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.
연구 개요
상세 설명
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.
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Santiago, 칠레
- Hospital Luis Calvo Mackenna
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
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.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 건강 서비스 연구
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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간섭 없음: No Intervention
The intervention arm subjects will not receive the automated interactive voice reminder before their appointment.
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실험적: 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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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Intervention impact
기간: 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
기간: 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
기간: 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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공동 작업자 및 조사자
수사관
- 수석 연구원: William Weiss, DrPH, MA, Johns Hopkins Bloomberg School of Public Health
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
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