Ignite Creation Date:
2024-05-06 @ 11:15 AM
Last Modification Date:
2024-10-26 @ 12:42 PM
Study NCT ID:
NCT03474887
Status:
COMPLETED
Last Update Posted:
2022-01-25
First Post:
2018-03-16
Brief Title:
Digital Online Consultations - Effects on Antibiotic Prescribing and Health Care Utilization in Primary Care
Sponsor:
Region Skane
Organization:
Region Skane
Study Overview
Official Title:
Digital Online Consultations - Effects on Antibiotic Prescribing and Health Care Utilization in Primary Care
Status:
COMPLETED
Status Verified Date:
2022-01
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:
DOCACUP
Brief Summary:
BACKGROUNDSIGNIFICANCE With developments in mobile health and the abundance of smartphones online consultations have emerged as a popular form of primary care in Sweden Controversy exists regarding diagnostic accuracy appropriate prescription of antibiotics and effects on care-seeking patient behavior following implementation of online consultations As empirical research is lacking the investigators seek to evaluate online primary care consultations compared to physical consultations with regards to non-inferiority of antibiotic prescription for chief complaint of sore throat
METHODS Medical record data is used to identify patients with a chief complaint of sore throat coughcommon coldinfluenza or dysuria after choosing online DIGI or physical PHYSI consultations A cohort of patients with similar chief complaints prior to implementation of online consultations was used as a control group CONTROL Prospective data from local registries and medical records was gathered 14 days the consultation The primary outcome was rate of antibiotic prescription after sore throat Secondary outcomes included patient revisits including hospital admissions patient satisfaction time to physician contact registered diagnosis and documentation or Centor Criteria and Urinary Tract Infection UTI-Criteria
SIGNIFICANCE Results will shed light on whether antibiotic prescription differs significantly between digital and physical primary care consultations Hypotheses may also be generated as to how patients seek care in light of improved availability in a tax-sponsored healthcare system
METHODS Medical record data is used to identify patients with a chief complaint of sore throat coughcommon coldinfluenza or dysuria after choosing online DIGI or physical PHYSI consultations A cohort of patients with similar chief complaints prior to implementation of online consultations was used as a control group CONTROL Prospective data from local registries and medical records was gathered 14 days the consultation The primary outcome was rate of antibiotic prescription after sore throat Secondary outcomes included patient revisits including hospital admissions patient satisfaction time to physician contact registered diagnosis and documentation or Centor Criteria and Urinary Tract Infection UTI-Criteria
SIGNIFICANCE Results will shed light on whether antibiotic prescription differs significantly between digital and physical primary care consultations Hypotheses may also be generated as to how patients seek care in light of improved availability in a tax-sponsored healthcare system
Detailed Description:
Due to limited recruitment of PHYSI and CONTROL patients these cohorts will be combined into a single physical cohort to provide adequate power for analysis as per predefined required sample size
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None