Electronic Referral and Booking of Outpatient Day Case Surgery Compared With Traditional Referral Routines. (one-stop)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
University Hospital of North Norway
ClinicalTrials.gov Identifier:
NCT00692497
First received: June 4, 2008
Last updated: January 26, 2016
Last verified: January 2016
  Purpose
We want in this study to investigate the cost-effectiveness and waiting time of direct electronic referral and booking of outpatient surgery compared to the traditional patient pathway where the patient is seen at the outpatient clinic prior to surgery.

Condition Intervention
Referral and Consultation
Telemedicine
Surgery, Outpatient
Surgery, Day
Medical Records Systems, Computerized
Health Services Research
Health Care Surveys
Behavioral: one stop (Electronic standardised referrals and appointment bookings)

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Costs-effectiveness and Waiting Time for Direct Electronic Referral and Booking of Outpatient Day Case Surgery Compared With Traditional Referral Routines. A Randomised Controlled Trial

Further study details as provided by University Hospital of North Norway:

Primary Outcome Measures:
  • waiting time [ Time Frame: one year ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • cost effectiveness [ Time Frame: one year ] [ Designated as safety issue: No ]

Enrollment: 120
Study Start Date: October 2010
Study Completion Date: December 2012
Primary Completion Date: June 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1
The one stop strategy is a set of interventions directed at GPs referring to the University Hospital. The interventions include: Guidelines for referral, standardised electronic referrals, booking for outpatient surgery and a patient information form.
Behavioral: one stop (Electronic standardised referrals and appointment bookings)
The one stop strategy is a set of interventions directed at GPs referring to the University Hospital. The interventions include: Guidelines for referral, standardised electronic referrals, booking for outpatient surgery and a patient information form.
No Intervention: 2
Patients in the control group are randomised to use the regular patient pathway prior to day case outpatient surgery. All these patients are referred to the surgical outpatient clinic. At the outpatient clinic patients are examined by a surgeon and indications for surgery is decided by the surgeon. If indicated, patients are then referred to outpatient surgery and the surgical procedure is performed several weeks after the examination.

Detailed Description:

Waiting time from referral to day case outpatient surgery is unacceptable long. In Norway it is as much as 48 weeks for common conditions like gallstones, inguinal hernia and sinus pilonidalis. Electronic standardised referrals sent by the Norwegian Healthcare Network, and booking of surgery by the general practitioner might be a way to reduce the waiting time and increase the cost effectiveness of outpatient surgery.

The trial is designated as a randomized controlled trial were selected patients (inguinal hernia, gall stone disease and sinus pilonoidalis) referred to the university hospital, were either randomized to direct electronic referral and booking for outpatient surgery (one stop), or using the traditional patient pathway where all patients are seen at the outpatient clinic several weeks before surgery.

  Eligibility

Ages Eligible for Study:   Child, Adult, Senior
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients were eligible if they were diagnosed by their GP for an inguinal hernia, sinus pilonidalis or gallstone disease which require surgical treatment.

Exclusion Criteria:

  • Patients with medical conditions making them unfit for outpatient surgery admitted to the surgical department prior to surgery are not eligible
  Contacts and Locations
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Please refer to this study by its ClinicalTrials.gov identifier: NCT00692497

Locations
Norway
Norwegian Centre of Telemedicine
Tromsø, Norway
Sponsors and Collaborators
University Hospital of North Norway
Investigators
Principal Investigator: Rolv-Ole Lindsetmo, MD, PhD University of Tromso
Study Chair: Roar Johnsen, MD, PhD, Prof. University of North Norway
Study Director: Knut M Augestad, MD Norwegian Centre for Telemedicine and Department of Gastrointestinal Surgery, University Hospital of North Norway, Norway
  More Information

Additional Information:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: University Hospital of North Norway
ClinicalTrials.gov Identifier: NCT00692497     History of Changes
Other Study ID Numbers: P REK NORD 122/2006 
Study First Received: June 4, 2008
Last Updated: January 26, 2016
Health Authority: Norway:National Committee for Medical and Health Research Ethics
Norway: Norwegian Social Science Data Services
Norway: Directorate of Health

Keywords provided by University Hospital of North Norway:
One-Stop
Public Health Research
Delivery of Health Care/*standards
Evaluation Studies
Referral
Surgery, Outpatient
Surgery, Day
Telemedicine

ClinicalTrials.gov processed this record on July 27, 2016