Electronic Health Record Sharing System (eHRSS) Encounter Notification Service Pilot Project
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
調査の概要
詳細な説明
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.
研究の種類
入学 (予想される)
段階
- 適用できない
連絡先と場所
研究場所
-
-
-
Hong Kong、香港
- 募集
- Senior Citizen Home Safety Association
-
コンタクト：
- Cheryl Fung
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
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
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：ヘルスサービス研究
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：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.
|
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.
|
|
介入なし：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).
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
時間枠 |
|---|---|
|
changes in the number of Accident and Emergency (A&E) visits
時間枠：from baseline to 6 and 12 months
|
from baseline to 6 and 12 months
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
changes in the number of non-attendance to outpatient appointments
時間枠：from baseline to 6 and 12 months
|
from baseline to 6 and 12 months
|
|
|
changes in the number of unplanned hospitalizations
時間枠：from baseline to 6 and 12 months
|
from baseline to 6 and 12 months
|
|
|
changes in the number of 30-day unplanned readmissions
時間枠：from baseline to 6 and 12 months
|
from baseline to 6 and 12 months
|
|
|
changes in the stability of health condition
時間枠：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
時間枠：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
時間枠：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
|
その他の成果指標
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
changes in the carers' perceptions of the impacts of the notification service
時間枠：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
|
協力者と研究者
捜査官
- 主任研究者：Kalun Or, PhD、The University of Hong Kong
出版物と役立つリンク
一般刊行物
- Doig GS, Simpson F. Randomization and allocation concealment: a practical guide for researchers. J Crit Care. 2005 Jun;20(2):187-91; discussion 191-3. doi: 10.1016/j.jcrc.2005.04.005.
- Beck A, Scott J, Williams P, Robertson B, Jackson D, Gade G, Cowan P. A randomized trial of group outpatient visits for chronically ill older HMO members: the Cooperative Health Care Clinic. J Am Geriatr Soc. 1997 May;45(5):543-9. doi: 10.1111/j.1532-5415.1997.tb03085.x.
- Sommers LS, Marton KI, Barbaccia JC, Randolph J. Physician, nurse, and social worker collaboration in primary care for chronically ill seniors. Arch Intern Med. 2000 Jun 26;160(12):1825-33. doi: 10.1001/archinte.160.12.1825.
- Mizrahi T, Abramson JS. Collaboration between social workers and physicians: perspectives on a shared case. Soc Work Health Care. 2000;31(3):1-24. doi: 10.1300/J010v31n03_01.
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (予想される)
研究の完了 (予想される)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- MYCARER 20191108
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。