Ostrobothnia Digital Clinic Experiment
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 170,306
- 试验地点
- 2
- 主要终点
- The number of in-person visits in public primary care (Y1.1)
研究概览
简要总结
This randomized controlled trial (RCT) examines the impacts of a publicly provided digital clinic that offers digital primary care services to consumers. This intervention grants access to a public digital clinic that provides chat-based primary care consultations via a mobile phone application and website, including care needs assessment, diagnoses, follow-up care recommendations, and prescriptions. The digital clinic supplements traditional public primary care services, including in-person visits and phone consultations. The trial takes place in Ostrobothnia, Finland, a healthcare district serving a population of 178,000 residents. The investigators will randomize access to the digital clinic at the household level, providing access to 50% of the households. By doing so, the investigators aim to evaluate whether digital services can substitute for, complement, or increase the utilization of traditional primary care, particularly in-person visits or calls to traditional clinics. At the end of the nine-month trial, access to the digital clinic will be expanded to the entire population.
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
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •for the intervention:
- •All residents alive and residing in the region of Ostrobothnia (Finland) on March 14, 2015, AND permanent address observed in the Finnish Population Information System
排除标准
- •for the intervention:
- •Resides in the city of Kristiinankaupunki OR resides in a household defined as institutionalized care
- •Exclusion Criteria for the analysis sample:
- •The inclusion and exclusion criteria mentioned above AND:
- •If an individual from the target population, extracted from the Population Information System, is not observed in Statistics Finland datasets, which is defined as not having a municipality of residence (missing data) at the end of 2024, the investigators will not use that individual in the study population in the analyses because the data do not include have covariates for the individual.
- •Age 71 and above
结局指标
主要结局
The number of in-person visits in public primary care (Y1.1)
时间窗: From the digital clinic launch to the end of treatment at 9 months
This outcome includes in-person visits to nurses and physicians in traditional public primary care clinics.
次要结局
- The number of other contacts with traditional public primary care (Y1.2)(From the digital clinic launch to the end of treatment at 9 months)
- The number of public digital clinic contacts (D.1).(From the digital clinic launch to the end of treatment at 9 months)
研究者
Lauri Sääksvuori
Principal investigator
Finnish Institute for Health and Welfare