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Nurse vs General Practitioner Care for Patients Requesting Same Day Consultations in Primary Care

Primary Purpose

Acute Disease, Nursing Care, Ambulatory Care

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Nurse practitioner care of patients
Sponsored by
Catalan Institute of Health
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional health services research trial for Acute Disease focused on measuring Health Services Research, Nurse Practitioners, Outcome and Process Assessment (Health Care), Patient Acceptance of Health Care, Patient Satisfaction, Primary Health Care, Professional Autonomy

Eligibility Criteria

15 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • patients requesting same day consultations in primary care
  • assigned to the practice

Exclusion Criteria:

  • do not want to participate
  • difficulties to follow-up
  • serious illness that makes the intervention impossible
  • home visits

Sites / Locations

    Outcomes

    Primary Outcome Measures

    Description of the capacity of resolution of the nurse:
    To determine if there are differences in the proportion of patients that make a second appointment for the same reason in the next 2 weeks, comparing the two groups.
    To determine if there are differences in the resolution of symptoms in 2 weeks after the visit comparing the two groups.
    To determine if there are differences in the proportion of admission to hospital or to emergency room the next 2 weeks comparing the two groups.
    To determine if there are differences in the satisfaction and resolution of the worries about the users state of health in 2 weeks after the visit comparing the two groups.
    To determine if there are differences comparing the two groups in the perceived status of health, perception of the information, received attention, resource utilization and future intention to consult again with the same professional.

    Secondary Outcome Measures

    Description of the clinical demands of the users and their demographic characteristics.
    To identify if there is a type of user in which the effectiveness of the intervention is higher.
    To determine the proportion of users visited by the nurse not having to be visited by the doctor afterwards for that reason.

    Full Information

    First Posted
    April 16, 2007
    Last Updated
    April 16, 2007
    Sponsor
    Catalan Institute of Health
    Collaborators
    Carlos III Health Institute, Ministry of Health, Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00461201
    Brief Title
    Nurse vs General Practitioner Care for Patients Requesting Same Day Consultations in Primary Care
    Official Title
    Effectiveness of an Intervention in Primary Care: Randomized Controlled Trial Comparing Care for Patients Requesting Same Day Consultations by Nurse Practitioner vs General Practitioners
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2007
    Overall Recruitment Status
    Unknown status
    Study Start Date
    January 2009 (undefined)
    Primary Completion Date
    undefined (undefined)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Catalan Institute of Health
    Collaborators
    Carlos III Health Institute, Ministry of Health, Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to compare the effectiveness of nursing care in relation to usual medical care in adult patients who demand to be visited the same day in Primary Care Teams in Catalonia, as it is suggested in other countries.
    Detailed Description
    The primary care demand is rapidly growing and the family physicians feel overflowed by the demand and their capacity to solve things is limited by lack of time. Many organizational interventions have been planned to solve this problem. One of these is to imply the nurse professional to solve and control health problems that traditionally were the doctor's job. So, to demonstrate the nursing care is as effective as the medical care, we will compare, among both collectives, the 'quality' of care received by patients who ask an appointment for the same day.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Acute Disease, Nursing Care, Ambulatory Care, Family Practice
    Keywords
    Health Services Research, Nurse Practitioners, Outcome and Process Assessment (Health Care), Patient Acceptance of Health Care, Patient Satisfaction, Primary Health Care, Professional Autonomy

    7. Study Design

    Primary Purpose
    Health Services Research
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    1640 (false)

    8. Arms, Groups, and Interventions

    Intervention Type
    Procedure
    Intervention Name(s)
    Nurse practitioner care of patients
    Primary Outcome Measure Information:
    Title
    Description of the capacity of resolution of the nurse:
    Title
    To determine if there are differences in the proportion of patients that make a second appointment for the same reason in the next 2 weeks, comparing the two groups.
    Title
    To determine if there are differences in the resolution of symptoms in 2 weeks after the visit comparing the two groups.
    Title
    To determine if there are differences in the proportion of admission to hospital or to emergency room the next 2 weeks comparing the two groups.
    Title
    To determine if there are differences in the satisfaction and resolution of the worries about the users state of health in 2 weeks after the visit comparing the two groups.
    Title
    To determine if there are differences comparing the two groups in the perceived status of health, perception of the information, received attention, resource utilization and future intention to consult again with the same professional.
    Secondary Outcome Measure Information:
    Title
    Description of the clinical demands of the users and their demographic characteristics.
    Title
    To identify if there is a type of user in which the effectiveness of the intervention is higher.
    Title
    To determine the proportion of users visited by the nurse not having to be visited by the doctor afterwards for that reason.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    15 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: patients requesting same day consultations in primary care assigned to the practice Exclusion Criteria: do not want to participate difficulties to follow-up serious illness that makes the intervention impossible home visits
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Begoña Iglesias, Physician
    Phone
    0034938931216
    Email
    biglesias@ambitcp.catsalut.net
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Begoña Iglesias, Physician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Maria Teresa Grifell, Nurse
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Josep Maria Vidal, Physician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Sandra Pons, Physician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Josep Casajuana, Physician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Rosa Aragonès, Physician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Mireia Fàbregas, Physician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Neus Esgueva, Nurse
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Anna Calvet, Physician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Maria Teresa Duran, Nurse
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Cristina Gallardo, Pysician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Maria Assumpció Jiménez, Nurse
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Francisca Ramos, Physician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Pere Joan Cortés, Physician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Maria José Garcia, Physician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Amparo Romaguera, Physician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Soledad Romea, Physician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Hèlia Cebrián, Nurse
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Jeannine Hernández, Physician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Ramon Morera, Physician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Manel Ferran, Physician
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Isabel Rosich, Farmacy
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Maria Carmen Sanchez, Nurse
    Organizational Affiliation
    Catalan Institute of Health
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    7742676
    Citation
    Effectiveness of health checks conducted by nurses in primary care: final results of the OXCHECK study. Imperial Cancer Research Fund OXCHECK Study Group. BMJ. 1995 Apr 29;310(6987):1099-104.
    Results Reference
    background
    PubMed Identifier
    10632281
    Citation
    Mundinger MO, Kane RL, Lenz ER, Totten AM, Tsai WY, Cleary PD, Friedewald WT, Siu AL, Shelanski ML. Primary care outcomes in patients treated by nurse practitioners or physicians: a randomized trial. JAMA. 2000 Jan 5;283(1):59-68. doi: 10.1001/jama.283.1.59. Erratum In: JAMA. 2022 Jan 11;327(2):185.
    Results Reference
    background
    PubMed Identifier
    10764366
    Citation
    Kinnersley P, Anderson E, Parry K, Clement J, Archard L, Turton P, Stainthorpe A, Fraser A, Butler CC, Rogers C. Randomised controlled trial of nurse practitioner versus general practitioner care for patients requesting "same day" consultations in primary care. BMJ. 2000 Apr 15;320(7241):1043-8. doi: 10.1136/bmj.320.7241.1043.
    Results Reference
    background
    PubMed Identifier
    10764367
    Citation
    Venning P, Durie A, Roland M, Roberts C, Leese B. Randomised controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care. BMJ. 2000 Apr 15;320(7241):1048-53. doi: 10.1136/bmj.320.7241.1048.
    Results Reference
    background
    PubMed Identifier
    10764365
    Citation
    Shum C, Humphreys A, Wheeler D, Cochrane MA, Skoda S, Clement S. Nurse management of patients with minor illnesses in general practice: multicentre, randomised controlled trial. BMJ. 2000 Apr 15;320(7241):1038-43. doi: 10.1136/bmj.320.7241.1038.
    Results Reference
    background
    PubMed Identifier
    11934775
    Citation
    Horrocks S, Anderson E, Salisbury C. Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ. 2002 Apr 6;324(7341):819-23. doi: 10.1136/bmj.324.7341.819.
    Results Reference
    background
    PubMed Identifier
    10796485
    Citation
    Zwarenstein M, Bryant W. Interventions to promote collaboration between nurses and doctors. Cochrane Database Syst Rev. 2000;(2):CD000072. doi: 10.1002/14651858.CD000072.
    Results Reference
    background

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    Nurse vs General Practitioner Care for Patients Requesting Same Day Consultations in Primary Care

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