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
Studieoversikt
Status
Intervensjon / Behandling
Detaljert beskrivelse
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.
Studietype
Registrering (Forventet)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiesteder
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Hong Kong, Hong Kong
- Rekruttering
- Senior Citizen Home Safety Association
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Ta kontakt med:
- Cheryl Fung
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
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
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Helsetjenesteforskning
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Dobbelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
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Eksperimentell: 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.
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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.
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Ingen inngripen: 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).
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tidsramme |
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changes in the number of Accident and Emergency (A&E) visits
Tidsramme: from baseline to 6 and 12 months
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from baseline to 6 and 12 months
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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changes in the number of non-attendance to outpatient appointments
Tidsramme: from baseline to 6 and 12 months
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from baseline to 6 and 12 months
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changes in the number of unplanned hospitalizations
Tidsramme: from baseline to 6 and 12 months
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from baseline to 6 and 12 months
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changes in the number of 30-day unplanned readmissions
Tidsramme: from baseline to 6 and 12 months
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from baseline to 6 and 12 months
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changes in the stability of health condition
Tidsramme: from baseline to 6 and 12 months
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measured by a questionnaire with items on a 5-point Likert scale ranging from 1 (worse outcome) to 5 (better outcome)
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from baseline to 6 and 12 months
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changes in the understanding of the arrangement of outpatient appointments
Tidsramme: from baseline to 6 and 12 months
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measured by a questionnaire with items on a 5-point Likert scale ranging from 1 (worse outcome) to 5 (better outcome)
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from baseline to 6 and 12 months
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changes in the elderly's perceptions of the services
Tidsramme: from baseline to 6 and 12 months
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measured by a questionnaire with items on a 5-point Likert scale ranging from 1 (worse outcome) to 5 (better outcome)
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from baseline to 6 and 12 months
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Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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changes in the carers' perceptions of the impacts of the notification service
Tidsramme: from baseline to 6 and 12 months
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A questionnaire survey will be conducted to assess carers' perceptions of the automated notification service on care coordination and prioritization, workflow, and administrative procedures.
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from baseline to 6 and 12 months
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Samarbeidspartnere og etterforskere
Sponsor
Samarbeidspartnere
Etterforskere
- Hovedetterforsker: Kalun Or, PhD, The University of Hong Kong
Publikasjoner og nyttige lenker
Generelle publikasjoner
- 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.
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Forventet)
Studiet fullført (Forventet)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
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
Andre studie-ID-numre
- MYCARER 20191108
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