Pilot Study of Patient Navigation Intervention to Improve Follow-up Care for Patients With Urinary Stone Disease
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 31
- 试验地点
- 1
- 主要终点
- Completion of an outpatient urology follow-up visit within 12 weeks of emergency department discharge, assessed through review of the electronic health record.
研究概览
简要总结
Patients who visit the emergency department for kidney stones are sometimes referred to urology for follow-up care but never complete that visit. Missing follow-up appointments can lead to worse outcomes, including recurrent pain, infection, or surgery. Research shows that patients who are socially or economically at risk (such as those with public insurance, lower income, or limited English proficiency) are more likely to experience these care gaps.
This study will pilot a patient navigation program designed to help patients with urinary stone disease (USD) attend their scheduled urology appointments after being seen in the Emergency Department. Using an electronic health record (EHR) based prediction model developed in earlier research, patients at higher risk for being lost to follow-up will be identified and invited to participate. Each participant will be paired with a trained patient navigator who will assess barriers to care, provide support, and maintain contact for about 12 weeks.
The goal of this study is to evaluate the outcomes and feasibility of this navigation intervention. Findings will help determine whether a larger study should test if this approach improves access to care and health outcomes for patients with kidney stones.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 18 years
- •Presentation to the Emergency Department with urinary stone disease
- •Placement of an outpatient urology referral from the Emergency Department
- •Identified as high risk for loss to follow-up based on the study's screening process
排除标准
- •Age < 18 years
- •Unable to provide informed consent
- •Non-English-speaking
- •No outpatient urology referral placed from the Emergency Department
研究组 & 干预措施
Patient Navigation Intervention
干预措施: Patient Navigation (Other)
结局指标
主要结局
Completion of an outpatient urology follow-up visit within 12 weeks of emergency department discharge, assessed through review of the electronic health record.
时间窗: From enrollment to the end of intervention at 12 weeks
次要结局
- Acceptability of the Patient Navigation Intervention Measured by the Patient Navigation Process and Outcomes Measure (PNPOM)(From enrollment to the end of treatment at 12 weeks)