Utility Analysis of an Endoscopy Follow-up System
Although systems are in place to ensure results of tests are communicated to patients, there is currently no generalized accepted strategy to ensure that patients undergo recommended follow-up testing. When follow-up tests are recommended months to years into the future, there is a high likelihood that the test will either be delayed or not performed resulting in the potential for poor outcomes and litigation. For this reason, there is a clear need for systems to be developed which automatically trigger patient communication when the date of a recommended follow-up test is approaching. The investigators propose to design a protocol for ensuring that patients are reminded to schedule follow-up tests and that this communication is documented in the online medical record. This work will provide the foundation for the creation of systems that significantly improve patient care, and can be easily adapted for use in many clinical departments and institutions.
Aim 1. To use patient focus groups to help design a system for improving adherence to endoscopy follow up recommendations
Aim 2. To develop a prototype endoscopy follow up system and test the effectiveness of the system on a cohort of patients due for a surveillance colonoscopy.
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: No masking
Primary Purpose: Health Services Research
|Official Title:||Utility Analysis of an Endoscopy Follow-up System|
- percentage of individuals scheduling colonoscopy [ Time Frame: within three months of due date ]
|Study Start Date:||January 2009|
|Study Completion Date:||October 2011|
|Primary Completion Date:||April 2010 (Final data collection date for primary outcome measure)|
No Intervention: control
Participants in this group are monitored for adherence to colonoscopy recommendations.
Participants to receive a protocol of reminder letters and a phone call regarding due follow up colonoscopy
Other: protocol of reminders regarding due colonoscopy
Participants receive two standardized letters followed by a phone call if they have not scheduled or completed their upcoming due colonoscopy
Please refer to this study by its ClinicalTrials.gov identifier: NCT01172080
|United States, Massachusetts|
|Beth Israel Deaconess Medical Center|
|Boston, Massachusetts, United States, 02215|