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Drop in Gastroscopy - Experience After 9 Months

This study has been completed.
Sponsor:
Information provided by:
Norwegian Department of Health and Social Affairs
ClinicalTrials.gov Identifier:
NCT00977678
First received: May 15, 2009
Last updated: December 29, 2009
Last verified: December 2009

May 15, 2009
December 29, 2009
November 2009
December 2009   (final data collection date for primary outcome measure)
Patient´s satisfaction [ Time Frame: Day of the Gastrocopy ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00977678 on ClinicalTrials.gov Archive Site
General practitioner´satisfaction [ Time Frame: One month after enrollment of patients ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Drop in Gastroscopy - Experience After 9 Months
Drop in Gastroscopy - Experience After 9 Months

The capacity for endoscopical procedures in the Norwegian health system is low in comparison to demands from patients and family practitioners.

The studies aim is to evaluate the acceptance of a new concept: an open access gastroscopy clinic where patients can attend without a preceding appointment.

The investigators wish to evaluate:

  1. Patient´s satisfaction.
  2. General practitioner´s satisfaction.
  3. Acceptance by the staff of the clinic.

The fact that access to specialized norwegian health care is characterized by a mismatch between system´s capacity and patient´s and refering physician´s demands, leads to delay of diagnostic investigations such as for example gastroscopies. Patients referred to gastroscopies have to wait 4 to 12 weeks to get an appointment. Consequence might be a delay in diagnosing of significant diseases such as ulcers or even malignancies. In addition the general practitioner is frequently forced to start a therapy by suspicion, and the patient has in numerable cases to stay off work.

In September 2008, the investigators started an open-access gastroscopy outpatient clinic, which allows the family practitioners in a defined area of the Telemark county to refer their patients to a gastroscopy without a preceding appointment. Patients from the other parts of the county and those, who need special service as i.e. interpreter, endocarditis prophylaxis etc. are referred conventionally and need an appointment.

Aim of the study is to evaluate the acceptance of both forms of outpatient clinics by both patients and general practitioners. In addition to that, the investigators will evaluate the acceptance of the open access clinic by the staff. Of special concern is the fear, that easier access might lead to a number of unnecessary procedures.

All patients from open access clinic and from the conventional clinic are asked to fill in a questionaire without any kind of personal identifying data such as name, age, date of the procedure etc., but with questions about their satisfaction with the procedure, the time from their first contact with their family practitioner to the procedure, the information prior and after the procedure. They will be asked if they did consume drugs against "ulcer-disease" or not.

In addition the referring practitioners are asked to fill in a questionnaire about their acceptance of the open access clinic, and to give the investigators some ideas about advantages and disadvantages from their point of view.

The staff is asked to give their experience especially according to the not calculable number of patients that attend to the clinic each day.

If the present study shows high acceptance of the open-access-offer by patients and health workers, the plan is to extend it to other patient groups and to perform studies to investigate the effects on the grade of diseases at the time of diagnosis and possible consequences for treatment and health economy.

Observational
Observational Model: Case Control
Time Perspective: Prospective
Not Provided
Not Provided
Non-Probability Sample

Current patients referred to our outpatient gastroscopy clinic

  • Esophageal Diseases
  • Peptic Ulcer
  • Stomach Diseases
  • Other: open access gastroscopy
    access to gastroscopy without preceding appointment
  • Other: Gastroscopy by appointment
    Gastroscopy after preceding appointment in a conventional outpatient clinic
  • Open access gastroscopy
    Patients referred to open access gastroscopy
    Intervention: Other: open access gastroscopy
  • Conventional outpatient gastroscopy
    Gastroscopy after preceding appointment
    Intervention: Other: Gastroscopy by appointment
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
213
December 2009
December 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • all patients from 18 years of age.

Exclusion Criteria:

  • age < 18,
  • inability or unwillingness to cooperate.
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Norway
 
NCT00977678
STHF-1
Yes
Gert Huppertz-Hauss, Telemark Hospital, N-3710 Skien, Norway
Norwegian Department of Health and Social Affairs
Not Provided
Principal Investigator: Gert Huppertz-Hauss, MD Telemark Hospital, Department of internal medicin, Skien, Norway
Norwegian Department of Health and Social Affairs
December 2009

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