- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT02955433
The Impact of Rideshare Transportation Services on Appointment Adherence
This study is a prospective clinical trial designed to primarily test the impact of rideshare-based transportation services from a digital transportation network, Lyft, on reducing primary care clinic missed appointments--a composite outcome of no-shows and same day cancellations--for Medicaid patients. The study population consists of West Philadelphia residents who are established patients at two of the Penn Medicine Primary Care Practices within the University of Pennsylvania Health System. The study subjects are allocated into the intervention or control arm using a pseudorandomization approach - those receiving an appointment reminder on an even calendar day are in the intervention arm and odd calendar day calls are in the control arm.
Secondary outcomes include the time of arrival to the clinics relative to actual appointment time (both arms), prospective utilization of acute care settings (both arms), prospective utilization of primary care (both arms), and description of programmatic metrics in the intervention arm (travel time, misuse, and costs). The investigators will assess the patient experience after each ride using a telephone-based survey and in-depth interviews. All adults with established primary care at the Penn Medicine Clinics, who have Medicaid, and do not require wheelchair accessible rides will be eligible for the rideshare service. The investigators hypothesize that individuals offered a rideshare-based transportation service will have a decreased proportion of missed appointments and same day cancellations as those not offered the service.
Studieöversikt
Status
Intervention / Behandling
Studietyp
Inskrivning (Faktisk)
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
-
-
Pennsylvania
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Philadelphia, Pennsylvania, Förenta staterna, 19146
- Penn Internal Medicine Primary Care Practice
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- Patients insured by Medicaid
- Established primary care patient at the Penn Medicine Clinics
- Address in West Philadelphia zip code
Exclusion Criteria:
- Requiring wheelchair accessible transportation. We are unable to guarantee vehicles that will be able to accommodate these patients' physical needs.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Hälsovårdsforskning
- Tilldelning: Icke-randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
---|---|
Experimentell: Rideshare
The intervention arm will receive an appointment reminder and free transportation for one appointment to travel between the patient's home and primary care clinic using a rideshare-based transportation service.
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Andra namn:
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Inget ingripande: Control
The control arm will receive an appointment reminder, but no free transportation offer.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
The proportion of missed appointments (no-shows and same-day cancellation) in the intervention arm and the control arm
Tidsram: Within 2 days of enrollment
|
The missed appointment proportion is based on the one appointment for which patients were contacted to receive a free ride
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Within 2 days of enrollment
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Sekundära resultatmått
Resultatmått |
Tidsram |
---|---|
Arrival time to clinic relative to the scheduled time (both arms)
Tidsram: Within 2 days of enrollment
|
Within 2 days of enrollment
|
Post-intervention, utilization frequency of acute care settings (both arms)
Tidsram: 7-days, 30-days, and 6 months post-appointment
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7-days, 30-days, and 6 months post-appointment
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Post-intervention, utilization frequency of primary care (both arms)
Tidsram: 7-days, 30-days, and 6 months post-appointment
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7-days, 30-days, and 6 months post-appointment
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Post-intervention, frequency of missed primary care appointments (both arms)
Tidsram: 30-days and 6-months post-appointment
|
30-days and 6-months post-appointment
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Samarbetspartners och utredare
Sponsor
Samarbetspartners
Publikationer och användbara länkar
Allmänna publikationer
- Chaiyachati KH, Hubbard RA, Yeager A, Mugo B, Lopez S, Asch E, Shi C, Shea JA, Rosin R, Grande D. Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial. JAMA Intern Med. 2018 Mar 1;178(3):383-389. doi: 10.1001/jamainternmed.2017.8336. Erratum In: JAMA Intern Med. 2018 May 1;178(5):731-732. JAMA Intern Med. 2018 May 1;178(5):732.
- Chaiyachati KH, Hubbard RA, Yeager A, Mugo B, Shea JA, Rosin R, Grande D. Rideshare-Based Medical Transportation for Medicaid Patients and Primary Care Show Rates: A Difference-in-Difference Analysis of a Pilot Program. J Gen Intern Med. 2018 Jun;33(6):863-868. doi: 10.1007/s11606-018-4306-0. Epub 2018 Jan 29.
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Andra studie-ID-nummer
- IRB-824715
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
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