NCT01422031

Brief Summary

The aim of this study was to find out the utilization rate and pattern of primary health care services, and the process and outcomes of primary care consultations of the general population in Hong Kong, and whether having a family doctor would make any difference. The study objectives were to determine

  1. 1.the rates and pattern of utilization of different primary health care services and self-care
  2. 2.Patient self-reported outcomes (global rating on change in health, satisfaction and patient enablement) of primary care consultations;
  3. 3.the process of care in consultations including drug and non-drug managements, investigations, preventive care and referrals;
  4. 4.the effect of having a regular family doctor on service utilization rate and pattern, health promotion practice, and process and outcomes of primary care consultations.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
3,148

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Sep 2007

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

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

September 1, 2007

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2008

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2008

Completed
3 years until next milestone

First Submitted

Initial submission to the registry

August 8, 2011

Completed
15 days until next milestone

First Posted

Study publicly available on registry

August 23, 2011

Completed
Last Updated

January 26, 2015

Status Verified

January 1, 2015

Enrollment Period

11 months

First QC Date

August 8, 2011

Last Update Submit

January 23, 2015

Conditions

Primary CareHealth Services UtilizationFamily Practice

Keywords

Primary careFamily doctorConsultationutilizationNon-drug managementsPatient enablement index

Outcome Measures

Primary Outcomes (4)

  • Primary care doctor choice group

    baseline

  • Monthly utilization rate

    Baseline

  • Patient Enablement Instrument (PEI)

    Baseline

  • Rates of non-drug managements

    Baseline

Secondary Outcomes (6)

  • Doctor shopping rate

    Baseline

  • Self-medication rates during the last episode of illness

    Baseline

  • Prescribing rate during last episode of illness

    Baseline

  • Prevalence of preventive care

    Baseline

  • Self-perceived health score

    Baseline

  • +1 more secondary outcomes

Study Arms (3)

Regular Family Doctor (RFD)

People had a regular primary care doctor who is a family doctor

Regular not Family doctor (RnFD)

People had a regular primary care doctor who is not a family doctor

Not regular doctor (NRD)

People had no regular primary care doctor

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

5174 eligible households were contacted by telephone but 1532 refused to be interviewed and 494 did not complete the interview. 3148 (60.8%) subjects, with 1616 and 1532 in the first and second phases, respectively, completed the cross-sectional survey. 1131 people (480 by additional telephone sampling) were invited to the longitudinal study but only 708 eventually agreed to take part and 327 returned the diaries (all by completion). 319 subjects had complete cross-sectional and longitudinal data for the final analysis.

You may qualify if:

  • Written consent to study

You may not qualify if:

  • Non-residential numbers
  • Inability to communicate in Cantonese, Putonghua or English
  • Refusal to telephone interview
  • No contact after 5 attempts

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Family Medicine Unit, Faculty of Medicine, HKU

Hong Kong, Hong Kong, China

Location

Related Publications (3)

  • Lam CL, Leung GM, Mercer SW, Fong DY, Lee A, Lam TP, Lo YT. Utilisation patterns of primary health care services in Hong Kong: does having a family doctor make any difference? Hong Kong Med J. 2011 Jun;17(3 Suppl 3):28-32. No abstract available.

    PMID: 21673357RESULT

  • Lam CL, Yu EY, Lo YY, Wong CK, Mercer SM, Fong DY, Lee A, Lam TP, Leung GM. Having a Family Doctor is Associated with Some Better Patient-Reported Outcomes of Primary Care Consultations. Front Med (Lausanne). 2014 Sep 15;1:29. doi: 10.3389/fmed.2014.00029. eCollection 2014.

    PMID: 25593904RESULT

  • Fung CS, Wong CK, Fong DY, Lee A, Lam CL. Having a family doctor was associated with lower utilization of hospital-based health services. BMC Health Serv Res. 2015 Jan 28;15:42. doi: 10.1186/s12913-015-0705-7.

    PMID: 25627936DERIVED

MeSH Terms

Conditions

Patient Acceptance of Health Care

Condition Hierarchy (Ancestors)

Treatment Adherence and ComplianceHealth BehaviorBehavior

Study Officials

  • Cindy L.K. Lam, MD

    Family Medicine Unit, Faculty of Medicine, HKU

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Head and Clinical Professor

Study Record Dates

First Submitted

August 8, 2011

First Posted

August 23, 2011

Study Start

September 1, 2007

Primary Completion

August 1, 2008

Study Completion

August 1, 2008

Last Updated

January 26, 2015

Record last verified: 2015-01

Locations

CN(1)