eConculta: Impact of Virtual Visits in Primary Care (eConsulta)

This study has been completed.
Sponsor:
Information provided by:
Institut Catala de Salut
ClinicalTrials.gov Identifier:
NCT01124968
First received: May 11, 2010
Last updated: February 7, 2011
Last verified: January 2011
  Purpose

eConsulta is a before and after quasi-experimental study without control group and its purpose is to asses the impact of virtual visits in primary care on the frequency of attendance of the patients to the primary care centre. The use of virtual consultations should lower the number of face to face visits to primary care. It also should create satisfaction to both users: primary care professionals and patients.


Condition Intervention
Adult
Other: eConsulta

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Before and After Study to Assess the Impact of the Use of Virtual Consultation on Frequency of Patient Attendance, and Satisfaction of Patients and Professionals

Further study details as provided by Institut Catala de Salut:

Primary Outcome Measures:
  • Number of primary care face to face visits of the patients during the 6 month intervention, compared to the number of face to face visits of the same patient, in a 6 month previous period. [ Time Frame: Visits done from 01/06/2010 to 01/12/2010 compared to the himself the same period 1 or 2 years before (depending on the flu) ] [ Designated as safety issue: No ]
    Number of face to face visits of each patient (who used the eConsulta web site) to primary care physician or nurse during the 6 months of the intervention (from 01/06/2010 to 01/12/2010) compared to the number of visits of the same patients the same period 1 or 2 years before, depending on the appearance of a swine flu outbreak (2009 if there is a swine flu outbreak or 2008 if there is not). The information source of the number of visits will be the electronic clinical record, which is the same in all the practices participating.


Secondary Outcome Measures:
  • Measure the doctor/nurse satisfaction [ Time Frame: At the end of the study, 01/12/2010 ] [ Designated as safety issue: No ]

    Satisfaction with the whole service with a 10 point scale. Items:

    1. Are you satisfied with the eConsulta?
    2. It is easy to use the web?
    3. Has it been easy to integrate it with the daily practice?

  • Measure the patient satisfaction [ Time Frame: At the end of the study, 01/12/2010 ] [ Designated as safety issue: No ]

    Satisfaction with the whole service with a 10 point scale. Items:

    1. Are you satisfied with the eConsulta?
    2. It is easy to use the web?
    3. Would you use it in the future?


Enrollment: 16720
Study Start Date: January 2009
Study Completion Date: December 2010
Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: eConsulta
Those patients who are offered to use the eConsulta, a web where they can virtually consult with their primary care doctor or nurse.
Other: eConsulta
It is a web specifically designed for the project where elected patients can consult virtually with their primary care physician and within 48 hours have an answer.

Detailed Description:

Excess on primary care face to face demands generates a work overload for the professionals, and it could lead to a lower quality of care and less job satisfaction. Not all primary care demands need a face to face encounter so incorporating new technologies into daily practice care such as communication doctor/nurse-patient through a website could be part of the solution. So we designed a study in order to assess the impact of the use of virtual consultation on frequency of attendance and the satisfaction of patients and professionals with the service.

It is a before after quasi-experimental multi-centre study with no control group. Agreed voluntarily to participate 13 primary care centres, 20 primary care physicians, 17 nurses them having 16.720 reference adult patients. We designed a website where participants can access the internet and consult their doctor/nurse, who will answer within 48 hours at maximum. The intervention will last 6 months.

We believe that the site can be useful by both patient and professional. For some types of patient, the use of the site may increase its accessibility, reduce face to face consultations and improve satisfaction, while the professional makes a more efficient practice.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • 18 years or over
  • having a primary care centre assigned
  • to have both physician and nurse participating in the project
  • to use the same electronic clinical recording software

Exclusion Criteria:

  • none
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01124968

Locations
Spain
EAP Guinardó Baix
Barcelona, Spain, 08041
EAP Dr. Carles Ribas
Barcelona, Spain, 08038
EAP El Carmel
Barcelona, Spain, 08032
EAP El Clot
Barcelona, Spain, 08018
EAP Sant Martí
Barcelona, Spain, 08020
EAP Gòtic
Barcelona, Spain, 08001
EAP Horta
Barcelona, Spain, 08032
EAP La Sagrera
Barcelona, Spain, 08027
EAP Montnegre
Barcelona, Spain, 08029
EAP Pare Claret
Barcelona, Spain, 08037
EAP Ramón Turró
Barcelona, Spain, 08005
EAP Sant Andreu
Barcelona, Spain, 08030
EAP Congrés
Barcelona, Spain, 08041
Sponsors and Collaborators
Institut Catala de Salut
Investigators
Principal Investigator: Josep Casajuana Institut Català de la Salut
Study Chair: Maria A Casas Institut Català de la Salut
Study Chair: Rosa Chumillas Institut Català de la Salut
Study Chair: Mireia Fàbregas Institut Català de la Salut
Study Chair: Ana I Garaikoetxea Institut Català de la Salut
Study Chair: Maria I Garrido Institut Català de la Salut
Study Chair: Yolanda Lejardi Institut Català de la Salut
Study Chair: María J Martínez Institut Català de la Salut
Study Chair: Maria C Piorno Institut Català de la Salut
Study Chair: Joan Camús Institut Català de la Salut
  More Information

Publications:
Responsible Party: Josep Casajuana Brunet (Primary Care Ambit Manager, Barcelona City), Institut Català de la Salut
ClinicalTrials.gov Identifier: NCT01124968     History of Changes
Other Study ID Numbers: eConsulta
Study First Received: May 11, 2010
Last Updated: February 7, 2011
Health Authority: Spain: Comité Ético de Investigación Clínica de l'IDIAP Jordi Gol

Keywords provided by Institut Catala de Salut:
User-Computer Interface
Office Visits
Primary Health Care
Patient Satisfaction
Job Satisfaction
Health Services Research

ClinicalTrials.gov processed this record on October 23, 2014