- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT02512835
Understanding the Value of Community Vital Signs in Primary Care
Studieoversikt
Status
Intervensjon / Behandling
Detaljert beskrivelse
The investigators will integrate community vital signs into clinical data, identify cold spots, and determine prospectively how clinicians use these community data at the point of care and for populations of patients. The investigators hypothesize that (1) the patients in a primary care practice live in a range of communities with different social determinants of health, including cold spots that lack health-promoting resources, (2) community vital signs are associated with patient health outcomes (e.g., being up-to-date with preventive care, control of chronic conditions, morbidity), and (3) knowing that a patient resides in a cold spot will help clinicians improve patient care.
Aim 1a: Determine community vital sign cold spots in the catchment area of 12 primary care practices.
Aim 1b: Determine whether patients residing in cold spots experience worse outcomes, such as receiving inadequate care, worse chronic disease control, or higher morbidity.
Aim 2: Determine whether knowing a patient's community vital signs and social needs at the point of care will change clinical management; and explore how practices could use community vital signs for population care.
Aim 3: Identify other community vital signs that practices would find useful for managing patients.
Studietype
Registrering (Faktiske)
Kontakter og plasseringer
Studiesteder
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-
Virginia
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Fairfax, Virginia, Forente stater, 22033
- Fairfax Family Practice Centers
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Richmond, Virginia, Forente stater, 23298
- Virginia Ambulatory Care Outcomes Research Network
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Prøvetakingsmetode
Studiepopulasjon
Beskrivelse
Inclusion Criteria:
- Aims 1a and 1b: Patients seen at one of the 12 study practices
- Aims 2 and 3: Clinicians at one of the 12 study practices
Exclusion Criteria:
- Aims 1a and 1b: Patients outside of the age range
- Aims 2 and 3: Clinicians involved with the design of the research protocol.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
Kohorter og intervensjoner
Gruppe / Kohort |
Intervensjon / Behandling |
---|---|
Clinic patients
Aims 1a and 1b: The participants include all unique patients seen at the 12 study practices (approximately 170,000 patients over the past two years).
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Clinicians
Aims 2 and 3: The clinicians in this analysis will include 15 participants recruited from the approximately 100 clinicians at the 12 practices
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We will present clinicians with information about their patients' communities
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
Quality of care
Tidsramme: The past 5 years
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Likelihood patient living in a cold spot received recommended cancer screening and cardiovascular preventive care based on National Committee for Quality Assurance (NCQA) quality measures.
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The past 5 years
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
ACG morbidity risk score
Tidsramme: Past 5 years
|
Likelihood a patient living in a cold spot has a higher Adjusted Clinical Group (ACG) risk score than patient not living in a cold spot.
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Past 5 years
|
Change in care
Tidsramme: Up to one year
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Physician report on whether they change care in response to knowing a patient lives in a cold spot.
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Up to one year
|
Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Hovedetterforsker: Alex Krist, M.D., Virginia Commonwealth University
Studierekorddatoer
Studer hoveddatoer
Studiestart
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
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
- HM20004050
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
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