Electronic Referral and Booking of Outpatient Day Case Surgery Compared With Traditional Referral Routines.

NCT00692497 | Completed

• 1 other identifier: P REK NORD 122/2006
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Referral and Consultation; Telemedicine; Surgery, Outpatient; Surgery, Day; Medical Records Systems, Computerized; Health Services Research; Health Care Surveys

Keywords

One-Stop; Public Health Research; Delivery of Health Care/*standards; Evaluation Studies; Referral; Surgery, Outpatient; Surgery, Day; Telemedicine

Outcome Measures

Primary Outcomes (1)

• waiting time

  one year

Secondary Outcomes (1)

• cost effectiveness

  one year

Study Arms (2)

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.

Behavioral: one stop (Electronic standardised referrals and appointment bookings)

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.

Interventions

one stop (Electronic standardised referrals and appointment bookings) BEHAVIORAL

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.

1

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients were eligible if they were diagnosed by their GP for an inguinal hernia, sinus pilonidalis or gallstone disease which require surgical treatment.

You may not qualify if:

• Patients with medical conditions making them unfit for outpatient surgery admitted to the surgical department prior to surgery are not eligible

Sponsors & Collaborators

• University Hospital of North Norway: lead

Study Sites (1)

Norwegian Centre of Telemedicine

Tromsø, Norway

Location

Related Publications (1)

• Augestad KM, Revhaug A, Vonen B, Johnsen R, Lindsetmo RO. The one-stop trial: does electronic referral and booking by the general practitioner (GPs) to outpatient day case surgery reduce waiting time and costs? A randomized controlled trial protocol. BMC Surg. 2008 Aug 11;8:14. doi: 10.1186/1471-2482-8-14.

  PMID: 18694477 DERIVED

Study Officials

• Rolv-Ole Lindsetmo, MD, PhD

  University of Tromso

  PRINCIPAL INVESTIGATOR

• Roar Johnsen, MD, PhD, Prof.

  University of North Norway

  STUDY CHAIR

• Knut M Augestad, MD

  Norwegian Centre for Telemedicine and Department of Gastrointestinal Surgery, University Hospital of North Norway, Norway

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 4, 2008
• First Posted: June 6, 2008
• Study Start: October 1, 2010
• Primary Completion: June 1, 2012
• Study Completion: December 1, 2012
• Last Updated: January 27, 2016

Record last verified: 2016-01

Locations

NO (1)