NCT01124968

Brief Summary

eConsulta is a before and after quasi-experimental study without control group and its purpose is to asses the impact of virtual visits in primary care on the frequency of attendance of the patients to the primary care centre. The use of virtual consultations should lower the number of face to face visits to primary care. It also should create satisfaction to both users: primary care professionals and patients.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
16,720

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2009

Typical duration for not_applicable

Geographic Reach
1 country

13 active sites

Status
completed

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

Study Start

First participant enrolled

January 1, 2009

Completed
1.4 years until next milestone

First Submitted

Initial submission to the registry

May 11, 2010

Completed
7 days until next milestone

First Posted

Study publicly available on registry

May 18, 2010

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2010

Completed
Last Updated

February 8, 2011

Status Verified

January 1, 2011

Enrollment Period

1.9 years

First QC Date

May 11, 2010

Last Update Submit

February 7, 2011

Conditions

Adult

Keywords

User-Computer InterfaceOffice VisitsPrimary Health CarePatient SatisfactionJob SatisfactionHealth Services Research

Outcome Measures

Primary Outcomes (1)

  • Number of primary care face to face visits of the patients during the 6 month intervention, compared to the number of face to face visits of the same patient, in a 6 month previous period.

    Number of face to face visits of each patient (who used the eConsulta web site) to primary care physician or nurse during the 6 months of the intervention (from 01/06/2010 to 01/12/2010) compared to the number of visits of the same patients the same period 1 or 2 years before, depending on the appearance of a swine flu outbreak (2009 if there is a swine flu outbreak or 2008 if there is not). The information source of the number of visits will be the electronic clinical record, which is the same in all the practices participating.

    Visits done from 01/06/2010 to 01/12/2010 compared to the himself the same period 1 or 2 years before (depending on the flu)

Secondary Outcomes (2)

  • Measure the doctor/nurse satisfaction

    At the end of the study, 01/12/2010

  • Measure the patient satisfaction

    At the end of the study, 01/12/2010

Study Arms (1)

eConsulta

EXPERIMENTAL

Those patients who are offered to use the eConsulta, a web where they can virtually consult with their primary care doctor or nurse.

Other: eConsulta

Interventions

eConsultaOTHER

It is a web specifically designed for the project where elected patients can consult virtually with their primary care physician and within 48 hours have an answer.

eConsulta

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years or over
  • having a primary care centre assigned
  • to have both physician and nurse participating in the project
  • to use the same electronic clinical recording software

You may not qualify if:

  • none

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (13)

EAP Gòtic

Barcelona, Barcelona, 08001, Spain

Location

EAP Ramón Turró

Barcelona, Barcelona, 08005, Spain

Location

EAP El Clot

Barcelona, Barcelona, 08018, Spain

Location

EAP Sant Martí

Barcelona, Barcelona, 08020, Spain

Location

EAP La Sagrera

Barcelona, Barcelona, 08027, Spain

Location

EAP Montnegre

Barcelona, Barcelona, 08029, Spain

Location

EAP Sant Andreu

Barcelona, Barcelona, 08030, Spain

Location

EAP El Carmel

Barcelona, Barcelona, 08032, Spain

Location

EAP Horta

Barcelona, Barcelona, 08032, Spain

Location

EAP Pare Claret

Barcelona, Barcelona, 08037, Spain

Location

EAP Dr. Carles Ribas

Barcelona, Barcelona, 08038, Spain

Location

EAP Congrés

Barcelona, Barcelona, 08041, Spain

Location

EAP Guinardó Baix

Barcelona, Barcelona, 08041, Spain

Location

Related Publications (8)

  • Spielberg AR. On call and online: sociohistorical, legal, and ethical implications of e-mail for the patient-physician relationship. JAMA. 1998 Oct 21;280(15):1353-9. doi: 10.1001/jama.280.15.1353.

    PMID: 9794317BACKGROUND

  • Weiss N. E-mail consultation: clinical, financial, legal, and ethical implications. Surg Neurol. 2004 May;61(5):455-9; discussion 459. doi: 10.1016/j.surneu.2003.09.029.

    PMID: 15120220BACKGROUND

  • Leong SL, Gingrich D, Lewis PR, Mauger DT, George JH. Enhancing doctor-patient communication using email: a pilot study. J Am Board Fam Pract. 2005 May-Jun;18(3):180-8. doi: 10.3122/jabfm.18.3.180.

    PMID: 15879565BACKGROUND

  • Messikomer CM. "Our options have changed. .. we will not call you back". Communicating with my primary care physician. Perspect Biol Med. 2007 Summer;50(3):435-43. doi: 10.1353/pbm.2007.0035.

    PMID: 17660636BACKGROUND

  • Roter DL, Larson S, Sands DZ, Ford DE, Houston T. Can e-mail messages between patients and physicians be patient-centered? Health Commun. 2008;23(1):80-6. doi: 10.1080/10410230701807295.

    PMID: 18443995BACKGROUND

  • Kjaer NK, Jepsen KL, Ruwald S, Jepsen NP, Nielsen HH. [E-mail communication in general practice]. Ugeskr Laeger. 2005 Nov 21;167(47):4461-5. Danish.

    PMID: 16305766BACKGROUND

  • Kuszler PC. A question of duty: common law legal issues resulting from physician response to unsolicited patient email inquiries. J Med Internet Res. 2000 Jul-Sep;2(3):E17. doi: 10.2196/jmir.2.3.e17. No abstract available.

    PMID: 11720940BACKGROUND

  • Bovi AM; Council on Ethical and Judicial Affairs of the American Medical Association. Ethical guidelines for use of electronic mail between patients and physicians. Am J Bioeth. 2003 Summer;3(3):W-IF2. doi: 10.1162/152651603322874771.

    PMID: 14735881BACKGROUND

Related Links

MeSH Terms

Conditions

Patient Satisfaction

Condition Hierarchy (Ancestors)

Treatment Adherence and ComplianceHealth BehaviorBehavior

Study Officials

  • Josep Casajuana

    Institut Català de la Salut

    PRINCIPAL INVESTIGATOR

  • Maria A Casas

    Institut Català de la Salut

    STUDY CHAIR

  • Rosa Chumillas

    Institut Català de la Salut

    STUDY CHAIR

  • Mireia Fàbregas

    Institut Català de la Salut

    STUDY CHAIR

  • Ana I Garaikoetxea

    Institut Català de la Salut

    STUDY CHAIR

  • Maria I Garrido

    Institut Català de la Salut

    STUDY CHAIR

  • Yolanda Lejardi

    Institut Català de la Salut

    STUDY CHAIR

  • María J Martínez

    Institut Català de la Salut

    STUDY CHAIR

  • Maria C Piorno

    Institut Català de la Salut

    STUDY CHAIR

  • Joan Camús

    Institut Català de la Salut

    STUDY CHAIR

Study Design

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

Study Record Dates

First Submitted

May 11, 2010

First Posted

May 18, 2010

Study Start

January 1, 2009

Primary Completion

December 1, 2010

Study Completion

December 1, 2010

Last Updated

February 8, 2011

Record last verified: 2011-01

Locations

ES(13)