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Electronic Health Record Sharing System (eHRSS) Encounter Notification Service Pilot Project

5. november 2020 opdateret af: Dr. Calvin Or, The University of Hong Kong

Efficacy of Providing an Automated Notification Service, the "Encounter Notification Service" Via the eHRSS for Home-based Care and Services Provided by Community Healthcare Providers for the Elderly: A 12-month Randomized Controlled Trial

This study evaluates the value of the automated notification service that allows more timely information access and sharing. A 12-month RCT will be conducted to determine the efficacy of the provision of the service to an elderly care and service provider in improving care and health outcomes of the elderly. Researchers will also examine whether the notification service will better support the carers for the coordination and prioritization of care and service delivery.

Studieoversigt

Status

Ukendt

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

A research team at the University of Hong Kong is commissioned to conduct a study of the efficacy of providing an automated notification service, i.e., the "Encounter Notification Service," via the Electronic Health Record Sharing System (eHRSS) to an elderly caring and service provider that aims to facilitate more timely provision and coordination of healthcare services for home-dwelling elderly. With the access to the automated notification service containing up-to-date encounter information of the elderly in the eHRSS (e.g. discharge date from the public hospital, outpatient appointments), it is expected that the elderly caring and service provider can improve its allocation of resources and prioritize the provision of service to elderly patients who are in need, i.e., during the transition of care. As a result, the caring support and services provided by the elderly caring and service provider to the elderly can be more timely and effective, and an improvement in patient health outcomes can be expected.

To obtain evidence to determine the value of the automated notification service, a systematic study of the efficacy is suggested. Thus, researchers set out to conduct a 12-month randomized controlled trial (RCT) to examine whether the provision of the automated notification service to the caring and service provider will result in improvements in care and health outcomes of the elderly. Also, researchers will assess whether the notification service will better support the carers for the coordination and prioritization of care and service provision and improve workflow and administrative procedures amongst different sectors.

In this pilot study, the Senior Citizen Home Safety Association (SCHSA) is the participated elderly caring and service provider.

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

864

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Hong Kong
      • Hong Kong, Hong Kong
        • Rekruttering
        • Senior Citizen Home Safety Association
        • Kontakt:
          • Cheryl Fung

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • are aged 18 years or older
  • have registered in eHRSS as healthcare recipients and given consent for sharing their records in the eHRSS with the SCHSA
  • are able to understand spoken Cantonese

Exclusion Criteria:

  • with mental incapacity
  • with hearing difficulties

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Sundhedstjenesteforskning
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Encounter notification service
For participants randomized to the intervention group, their encounter information stored in the eHRSS will be provided to the SCHSA via the automated notification service. Healthcare professionals of the SCHSA would access the electronic health record and provide caring support and services via telephone calls during the 12-month study period.
Adfærdsmæssigt: Encounter notification service
The caring support and services provided by SCHSA will consist of multiple components, including standard call & care center support, medical appointment reminder, assistance to reschedule appointment, follow-up calls with either nurse or health workers to monitor health situation of service recipients, assessing needs of service recipient for elderly home care and/or rehabilitation services, providing elderly home care and/or rehabilitation services based on assessment, assessing needs of service recipient for emotional and community support, providing additional emotional support via either social calls by volunteers or counseling by social workers, and making referrals for community support services.
Ingen indgriben: Usual care service
For participants randomized in the control group, no notification will be sent to the SCHSA. Usual care service will be provided during the 12-month study period. In addition, each control participant will receive placebo phone calls at least once every three months (e.g., the calls could be about greeting and general checking).

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Tidsramme
changes in the number of Accident and Emergency (A&E) visits
Tidsramme: from baseline to 6 and 12 months
from baseline to 6 and 12 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
changes in the number of non-attendance to outpatient appointments
Tidsramme: from baseline to 6 and 12 months
from baseline to 6 and 12 months
changes in the number of unplanned hospitalizations
Tidsramme: from baseline to 6 and 12 months
from baseline to 6 and 12 months
changes in the number of 30-day unplanned readmissions
Tidsramme: from baseline to 6 and 12 months
from baseline to 6 and 12 months
changes in the stability of health condition
Tidsramme: from baseline to 6 and 12 months
measured by a questionnaire with items on a 5-point Likert scale ranging from 1 (worse outcome) to 5 (better outcome)
from baseline to 6 and 12 months
changes in the understanding of the arrangement of outpatient appointments
Tidsramme: from baseline to 6 and 12 months
measured by a questionnaire with items on a 5-point Likert scale ranging from 1 (worse outcome) to 5 (better outcome)
from baseline to 6 and 12 months
changes in the elderly's perceptions of the services
Tidsramme: from baseline to 6 and 12 months
measured by a questionnaire with items on a 5-point Likert scale ranging from 1 (worse outcome) to 5 (better outcome)
from baseline to 6 and 12 months

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
changes in the carers' perceptions of the impacts of the notification service
Tidsramme: from baseline to 6 and 12 months
A questionnaire survey will be conducted to assess carers' perceptions of the automated notification service on care coordination and prioritization, workflow, and administrative procedures.
from baseline to 6 and 12 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

The University of Hong Kong

Samarbejdspartnere

Hospital Authority, Hong Kong

Efterforskere

  • Ledende efterforsker: Kalun Or, PhD, The University of Hong Kong

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

20. juni 2020

Primær færdiggørelse (Forventet)

14. december 2020

Studieafslutning (Forventet)

31. december 2021

Datoer for studieregistrering

Først indsendt

25. november 2019

Først indsendt, der opfyldte QC-kriterier

2. december 2019

Først opslået (Faktiske)

4. december 2019

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

6. november 2020

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

5. november 2020

Sidst verificeret

1. november 2020

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • MYCARER 20191108

Plan for individuelle deltagerdata (IPD)

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