Health-e-Access Telemedicine in Primary Pediatric Care
Recruitment status was Recruiting
|First Received Date ICMJE||October 5, 2005|
|Last Updated Date||June 15, 2012|
|Start Date ICMJE||December 2000|
|Primary Completion Date||Not Provided|
|Current Primary Outcome Measures ICMJE
||Evaluation of the impact of telehealth on utilization and cost of health care|
|Original Primary Outcome Measures ICMJE
||Evaluation of the impact of telehealth on utilization and cost of health care.|
|Change History||Complete list of historical versions of study NCT00234806 on ClinicalTrials.gov Archive Site|
|Current Secondary Outcome Measures ICMJE
||Evaluation of the feasibility and acceptability of integrating telehealth services into 10 primary care practices|
|Original Secondary Outcome Measures ICMJE
||Evaluate the feasibility and acceptability of integrating telehealth services into 10 primary care practices.|
|Current Other Outcome Measures ICMJE||Not Provided|
|Original Other Outcome Measures ICMJE||Not Provided|
|Brief Title ICMJE||Health-e-Access Telemedicine in Primary Pediatric Care|
|Official Title ICMJE||Health-e-Access: A Study of Telemedicine in Primary Pediatric Care in Rochester, NY|
This study aims to take the existing model from the pilot of Telemedicine in Daycare and expand it to other suburban childcare centers and both urban and suburban elementary schools.
An assessment of the value of telehealth in the child programs will then be initiated to detail the impact of utilization and costs.
An assessment of the value of integrating telehealth into primary care practice will also be evaluated. The impact of continuity of care, well child visit rates, and immunization status will be among the various measures used in this evaluation.
This involves estimating the impact of reduced absence due to illness on parents and their employers and estimating the value of a telehealth visit to these stakeholders. An interview instrument was developed to administer before experience with telehealth and again after a family has had experience with the program. In addition program attendance (childcare or school) records will be collected to document changes in absenteeism pre and post telehealth service implementation.
This study involves a before and after research design including both historical and concurrent controls comparing a detailed utilization of health services including telehealth visits, emergency department services and illness related office visits. Analyses will include center-level analyses of service utilization on a weekly basis pre and post as well as a child-level analyses including utilization before enrollment in a participating childcare center or school through program participation and, eventually, telehealth participation.
This is a descriptive observational study of the feasibility and acceptability of integrating telehealth service into 10 primary care pediatric practices. This study will document the integration process by maintaining a log of key communications relating to decision making (meeting minutes, memos, written agreements, protocols) and by interviewing key staff such as residents, nurse practitioners, attending physicians, staff nurses, and administrative leaders following the study period.
|Study Type ICMJE||Interventional|
|Study Phase||Not Provided|
|Study Design ICMJE||Allocation: Non-Randomized
Endpoint Classification: Bio-availability Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
|Intervention ICMJE||Procedure: Health-e-Access|
|Study Arm (s)||Not Provided|
|Publications *||McConnochie KM, Wood NE, Kitzman HJ, Herendeen NE, Roy J, Roghmann KJ. Telemedicine reduces absence resulting from illness in urban child care: evaluation of an innovation. Pediatrics. 2005 May;115(5):1273-82.|
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
|Recruitment Status ICMJE||Recruiting|
|Estimated Enrollment ICMJE||1000|
|Completion Date||August 2008|
|Primary Completion Date||Not Provided|
|Eligibility Criteria ICMJE||
|Ages||6 Weeks to 18 Years|
|Accepts Healthy Volunteers||Yes|
|Location Countries ICMJE||United States|
|NCT Number ICMJE||NCT00234806|
|Other Study ID Numbers ICMJE||8858, AHRQ- R01 HS015165-02, MCHB- 1 R40MC03605-01-00|
|Has Data Monitoring Committee||Not Provided|
|Responsible Party||Not Provided|
|Study Sponsor ICMJE||University of Rochester|
|Information Provided By||University of Rochester|
|Verification Date||October 2005|
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP