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Sponsored by: |
University Hospital of North Norway |
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Information provided by: | University Hospital of North Norway |
ClinicalTrials.gov Identifier: | NCT00692497 |
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 |
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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: | Health Services Research, Randomized, Open Label, Active Control, Parallel Assignment |
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 |
Estimated Enrollment: | 120 |
Study Start Date: | September 2008 |
Estimated Study Completion Date: | January 2010 |
Estimated Primary Completion Date: | January 2009 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: Active Comparator
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.
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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.
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2: No Intervention
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.
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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.
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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.
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Knut M Augestad, MD | 0047-97499442 | knut.magne.augestad@telemed.no |
Contact: Rolv-Ole Lindsetmo, MD | 0047-77620000 | rolv.ole.lindsetmo@unn.no |
Norway | |
Norwegian Centre of Telemedicine | |
Tromsø, Norway |
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 |
Responsible Party: | North Norwegian Regional Hospital Trust ( The Research Commitee for Telemedicine ) |
Study ID Numbers: | P REK NORD 122/2006 |
Study First Received: | June 4, 2008 |
Last Updated: | June 19, 2008 |
ClinicalTrials.gov Identifier: | NCT00692497 History of Changes |
Health Authority: | Norway: The National Committees for Research Ethics in Norway; Norway: Norwegian Social Science Data Services; Norway: Directorate for Health and Social Affairs |
One-Stop Public Health Research Delivery of Health Care/*standards Evaluation Studies |
Referral Surgery, Outpatient Surgery, Day Telemedicine |