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

The recruitment status of this study is unknown because the information has not been verified recently.
Verified April 2007 by Catalan Institute of Health.
Recruitment status was  Not yet recruiting
Sponsor:
Collaborators:
Carlos III Health Institute
Netherlands: Ministry of Health, Welfare and Sports
Jordi Gol i Gurina Foundation
Information provided by:
Catalan Institute of Health
ClinicalTrials.gov Identifier:
NCT00461201
First received: April 16, 2007
Last updated: NA
Last verified: April 2007
History: No changes posted
  Purpose

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.


Condition Intervention
Acute Disease
Nursing Care
Ambulatory Care
Family Practice
Procedure: Nurse practitioner care of patients

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
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

Further study details as provided by Catalan Institute of Health:

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.

Estimated Enrollment: 1640
Study Start Date: January 2009
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.

  Eligibility

Ages Eligible for Study:   15 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00461201

Contacts
Contact: Begoña Iglesias, Physician 0034938931216 biglesias@ambitcp.catsalut.net

Sponsors and Collaborators
Catalan Institute of Health
Carlos III Health Institute
Netherlands: Ministry of Health, Welfare and Sports
Jordi Gol i Gurina Foundation
Investigators
Principal Investigator: Begoña Iglesias, Physician Catalan Institute of Health
Study Chair: Maria Teresa Grifell, Nurse Catalan Institute of Health
Study Chair: Josep Maria Vidal, Physician Catalan Institute of Health
Study Chair: Sandra Pons, Physician Catalan Institute of Health
Study Chair: Josep Casajuana, Physician Catalan Institute of Health
Study Chair: Rosa Aragonès, Physician Catalan Institute of Health
Study Chair: Mireia Fàbregas, Physician Catalan Institute of Health
Study Chair: Neus Esgueva, Nurse Catalan Institute of Health
Study Chair: Anna Calvet, Physician Catalan Institute of Health
Study Chair: Maria Teresa Duran, Nurse Catalan Institute of Health
Study Chair: Cristina Gallardo, Pysician Catalan Institute of Health
Study Chair: Maria Assumpció Jiménez, Nurse Catalan Institute of Health
Study Chair: Francisca Ramos, Physician Catalan Institute of Health
Study Chair: Pere Joan Cortés, Physician Catalan Institute of Health
Study Chair: Maria José Garcia, Physician Catalan Institute of Health
Study Chair: Amparo Romaguera, Physician Catalan Institute of Health
Study Chair: Soledad Romea, Physician Catalan Institute of Health
Study Chair: Hèlia Cebrián, Nurse Catalan Institute of Health
Study Chair: Jeannine Hernández, Physician Catalan Institute of Health
Study Chair: Ramon Morera, Physician Catalan Institute of Health
Study Chair: Manel Ferran, Physician Catalan Institute of Health
Study Chair: Isabel Rosich, Farmacy Catalan Institute of Health
Study Chair: Maria Carmen Sanchez, Nurse Catalan Institute of Health
  More Information

Publications:

ClinicalTrials.gov Identifier: NCT00461201     History of Changes
Other Study ID Numbers: PI060715
Study First Received: April 16, 2007
Last Updated: April 16, 2007
Health Authority: Spain: Ministry of Health

Keywords provided by Catalan Institute of Health:
Health Services Research
Nurse Practitioners
Outcome and Process Assessment (Health Care)
Patient Acceptance of Health Care
Patient Satisfaction
Primary Health Care
Professional Autonomy

Additional relevant MeSH terms:
Acute Disease
Disease Attributes
Pathologic Processes

ClinicalTrials.gov processed this record on September 22, 2014