NCT00461201

Brief Summary

The purpose of this study is to compare the effectiveness of nursing care in relation to usual medical care in adult patients who demand to be visited the same day in Primary Care Teams in Catalonia, as it is suggested in other countries.

Trial Health

50
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,640

participants targeted

Target at P75+ for not_applicable

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 16, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

April 17, 2007

Completed
1.7 years until next milestone

Study Start

First participant enrolled

January 1, 2009

Completed
Last Updated

April 17, 2007

Status Verified

April 1, 2007

First QC Date

April 16, 2007

Last Update Submit

April 16, 2007

Conditions

Acute DiseaseNursing CareAmbulatory CareFamily Practice

Keywords

Health Services ResearchNurse PractitionersOutcome and Process Assessment (Health Care)Patient Acceptance of Health CarePatient SatisfactionPrimary Health CareProfessional Autonomy

Outcome Measures

Primary Outcomes (6)

  • Description of the capacity of resolution of the nurse:

  • To determine if there are differences in the proportion of patients that make a second appointment for the same reason in the next 2 weeks, comparing the two groups.

  • To determine if there are differences in the resolution of symptoms in 2 weeks after the visit comparing the two groups.

  • To determine if there are differences in the proportion of admission to hospital or to emergency room the next 2 weeks comparing the two groups.

  • To determine if there are differences in the satisfaction and resolution of the worries about the users state of health in 2 weeks after the visit comparing the two groups.

  • To determine if there are differences comparing the two groups in the perceived status of health, perception of the information, received attention, resource utilization and future intention to consult again with the same professional.

Secondary Outcomes (3)

  • Description of the clinical demands of the users and their demographic characteristics.

  • To identify if there is a type of user in which the effectiveness of the intervention is higher.

  • To determine the proportion of users visited by the nurse not having to be visited by the doctor afterwards for that reason.

Interventions

Nurse practitioner care of patientsPROCEDURE

Eligibility Criteria

Age15 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • patients requesting same day consultations in primary care
  • assigned to the practice

You may not qualify if:

  • do not want to participate
  • difficulties to follow-up
  • serious illness that makes the intervention impossible
  • home visits

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (7)

  • Effectiveness of health checks conducted by nurses in primary care: final results of the OXCHECK study. Imperial Cancer Research Fund OXCHECK Study Group. BMJ. 1995 Apr 29;310(6987):1099-104.

    PMID: 7742676BACKGROUND

  • Mundinger MO, Kane RL, Lenz ER, Totten AM, Tsai WY, Cleary PD, Friedewald WT, Siu AL, Shelanski ML. Primary care outcomes in patients treated by nurse practitioners or physicians: a randomized trial. JAMA. 2000 Jan 5;283(1):59-68. doi: 10.1001/jama.283.1.59.

    PMID: 10632281BACKGROUND

  • Kinnersley P, Anderson E, Parry K, Clement J, Archard L, Turton P, Stainthorpe A, Fraser A, Butler CC, Rogers C. Randomised controlled trial of nurse practitioner versus general practitioner care for patients requesting "same day" consultations in primary care. BMJ. 2000 Apr 15;320(7241):1043-8. doi: 10.1136/bmj.320.7241.1043.

    PMID: 10764366BACKGROUND

  • Venning P, Durie A, Roland M, Roberts C, Leese B. Randomised controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care. BMJ. 2000 Apr 15;320(7241):1048-53. doi: 10.1136/bmj.320.7241.1048.

    PMID: 10764367BACKGROUND

  • Shum C, Humphreys A, Wheeler D, Cochrane MA, Skoda S, Clement S. Nurse management of patients with minor illnesses in general practice: multicentre, randomised controlled trial. BMJ. 2000 Apr 15;320(7241):1038-43. doi: 10.1136/bmj.320.7241.1038.

    PMID: 10764365BACKGROUND

  • Horrocks S, Anderson E, Salisbury C. Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ. 2002 Apr 6;324(7341):819-23. doi: 10.1136/bmj.324.7341.819.

    PMID: 11934775BACKGROUND

  • Zwarenstein M, Bryant W. Interventions to promote collaboration between nurses and doctors. Cochrane Database Syst Rev. 2000;(2):CD000072. doi: 10.1002/14651858.CD000072.

    PMID: 10796485BACKGROUND

MeSH Terms

Conditions

Acute DiseasePatient Acceptance of Health CarePatient Satisfaction

Condition Hierarchy (Ancestors)

Disease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsTreatment Adherence and ComplianceHealth BehaviorBehavior

Study Officials

  • Begoña Iglesias, Physician

    Catalan Institute of Health

    PRINCIPAL INVESTIGATOR

  • Maria Teresa Grifell, Nurse

    Catalan Institute of Health

    STUDY CHAIR

  • Josep Maria Vidal, Physician

    Catalan Institute of Health

    STUDY CHAIR

  • Sandra Pons, Physician

    Catalan Institute of Health

    STUDY CHAIR

  • Josep Casajuana, Physician

    Catalan Institute of Health

    STUDY CHAIR

  • Rosa Aragonès, Physician

    Catalan Institute of Health

    STUDY CHAIR

  • Mireia Fàbregas, Physician

    Catalan Institute of Health

    STUDY CHAIR

  • Neus Esgueva, Nurse

    Catalan Institute of Health

    STUDY CHAIR

  • Anna Calvet, Physician

    Catalan Institute of Health

    STUDY CHAIR

  • Maria Teresa Duran, Nurse

    Catalan Institute of Health

    STUDY CHAIR

  • Cristina Gallardo, Pysician

    Catalan Institute of Health

    STUDY CHAIR

  • Maria Assumpció Jiménez, Nurse

    Catalan Institute of Health

    STUDY CHAIR

  • Francisca Ramos, Physician

    Catalan Institute of Health

    STUDY CHAIR

  • Pere Joan Cortés, Physician

    Catalan Institute of Health

    STUDY CHAIR

  • Maria José Garcia, Physician

    Catalan Institute of Health

    STUDY CHAIR

  • Amparo Romaguera, Physician

    Catalan Institute of Health

    STUDY CHAIR

  • Soledad Romea, Physician

    Catalan Institute of Health

    STUDY CHAIR

  • Hèlia Cebrián, Nurse

    Catalan Institute of Health

    STUDY CHAIR

  • Jeannine Hernández, Physician

    Catalan Institute of Health

    STUDY CHAIR

  • Ramon Morera, Physician

    Catalan Institute of Health

    STUDY CHAIR

  • Manel Ferran, Physician

    Catalan Institute of Health

    STUDY CHAIR

  • Isabel Rosich, Farmacy

    Catalan Institute of Health

    STUDY CHAIR

  • Maria Carmen Sanchez, Nurse

    Catalan Institute of Health

    STUDY CHAIR

Central Study Contacts

Begoña Iglesias, Physician

CONTACT

0034938931216biglesias@ambitcp.catsalut.net

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV

Study Record Dates

First Submitted

April 16, 2007

First Posted

April 17, 2007

Study Start

January 1, 2009

Last Updated

April 17, 2007

Record last verified: 2007-04