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Health-e-Access Telemedicine in Primary Pediatric Care

The recruitment status of this study is unknown because the information has not been verified recently.
Verified October 2005 by University of Rochester.
Recruitment status was  Recruiting
Sponsor:
Collaborators:
United States Department of Commerce
Robert Wood Johnson Foundation
Information provided by:
University of Rochester
ClinicalTrials.gov Identifier:
NCT00234806
First received: October 5, 2005
Last updated: June 15, 2012
Last verified: October 2005

October 5, 2005
June 15, 2012
December 2000
Not Provided
Evaluation of the impact of telehealth on utilization and cost of health care
Evaluation of the impact of telehealth on utilization and cost of health care.
Complete list of historical versions of study NCT00234806 on ClinicalTrials.gov Archive Site
Evaluation of the feasibility and acceptability of integrating telehealth services into 10 primary care practices
Evaluate the feasibility and acceptability of integrating telehealth services into 10 primary care practices.
Not Provided
Not Provided
 
Health-e-Access Telemedicine in Primary Pediatric Care
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.

Interventional
Not Provided
Allocation: Non-Randomized
Endpoint Classification: Bio-availability Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
  • Common Childhood Illnesses
  • Non-emergent Care
Procedure: Health-e-Access
Not Provided
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.
 
Recruiting
1000
August 2008
Not Provided

Inclusion Criteria:

  • All children at participating childcare centers and elementary schools.

Exclusion Criteria:

  • Foster care children, children whose parents have refused participation, or children whose parents are unable to appropriately comprehend the program for any reason.
Both
6 Weeks to 18 Years
Yes
Contact: Kenneth McConnochie, MD, MPH 585-273-4119 ken_mcconnochie@urmc.rochester.edu
Contact: Neil Herendeen, MD 585-273-4140 neil_herendeen@urmc.rochester.edu
United States
 
NCT00234806
8858, AHRQ- R01 HS015165-02, MCHB- 1 R40MC03605-01-00
Not Provided
Not Provided
University of Rochester
  • United States Department of Commerce
  • Robert Wood Johnson Foundation
Principal Investigator: Kenneth McConnochie, MD, MPH University of Rochester
University of Rochester
October 2005

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP