Ignite Creation Date:
2024-05-06 @ 3:54 AM
Last Modification Date:
2024-10-26 @ 11:41 AM
Study NCT ID:
NCT02407847
Status:
COMPLETED
Last Update Posted:
2016-04-07
First Post:
2015-03-31
Brief Title:
The Effect of Substitution of Out-of-hours Care From General Practitioners to Nurse Practitioners
Sponsor:
Radboud University Medical Center
Organization:
Radboud University Medical Center
Study Overview
Official Title:
The Cost-Effectiveness of Substitution in Out-of-hours Primary Care Towards an Optimal Balance Between General Practitioners and Nurse Practitioners
Status:
COMPLETED
Status Verified Date:
2016-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The aim of this study is to explore the effects of substitution in out-of-hours primary care In consecutive stages an extra General Practitioner GP is substituted by a Nurse Practitioner NP aiming at replacing 3 out of 4 GPs by NPs Effects are measured in terms of feasibility and cost-efficiency
Detailed Description:
Out-of-hours care in the Netherlands is under pressure Workload for GPs during out-of-hours care is high and there are concerns about maintaining the quality of care Since 80 of the complaints shown in out-of-hours care is neither complex nor urgent not all patients necessarily have to be seen by a GP
A previous study ID 80-82800-98-227 indicated that shifting care from GPs to NPs is possible in terms of safety and quality of care and resulted in cost savings due to less treatment In that study 4 GPs and 1 NP provided care in the experimental condition and 5 GPs provided care in the control condition Based on the results it is hypothesized that NPs are competent to diagnose and treat at least 75 of the complaints shown in out-of-hours primary care Substituting more GPs by NPs in out-of-hours care will probably lead to more cost savings
In the current study care delivered and direct healthcare costs are compared between different team compositions In the experimental condition care is provided by a team of NPs and GPs The intervention starts with a team of 4 professionals in both the experimental 3 GPs and 1 NP and the control 4 GPs condition in consecutive stages an extra GP is substituted by an NP aiming at replacing 3 out of 4 GPs with by NPs
Control 4 GPs
Stage 1 experimental 3 GPs 1 NP
Stage 2 experimental 2 GPs 2 NPs
Stage 3 experimental 1 GP 3 NPs
Both feasibility and cost-efficiency will lead to recommendations on the optimal balance in a team between GPs and NPs
A previous study ID 80-82800-98-227 indicated that shifting care from GPs to NPs is possible in terms of safety and quality of care and resulted in cost savings due to less treatment In that study 4 GPs and 1 NP provided care in the experimental condition and 5 GPs provided care in the control condition Based on the results it is hypothesized that NPs are competent to diagnose and treat at least 75 of the complaints shown in out-of-hours primary care Substituting more GPs by NPs in out-of-hours care will probably lead to more cost savings
In the current study care delivered and direct healthcare costs are compared between different team compositions In the experimental condition care is provided by a team of NPs and GPs The intervention starts with a team of 4 professionals in both the experimental 3 GPs and 1 NP and the control 4 GPs condition in consecutive stages an extra GP is substituted by an NP aiming at replacing 3 out of 4 GPs with by NPs
Control 4 GPs
Stage 1 experimental 3 GPs 1 NP
Stage 2 experimental 2 GPs 2 NPs
Stage 3 experimental 1 GP 3 NPs
Both feasibility and cost-efficiency will lead to recommendations on the optimal balance in a team between GPs and NPs
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None