Allied Health in Rheumatology Triage Project
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 295
- 主要终点
- Time to first visit with the rheumatologist (wait time)
研究概览
简要总结
There is accumulating evidence that early treatment leads to better outcomes for patients with inflammatory arthritis (IA). Triage, which is the process of identifying the urgency of a patient's disease state efficiently and correctly, may facilitate early referral to a rheumatologist. Several studies have suggested that placing allied health professionals (occupational therapists, physical therapists, nurses, etc.) in a triage roll may reduce wait time for patients with suspected IA. The goal of this investigation will be to demonstrate the system-level impact of an Arthritis Society extended role occupational therapist (OT) or physical therapist (PT) working in a triage role in improving access to rheumatologists for people with IA. In this study two groups will be observed: intervention and "usual care" as determined by historical chart review. Wait times will be compared between both groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 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
- •New referrals from a GP
- •Adults with possible IA (determined by rheumatologist through paper triage)
排除标准
- •Currently on a disease-modifying antirheumatic drug (DMARD)
- •Previously seen by a rheumatologist.
- •FM, non-IA OA; soft tissue rheumatism; mechanical LBP
结局指标
主要结局
Time to first visit with the rheumatologist (wait time)
时间窗: 3 months
次要结局
- Time to treatment (disease-modifying antirheumatic drug)(3 months)
- Time to diagnosis(3 months)
研究者
Dr. Mary Bell
Rheumatologist
Sunnybrook Health Sciences Centre
