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临床试验/NCT07185828
NCT07185828招募中不适用

Informing Low-acuity Emergency Department Patients of Non-emergent Healthcare Resources Following Discharge to Decrease Emergency Department Utilization (2)

Geisinger Clinic1 个研究点 分布在 1 个国家目标入组 8,286 人开始时间: 2025年4月15日最近更新:
干预措施

试验速览

阶段
不适用
状态
招募中
入组人数
8,286
试验地点
1
主要终点
Return to Geisinger ED

研究概览

简要总结

The goal of this campaign is to reduce unnecessary visits to a Geisinger emergency department (ED). In this campaign, patients will be assigned to receive or not receive outreach following ED discharge with a low-acuity visit designation. Outreach will occur via a text message the day after discharge from the ED as well as information added to the patient's after visit summary (AVS). Depending on the assigned condition, it will include calls to see their primary care provider (PCP) or use an Intelligent Triage tool. The study will assess whether ED use within the following 120 days differs across patients in different outreach conditions (current standard practice vs contact your PCP vs use Intelligent Triage). It will also examine whether patients follow through on the message-specific calls to action differently across conditions.

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

盲法说明

Patients will be aware of their own messages but not of messages sent to other patients or in other arms.

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • >= 18 years of age
  • Geisinger ED visit rated as low acuity (L4 or L5)
  • Discharged from Geisinger ED in past 24 hours

排除标准

  • Cannot be contacted via the communication modality being used in the study (i.e., SMS), due to insufficient/missing contact information in the EHR or because the patient opted out
  • Admitted to hospital
  • Already included in intervention in past 365 days

研究组 & 干预措施

Control

No Intervention

This arm will receive no intervention outside of usual care.

Contact your PCP

Experimental

Intervention content emphasizes contacting a primary care provider (content will vary slightly based on whether the patient has a Geisinger PCP)

干预措施: Contact your PCP (Behavioral)

Use Intelligent Triage

Experimental

Intervention content emphasizes using Intelligent Triage to assess symptoms.

干预措施: Use Intelligent Triage (Behavioral)

结局指标

主要结局

Return to Geisinger ED

时间窗: within 120 days following day of discharge

ED visit (yes/no)

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Amir Goren

Principal Investigator

Geisinger Clinic

研究点 (1)

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