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Health-e-Access Telemedicine in Primary Pediatric Care

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

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.

Condition Intervention
Common Childhood Illnesses
Non-emergent Care
Other: Health-e-Access

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Health-e-Access: A Study of Telemedicine in Primary Pediatric Care in Rochester, NY

Further study details as provided by University of Rochester:

Primary Outcome Measures:
  • Evaluation of the impact of telehealth on utilization and cost of health care

Secondary Outcome Measures:
  • Evaluation of the feasibility and acceptability of integrating telehealth services into 10 primary care practices

Enrollment: 2000
Study Start Date: December 2000
Study Completion Date: December 2007
Primary Completion Date: December 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Telemedicine intervention group Other: Health-e-Access
telemedicine intervention
Placebo Comparator: Control group Other: Health-e-Access
telemedicine intervention

Detailed Description:

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.


Ages Eligible for Study:   6 Weeks to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

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.
  Contacts and Locations
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Please refer to this study by its identifier: NCT00234806

United States, New York
University of Rochester
Rochester, New York, United States, 14642
Sponsors and Collaborators
University of Rochester
United States Department of Commerce
Robert Wood Johnson Foundation
Principal Investigator: Kenneth McConnochie, MD, MPH University of Rochester
  More Information

Responsible Party: Kenneth McConnochie, Professor, University of Rochester Identifier: NCT00234806     History of Changes
Other Study ID Numbers: 8858
AHRQ- R01 HS015165-02
MCHB- 1 R40MC03605-01-00
Study First Received: October 5, 2005
Last Updated: October 21, 2015

Keywords provided by University of Rochester:
telemedicine processed this record on April 21, 2017