Evaluation of the Health Digital Territories Program in the Five Pilot Territories (EvaTSN Project ) (EvaTSN)

Evaluation of the Implementation and Results of the Health Digital Territories Program in the Five Pilot Territories (EvaTSN Project )

The aim is to evaluate a national health information technology-based program to improve healthcare coordination and access to information.

Study Overview

• Status: Completed
• Conditions: Evaluation of a National Health Information Technology-based Program to Improve Healthcare Coordination and Access to Information

Detailed Description

Improvement of coordination of all health and social care actors in the patient pathways is an important issue in many countries; Health Information (HI) technology has been considered as a potentially effective answer to this issue. The French Health Ministry first funded the development of five TSN ("Territoire de Soins Numérique" / Digital health territories) programs, aiming at improving healthcare coordination and access to information for healthcare providers, patients or the population, and at improving healthcare professionals work organization; The French Health Ministry then launched a call for grant to fund one Eva TSN project consisting in evaluating the TSN programs implementation and impact and to develop a model for HI technology evaluation.

• Study Type: Observational
• Enrollment (Actual): 150

Contacts and Locations

Study Locations

• France
  • Chalon-sur-Saône, France, 71100
    • Agences Régionales de Santé Bourgogne
  • LYON cedex, France, 69418
    • Agence régionale de santé de Rhône Alpes
  • Mont de Marsan, France, 40100
    • Agences Régionales de Santé Aquitaine
  • Paris, France, 75019
    • Agence Régionale de Santé (ARS) Ile-de-France
  • Saint-Denis, France, 97743
    • Agence Régionale Santé Océan Indien

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Health professionals, primary care physicians (General Practitioner ), other liberal medical professionals, hospital practitioners, field professionals, medical social, users of evaluated systems, patients, industrial responsable of digital health program

Description

• Patients(people living in the five pilot territories of the Health Digital Territories program and the five control territories
• 'Users' who used the devices implemented, including platforms computerized,
• "Health professionals" : which includes both the health professions, medical and social professionals and groups representing them (URPS, etc.) and health facilities
• "Governance bodies" such as Regional Hospitalization Agency, the local authorities, etc.
• Manufacturers responsable for implementation of considered digital solutions.

Study Plan

How is the study designed?

Design Details

• Observational Models: Other
• Time Perspectives: Prospective

Number of groups / cohorts

3

Cohorts and Interventions

Group / Cohort
Doctors; specialists and general practitioners by ich territory
Health professionals; pharmacists; nurses; physiotherapists; Medical and social professionals: social workers, psychologists, educators ...
Medical-social institutes; Hospital,; Healthcare structure,; Local Centre of Information and Gerontological Coordination ...

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Type and number of services developed for professionals	June 2018

Secondary Outcome Measures

Outcome Measure	Time Frame
Number of users who are familiar with the program	June 2018
Number of users (professional and / or patient / citizen)	June 2018
Number of clicks by professional and / or user patient / citizen	June 2018
Online time (start, end) by professional and / or user patient / citizen	June 2018
Relevance rate of short stay admissions	june 2018
Rates of preventable hospital stays	June 2018
Rate of irrelevant drug prescriptions	June 2018
Rate of recourse to prevention programs	June 2018

Collaborators and Investigators

• Sponsor: University Hospital, Bordeaux
• Collaborators: University of Bordeaux
• Investigators: Principal Investigator: Louis-Rachid SALMI, MD, PhD, University Hospital, Bordeaux

Publications and helpful links

General Publications

• Saillour-Glenisson F, Duhamel S, Fourneyron E, Huiart L, Joseph JP, Langlois E, Pincemail S, Ramel V, Renaud T, Roberts T, Sibe M, Thiessard F, Wittwer J, Salmi LR; EvaTSN Research group. Protocole of a controlled before-after evaluation of a national health information technology-based program to improve healthcare coordination and access to information. BMC Health Serv Res. 2017 Apr 21;17(1):297. doi: 10.1186/s12913-017-2199-y.

Study record dates

Study Major Dates

• Study Start (Actual): May 20, 2015
• Primary Completion (Actual): October 30, 2019
• Study Completion (Actual): October 30, 2019

Study Registration Dates

• First Submitted: July 15, 2016
• First Submitted That Met QC Criteria: July 15, 2016
• First Posted (Estimate): July 19, 2016

Study Record Updates

• Last Update Posted (Actual): May 19, 2022
• Last Update Submitted That Met QC Criteria: May 12, 2022
• Last Verified: May 1, 2022

More Information

Terms related to this study

• Other Study ID Numbers: CHUBX2014/42

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No