- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT00224224
A Comparison of Primary Care and Traditional Internal Medicine Residents
Studieoversikt
Status
Detaljert beskrivelse
Three areas will be examined:
- Clinical performance
- Continuity of care
- Utilization of resources
Clinical performance will be assessed using Health Plan Employer data and Information Set (HEDIS) performance standards. These standards were developed for the purposes of quality assessment, and in our study we will examine the following HEDIS standards:
- Breast Cancer Screening- the proportion of women between the ages of 52 and 64 who have had a mammogram within a two year period.
- Cervical Cancer Screening- the proportion of women between the ages of 21 and 64 who had a Pap test in the preceding 3 years.
- Cholesterol Screening- the proportion of patients ages 20 to 39 and 40-59 who have had their cholesterol tested at least once in the past five years.
- Asthma admission rate- the proportion of asthmatics admitted to the hospital for the care of asthma per year.
Diabetic Standards-
- Admission for cellulitis/ 1000 diabetics per year.
- Admission for diabetes/ 1000 diabetics per year.
- Inpatient days per 100 diabetics per year.
- Prevalence of ischemic heart disease.
- Prevalence of severe renal disease.
- Diabetics with >2 hemoglobin A1C drawn per year.
Continuity of Care will be assessed by 3 different indicators:
- The proportion of visits that are made to the designated primary care provider of the number of visits made.
- The proportion of missed appointments of the total number of appointments.
- The proportion of walk in visits of the total number of appointments.
Resource utilization will be assessed by examining the following:
- Number of lab test per year per patient.
- Number of specialty consults per year per patient.
- Hospital admission rates per patient per year.
- Cost to medications. Confidentiality will be maintained throughout the study. In clinical practice access to CLIMACS is limited to the medical providers and administrators by individuals access codes. Furthermore, our study will remove specific identifiers to maintain the anonymity of both the patients and residents.
Studietype
Kontakter og plasseringer
Studiesteder
-
-
New York
-
New York, New York, Forente stater, 10065
- New York Presbyterian Hospital-Weill Medical College
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion Criteria:
- Patients who are followed as outpatients by a Cornell affiliated internist at the Cornell Internal Medicine Associates (CIMA).
- Patients at New York Hospital who may or may not go on to be followed as outpatients at CIMA.
Exclusion Criteria:
Patients who elect not to participate in the study.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
Hva måler studien?
Primære resultatmål
Resultatmål |
---|
To identify the differences between primary care and traditional medicine residents in clinical performance, continuity of care and utilization of resources.
|
Samarbeidspartnere og etterforskere
Studierekorddatoer
Studer hoveddatoer
Studiestart
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 9510000400 (Formerly 1095-071)
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .
Kliniske studier på Livmorhalskreftscreening
-
Max Planck Institute for Human DevelopmentDartmouth-Hitchcock Medical CenterFullført
-
Ottawa Hospital Research InstituteISBRG CorpRekruttering
-
National Institute of Allergy and Infectious Diseases...Rekruttering
-
HyGIeaCare, Inc.MedtronicFullførtScreening koloskopiForente stater
-
Vanderbilt University Medical CenterFullført
-
Beekley MedicalElizabeth Wende Breast Care, LLCFullført
-
University of UtahAlbert Einstein College of Medicine; University of California, San Francisco og andre samarbeidspartnereFullførtNeonatal screening
-
Memorial Sloan Kettering Cancer CenterRalph Lauren Center for Cancer Care and Prevention; North General Hospital...Fullført
-
Motus GI Medical Technologies LtdRekruttering
-
University of UtahEunice Kennedy Shriver National Institute of Child Health and Human Development... og andre samarbeidspartnereFullførtNeonatal screeningForente stater