- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00977678
Drop in Gastroscopy - Experience After 9 Months
The capacity for endoscopical procedures in the Norwegian health system is low in comparison to demands from patients and family practitioners.
The studies aim is to evaluate the acceptance of a new concept: an open access gastroscopy clinic where patients can attend without a preceding appointment.
The investigators wish to evaluate:
- Patient´s satisfaction.
- General practitioner´s satisfaction.
- Acceptance by the staff of the clinic.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The fact that access to specialized norwegian health care is characterized by a mismatch between system´s capacity and patient´s and refering physician´s demands, leads to delay of diagnostic investigations such as for example gastroscopies. Patients referred to gastroscopies have to wait 4 to 12 weeks to get an appointment. Consequence might be a delay in diagnosing of significant diseases such as ulcers or even malignancies. In addition the general practitioner is frequently forced to start a therapy by suspicion, and the patient has in numerable cases to stay off work.
In September 2008, the investigators started an open-access gastroscopy outpatient clinic, which allows the family practitioners in a defined area of the Telemark county to refer their patients to a gastroscopy without a preceding appointment. Patients from the other parts of the county and those, who need special service as i.e. interpreter, endocarditis prophylaxis etc. are referred conventionally and need an appointment.
Aim of the study is to evaluate the acceptance of both forms of outpatient clinics by both patients and general practitioners. In addition to that, the investigators will evaluate the acceptance of the open access clinic by the staff. Of special concern is the fear, that easier access might lead to a number of unnecessary procedures.
All patients from open access clinic and from the conventional clinic are asked to fill in a questionaire without any kind of personal identifying data such as name, age, date of the procedure etc., but with questions about their satisfaction with the procedure, the time from their first contact with their family practitioner to the procedure, the information prior and after the procedure. They will be asked if they did consume drugs against "ulcer-disease" or not.
In addition the referring practitioners are asked to fill in a questionnaire about their acceptance of the open access clinic, and to give the investigators some ideas about advantages and disadvantages from their point of view.
The staff is asked to give their experience especially according to the not calculable number of patients that attend to the clinic each day.
If the present study shows high acceptance of the open-access-offer by patients and health workers, the plan is to extend it to other patient groups and to perform studies to investigate the effects on the grade of diseases at the time of diagnosis and possible consequences for treatment and health economy.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
Telemark
-
Skien, Telemark, Norway, 3728
- Department of Gastroenterology
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- all patients from 18 years of age.
Exclusion Criteria:
- age < 18,
- inability or unwillingness to cooperate.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Open access gastroscopy
Patients referred to open access gastroscopy
|
access to gastroscopy without preceding appointment
|
Conventional outpatient gastroscopy
Gastroscopy after preceding appointment
|
Gastroscopy after preceding appointment in a conventional outpatient clinic
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Patient´s satisfaction
Time Frame: Day of the Gastrocopy
|
Day of the Gastrocopy
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
General practitioner´satisfaction
Time Frame: One month after enrollment of patients
|
One month after enrollment of patients
|
Collaborators and Investigators
Investigators
- Principal Investigator: Gert Huppertz-Hauss, MD, Telemark Hospital, Department of internal medicin, Skien, Norway
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- STHF-1
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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