Impact of Automated Calls on Pediatric Patient Attendance in Chile (Health Call)
Health Call: A Randomized Control Trial of Interactive Automated Reminder Calls to Reduce Failure to Attend Rates at an Urban Referral Hospital in Chile
Missed health care appointments present a serious challenge to patient care. Especially in government funded health systems like that of Chile, missed appointments can lead to delayed care, wasted resources, and escalating costs.
This private-public-research collaboration seeks to provide a rigorous, practical evaluation of a new patient reminder system, evaluate how health beliefs impact patient attendance, and capture the potential for scaling up this or other health technology systems. Using a mixed-methods approach this study will provide contextualized, triangulated analysis of pediatric patient attendance in Chile.
Descripción general del estudio
Descripción detallada
The Health Call study is divided into two phases. The first phase is a randomized controlled trial and side-by- side cost-benefit analysis. Enrolled guardians of pediatric patients will complete a questionnaire at the point of referral and then be randomized to intervention, the automated reminder system, or no reminder. The investigators will then monitor attendance status at their subsequent appointment and evaluate whether the appointment reminders affected attendance as well as the cost-benefit ratio of using the reminder system.
The second phase will involve interviewing guardians and healthcare professionals. These interviews have two foci. First, combined with patient, guardian, and/or household data from the randomized trial, these results will be used to develop a more comprehensive understanding of why pediatric patients attend appointments. The second focus is on improving the reminder system and developing new health technology interventions that can increase patient attendance.
Tipo de estudio
Inscripción (Actual)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
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Santiago, Chile
- Hospital Luis Calvo Mackenna
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Guardian with a phone number (land-line or mobile) who is able to receive and answer voice calls
- Guardian who is willing to take part in the study and complete the consent form
- Guardian who is sufficiently proficient in Spanish so as to complete the questionnaire
- Guardian's patient who has a referral appointment at Hospital Luis Calvo Mackenna who is 18 years of age or younger
Exclusion Criteria:
- Guardian or child who do not meet the inclusion criteria
- Anyone that lives in the same household as an enrolled study participant.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Investigación de servicios de salud
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Sin intervención: No Intervention
The intervention arm subjects will not receive the automated interactive voice reminder before their appointment.
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Experimental: Intervention
The intervention arm subjects will receive the automated interactive voice reminder before their appointment.
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Health Call is an automated interactive voice reminder system that can contact guardians of patients ahead of their child's appointment, asks then confirms a security question about the patient, then, if the call recipient passes the security screen, provides a reminder about upcoming appointment.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Intervention impact
Periodo de tiempo: 9 months
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Evaluate whether a patient reminder system, Health Call, can decrease the overall failure to attend appointment rate as a percentage of overall appointments
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9 months
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Key attendance factors
Periodo de tiempo: 9 months
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Examine what demographic or health belief factors are significantly related to appointment attendance as measured by a psychometric questionnaire
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9 months
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Develop new interventions
Periodo de tiempo: 9 months
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Investigate staff and recipient opinions of patient attendance, the Health Call system, and ideas for future interventions to reduce failure to attend as measured through in-depth interviews
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9 months
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: William Weiss, DrPH, MA, Johns Hopkins Bloomberg School of Public Health
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
- Ensayo controlado aleatorizado
- mSalud
- eSalud
- Salud global
- Sistemas Integrados de Atención de la Salud
- Chile
- Tecnología de la salud
- Sistemas de Salud
- Health Information Systems
- Referencia y Consulta
- Falta de asistencia
- No Show
- Efficiency, Organizational
- Pediatric Hospitals
- Sistemas de atención de salud
- Community Health Systems
- Community Medicine
Otros números de identificación del estudio
- 00004109
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .