups.
To determine if there are differences in the resolution of symptoms in 2 weeks after the visit comparing the two groups.
To determine if there are differences in the proportion of admission to hospital or to emergency room the next 2 weeks comparing the two groups.
To determine if there are differences in the satisfaction and resolution of the worries about the users state of health in 2 weeks after the visit comparing the two groups.
To determine if there are differences comparing the two groups in the perceived status of health, perception of the information, received attention, resource utilization and future intention to consult again with the same professional.
次要结局
- Description of the clinical demands of the users and their demographic characteristics.
- To identify if there is a type of user in which the effectiveness of the intervention is higher.
- To determine the proportion of users visited by the nurse not having to be visited by the doctor afterwards for that reason.