Nurse vs General Practitioner Care for Patients Requesting Same Day Consultations in Primary Care

April 16, 2007 updated by: Catalan Institute of Health

Effectiveness of an Intervention in Primary Care: Randomized Controlled Trial Comparing Care for Patients Requesting Same Day Consultations by Nurse Practitioner vs General Practitioners

The purpose of this study is to compare the effectiveness of nursing care in relation to usual medical care in adult patients who demand to be visited the same day in Primary Care Teams in Catalonia, as it is suggested in other countries.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

The primary care demand is rapidly growing and the family physicians feel overflowed by the demand and their capacity to solve things is limited by lack of time. Many organizational interventions have been planned to solve this problem. One of these is to imply the nurse professional to solve and control health problems that traditionally were the doctor's job. So, to demonstrate the nursing care is as effective as the medical care, we will compare, among both collectives, the 'quality' of care received by patients who ask an appointment for the same day.

Study Type

Interventional

Enrollment

1640

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

15 years and older (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • patients requesting same day consultations in primary care
  • assigned to the practice

Exclusion Criteria:

  • do not want to participate
  • difficulties to follow-up
  • serious illness that makes the intervention impossible
  • home visits

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Description of the capacity of resolution of the nurse:
To determine if there are differences in the proportion of patients that make a second appointment for the same reason in the next 2 weeks, comparing the two groups.
To determine if there are differences in the resolution of symptoms in 2 weeks after the visit comparing the two groups.
To determine if there are differences in the proportion of admission to hospital or to emergency room the next 2 weeks comparing the two groups.
To determine if there are differences in the satisfaction and resolution of the worries about the users state of health in 2 weeks after the visit comparing the two groups.
To determine if there are differences comparing the two groups in the perceived status of health, perception of the information, received attention, resource utilization and future intention to consult again with the same professional.

Secondary Outcome Measures

Outcome Measure
Description of the clinical demands of the users and their demographic characteristics.
To identify if there is a type of user in which the effectiveness of the intervention is higher.
To determine the proportion of users visited by the nurse not having to be visited by the doctor afterwards for that reason.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Catalan Institute of Health

Collaborators

Ministry of Health
Carlos III Health Institute
Jordi Gol i Gurina Foundation

Investigators

  • Principal Investigator: Begoña Iglesias, Physician, Catalan Institute of Health
  • Study Chair: Maria Teresa Grifell, Nurse, Catalan Institute of Health
  • Study Chair: Josep Maria Vidal, Physician, Catalan Institute of Health
  • Study Chair: Sandra Pons, Physician, Catalan Institute of Health
  • Study Chair: Josep Casajuana, Physician, Catalan Institute of Health
  • Study Chair: Rosa Aragonès, Physician, Catalan Institute of Health
  • Study Chair: Mireia Fàbregas, Physician, Catalan Institute of Health
  • Study Chair: Neus Esgueva, Nurse, Catalan Institute of Health
  • Study Chair: Anna Calvet, Physician, Catalan Institute of Health
  • Study Chair: Maria Teresa Duran, Nurse, Catalan Institute of Health
  • Study Chair: Cristina Gallardo, Pysician, Catalan Institute of Health
  • Study Chair: Maria Assumpció Jiménez, Nurse, Catalan Institute of Health
  • Study Chair: Francisca Ramos, Physician, Catalan Institute of Health
  • Study Chair: Pere Joan Cortés, Physician, Catalan Institute of Health
  • Study Chair: Maria José Garcia, Physician, Catalan Institute of Health
  • Study Chair: Amparo Romaguera, Physician, Catalan Institute of Health
  • Study Chair: Soledad Romea, Physician, Catalan Institute of Health
  • Study Chair: Hèlia Cebrián, Nurse, Catalan Institute of Health
  • Study Chair: Jeannine Hernández, Physician, Catalan Institute of Health
  • Study Chair: Ramon Morera, Physician, Catalan Institute of Health
  • Study Chair: Manel Ferran, Physician, Catalan Institute of Health
  • Study Chair: Isabel Rosich, Farmacy, Catalan Institute of Health
  • Study Chair: Maria Carmen Sanchez, Nurse, Catalan Institute of Health

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2009

Study Registration Dates

First Submitted

April 16, 2007

First Submitted That Met QC Criteria

April 16, 2007

First Posted (Estimate)

April 17, 2007

Study Record Updates

Last Update Posted (Estimate)

April 17, 2007

Last Update Submitted That Met QC Criteria

April 16, 2007

Last Verified

April 1, 2007

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • PI060715

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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