Efficacy of Providing an Automated Notification Service, the "Encounter Notification Service" Via the eHRSS for Home-based Care and Services Provided by Community Healthcare Providers for the Elderly: A 12-month Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 864
- 试验地点
- 1
- 主要终点
- changes in the number of Accident and Emergency (A&E) visits
研究概览
简要总结
This study evaluates the value of the automated notification service that allows more timely information access and sharing. A 12-month RCT will be conducted to determine the efficacy of the provision of the service to an elderly care and service provider in improving care and health outcomes of the elderly. Researchers will also examine whether the notification service will better support the carers for the coordination and prioritization of care and service delivery.
详细描述
A research team at the University of Hong Kong is commissioned to conduct a study of the efficacy of providing an automated notification service, i.e., the "Encounter Notification Service," via the Electronic Health Record Sharing System (eHRSS) to an elderly caring and service provider that aims to facilitate more timely provision and coordination of healthcare services for home-dwelling elderly. With the access to the automated notification service containing up-to-date encounter information of the elderly in the eHRSS (e.g. discharge date from the public hospital, outpatient appointments), it is expected that the elderly caring and service provider can improve its allocation of resources and prioritize the provision of service to elderly patients who are in need, i.e., during the transition of care. As a result, the caring support and services provided by the elderly caring and service provider to the elderly can be more timely and effective, and an improvement in patient health outcomes can be expected.
To obtain evidence to determine the value of the automated notification service, a systematic study of the efficacy is suggested. Thus, researchers set out to conduct a 12-month randomized controlled trial (RCT) to examine whether the provision of the automated notification service to the caring and service provider will result in improvements in care and health outcomes of the elderly. Also, researchers will assess whether the notification service will better support the carers for the coordination and prioritization of care and service provision and improve workflow and administrative procedures amongst different sectors.
In this pilot study, the Senior Citizen Home Safety Association (SCHSA) is the participated elderly caring and service provider.
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •are aged 18 years or older
- •have registered in eHRSS as healthcare recipients and given consent for sharing their records in the eHRSS with the SCHSA
- •are able to understand spoken Cantonese
排除标准
- •with mental incapacity
- •with hearing difficulties
结局指标
主要结局
changes in the number of Accident and Emergency (A&E) visits
时间窗: from baseline to 6 and 12 months
次要结局
- changes in the understanding of the arrangement of outpatient appointments(from baseline to 6 and 12 months)
- changes in the elderly's perceptions of the services(from baseline to 6 and 12 months)
- changes in the number of unplanned hospitalizations(from baseline to 6 and 12 months)
- changes in the number of non-attendance to outpatient appointments(from baseline to 6 and 12 months)
- changes in the stability of health condition(from baseline to 6 and 12 months)
- changes in the number of 30-day unplanned readmissions(from baseline to 6 and 12 months)
研究者
Dr. Calvin Or
Associate professor
The University of Hong Kong