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.
Aperçu de l'étude
Description détaillée
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.
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
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Santiago, Chili
- Hospital Luis Calvo Mackenna
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
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 d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Recherche sur les services de santé
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
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Aucune intervention: No Intervention
The intervention arm subjects will not receive the automated interactive voice reminder before their appointment.
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Expérimental: 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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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Intervention impact
Délai: 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
Délai: 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
Délai: 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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Collaborateurs et enquêteurs
Les enquêteurs
- Chercheur principal: William Weiss, DrPH, MA, Johns Hopkins Bloomberg School of Public Health
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
- Essai contrôlé randomisé
- santé mobile
- eSanté
- Santé mondiale
- Systèmes de soins de santé intégrés
- Chili
- Technologie de la santé
- Systèmes de santé
- Health Information Systems
- Renvoi et consultation
- Absence
- No Show
- Efficiency, Organizational
- Pediatric Hospitals
- Systèmes de soins de santé
- Community Health Systems
- Community Medicine
Autres numéros d'identification d'étude
- 00004109
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