Telemedicine To Provide Inflammatory Bowel Disease Outpatient Care
The investigators hypothesize that outpatient clinical care of Inflammatory Bowel Disease patients may be provided using a new computerized system over standard network - called Collaborative Imaging - with similar patient experience compared to a conventional clinic visit.
Inflammatory Bowel Disease
Device: Collaborative Imaging
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
|Official Title:||A Randomized Controlled Pilot: Use of Telemedicine To Provide Inflammatory Bowel Disease Outpatient Care|
- Patient Clinical Experience [ Time Frame: Clinic Visit ] [ Designated as safety issue: No ]We used a validated Ware Specific Visit Questionnaire to assess patients' satisfaction with their clinic-visit encounter. This is a 14-item questionnaire on doctor-patient interaction including factors such as attention to complaints, technical skills, and personal manner (courtesy,and ease of appointment scheduling and is based on a five-point Likert scale (1 excellent to 5 poor). Patients completed the questionnaire at the time of the visit. The 14 item scores were individually scored and then averaged to provide the final overall value.
- Clinic Appointment Duration [ Time Frame: Clinic Visit ] [ Designated as safety issue: No ]The investigators recorded appointment duration in minutes.
- Clinic Appointment Wait Time [ Time Frame: Clinic Visit ] [ Designated as safety issue: No ]The investigators recorded clinic appointment wait time duration in minutes
|Study Start Date:||October 2009|
|Study Completion Date:||June 2010|
|Primary Completion Date:||June 2010 (Final data collection date for primary outcome measure)|
No Intervention: Standard encounter
Standard "in-house" clinical visit between patient and physician.
Experimental: Telemedicine Encounter
Remote clinical appointment between patient and physician.
Device: Collaborative Imaging
Hardware and software communication tools to provide clinical care from a distance.
Other Name: Telemedicine
Significant advances in gastroenterology have led the field to grow into a number of advanced subspecialties: inflammatory bowel disease (IBD), motility, therapeutic endoscopy, and transplant hepatology. Telemedicine, the application of information technology in support of health care delivery from a distance, has been employed with good success in various chronic conditions with excellent patient satisfaction.
Primary Aim: Our primary study endpoint was measuring patient clinical experience between two groups: A telemedicine remote clinic visit and a standard "in-house" visit.
Secondary Aim: To compare standard clinic metrics including clinic wait time, patient throughput, and appointment time between the two groups.
|United States, California|
|Veterans Affairs Palo Alto|
|Palo Alto, California, United States, 94304|
|Principal Investigator:||Tonya Kaltenbach, MD MS||VA Palo Alto Health Care System|