Health-e-Access Telemedicine in Primary Pediatric Care

This study has been completed.
Sponsor:
Collaborators:
United States Department of Commerce
Robert Wood Johnson Foundation
Information provided by (Responsible Party):
Kenneth McConnochie, University of Rochester
ClinicalTrials.gov Identifier:
NCT00234806
First received: October 5, 2005
Last updated: October 21, 2015
Last verified: October 2015

October 5, 2005
October 21, 2015
December 2000
December 2007   (final data collection date for primary outcome measure)
Evaluation of the impact of telehealth on utilization and cost of health care
Evaluation of the impact of telehealth on utilization and cost of health care.
Complete list of historical versions of study NCT00234806 on ClinicalTrials.gov Archive Site
Evaluation of the feasibility and acceptability of integrating telehealth services into 10 primary care practices
Evaluate the feasibility and acceptability of integrating telehealth services into 10 primary care practices.
Not Provided
Not Provided
 
Health-e-Access Telemedicine in Primary Pediatric Care
Health-e-Access: A Study of Telemedicine in Primary Pediatric Care in Rochester, NY

This study aims to take the existing model from the pilot of Telemedicine in Daycare and expand it to other suburban childcare centers and both urban and suburban elementary schools.

An assessment of the value of telehealth in the child programs will then be initiated to detail the impact of utilization and costs.

An assessment of the value of integrating telehealth into primary care practice will also be evaluated. The impact of continuity of care, well child visit rates, and immunization status will be among the various measures used in this evaluation.

This involves estimating the impact of reduced absence due to illness on parents and their employers and estimating the value of a telehealth visit to these stakeholders. An interview instrument was developed to administer before experience with telehealth and again after a family has had experience with the program. In addition program attendance (childcare or school) records will be collected to document changes in absenteeism pre and post telehealth service implementation.

This study involves a before and after research design including both historical and concurrent controls comparing a detailed utilization of health services including telehealth visits, emergency department services and illness related office visits. Analyses will include center-level analyses of service utilization on a weekly basis pre and post as well as a child-level analyses including utilization before enrollment in a participating childcare center or school through program participation and, eventually, telehealth participation.

This is a descriptive observational study of the feasibility and acceptability of integrating telehealth service into 10 primary care pediatric practices. This study will document the integration process by maintaining a log of key communications relating to decision making (meeting minutes, memos, written agreements, protocols) and by interviewing key staff such as residents, nurse practitioners, attending physicians, staff nurses, and administrative leaders following the study period.

Interventional
Not Provided
Allocation: Non-Randomized
Endpoint Classification: Bio-availability Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
  • Common Childhood Illnesses
  • Non-emergent Care
Other: Health-e-Access
telemedicine intervention
  • Experimental: Telemedicine intervention group
    Intervention: Other: Health-e-Access
  • Placebo Comparator: Control group
    Intervention: Other: Health-e-Access
McConnochie KM, Wood NE, Kitzman HJ, Herendeen NE, Roy J, Roghmann KJ. Telemedicine reduces absence resulting from illness in urban child care: evaluation of an innovation. Pediatrics. 2005 May;115(5):1273-82.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
2000
December 2007
December 2007   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • All children at participating childcare centers and elementary schools.

Exclusion Criteria:

  • Foster care children, children whose parents have refused participation, or children whose parents are unable to appropriately comprehend the program for any reason.
Both
6 Weeks to 18 Years   (Child, Adult)
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00234806
8858, AHRQ- R01 HS015165-02, MCHB- 1 R40MC03605-01-00
Not Provided
Not Provided
Not Provided
Kenneth McConnochie, University of Rochester
University of Rochester
  • United States Department of Commerce
  • Robert Wood Johnson Foundation
Principal Investigator: Kenneth McConnochie, MD, MPH University of Rochester
University of Rochester
October 2015

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