GUT LINK: A Pilot Study to Evaluate the Comparative Effectiveness of an Evidence-based Care Pathway Across Primary and GI Specialty Care
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 发起方
- 入组人数
- 120
- 试验地点
- 2
- 主要终点
- Number of referrals
研究概览
简要总结
It can be challenging for Primary Healthcare Providers (PHCPs) to differentiate between IBS and more serious illnesses involving the GI tract, such as Crohn's disease, ulcerative colitis, or cancer. To help with diagnosis and treatment of IBS, evidence-based guidelines have been developed. However, they are not commonly used in primary care practice and PHCPs and patients often feel that GI specialist evaluation and endoscopy is required. The development of care pathways and clinical practice guidelines is essential to support the investigation and management of digestive diseases, such as IBS.
The current pilot study is designed to assess the implementation and early comparative effectiveness of a Clinical Care Pathway for lower GI tract symptoms.
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
- •Must be a general practitioner
- •Have a family practice in Nova Scotia, Canada
- •Utilize the platform 'virtual hallway' as part of current referral practices
- •Deliver care to patients with lower GI complaints
排除标准
- 未提供
研究组 & 干预措施
GUT LINK SmartPath
physicians will use the interactive GUT LINK Smartpath tool in virtual hallway platform to guide their care and referral practices
干预措施: GUT LINK SmartPath (Behavioral)
control
physicians will provide care and refer as per their usual practices
结局指标
主要结局
Number of referrals
时间窗: month 6
Number of referrals from GPs to GI Department (an indicator of prototype acceptability)
Number of referrals per week
时间窗: month 6
Number of referrals per week from GPs to GI Department (an indicator of prototype acceptability)
Number of referrals per user
时间窗: month 6
Number of referrals per week from GPs to GI Department (an indicator of prototype acceptability)
Primary Healthcare Provider Satisfaction
时间窗: month 6
Thematic analysis of interviews of primary care providers will yield key themes related to satisfaction with the intervention.
Number of users
时间窗: month 6
Number of users (an indicator of prototype acceptability)
Number of clicks per referral
时间窗: month 6
Number of clicks per referral from GPs to GI Department (an indicator of prototype acceptability)
Number of users
时间窗: month 3
Number of users (an indicator of prototype acceptability)
Number of referrals
时间窗: month 3
Number of referrals from GPs to GI Department (an indicator of prototype acceptability)
Number of referrals per week
时间窗: month 3
Number of referrals per week from GPs to GI Department (an indicator of prototype acceptability)
Number of referrals per user
时间窗: month 3
Number of referrals per week from GPs to GI Department (an indicator of prototype acceptability)
Number of clicks per referral
时间窗: month 3
Number of clicks per referral from GPs to GI Department (an indicator of prototype acceptability)
Primary Healthcare Provider Satisfaction
时间窗: baseline (month 0)
Thematic analysis of interviews of primary care providers will yield key themes related to satisfaction with the intervention.
次要结局
- Perceived appropriateness of the SmartPath(month 6)
- Number referrals received as per prototype(month 6)
- Referral triage priority category(month 6)
- physician self-efficacy rating(month 6)
- Number of referrals received requiring troubleshooting(month 6)
- Time from referral to diagnosis and treatment(month 6)
- Number of referrals aborted(month 6)
- Type of consult(month 6)
- Time from referral to specialist consultation(month 6)
- Number referrals received as per prototype(month 3)
- Number of referrals received requiring troubleshooting(month 3)
- Number of referrals aborted(month 3)
- Type of consult(month 3)
- Perceived appropriateness of the SmartPath(month 3)
- physician self-efficacy rating(month 3)
- Referral triage priority category(month 3)
- Time from referral to specialist consultation(month 3)
- Time from referral to diagnosis and treatment(month 3)
研究者
Michael Stewart
Gastroenterologist, Assistant Professor, Department of Medicine, Dalhousie University
Nova Scotia Health Authority