The Effect of Substitution of Out-of-hours Care From General Practitioners to Nurse Practitioners
The (Cost-)Effectiveness of Substitution in Out-of-hours Primary Care; Towards an Optimal Balance Between General Practitioners and Nurse Practitioners.
1 other identifier
interventional
9,647
1 country
1
Brief Summary
The aim of this study is to explore the effects of substitution in out-of-hours primary care. In consecutive stages an extra General Practitioner (GP) is substituted by a Nurse Practitioner (NP) aiming at replacing 3 out of 4 GPs by NPs. Effects are measured in terms of feasibility and cost-efficiency.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2014
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2014
CompletedFirst Submitted
Initial submission to the registry
March 31, 2015
CompletedFirst Posted
Study publicly available on registry
April 3, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2016
CompletedApril 7, 2016
April 1, 2016
1.7 years
March 31, 2015
April 6, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The number of consultations per healthcare provider.
To measure substitution of healthcare, the number of consultations per in the experimental and control group, and per healthcare provider will be measured. These data will be derived from electronic medical records.
18 months
Secondary Outcomes (4)
Number and characteristics of patients and experienced workload.
18 months
Direct healthcare costs related to care provide by NPs and GPs will be calculated.
18 months
Patient characteristics (composite)
18 months
The number of prescriptions; number of test & investigations ordered and referral to the emergency department.
18 months
Study Arms (2)
General Practitioners Care
NO INTERVENTIONUsual medical care provided by General Practitioners at the Primary Out-of-Hours Service.
Nurse Practitioners Care
EXPERIMENTALMedical care provided by both Nurse Practitioners and General Practitioners at the Primary Out-of-Hours Service.
Interventions
Patients will receive care at the Primary Out of Hours Emergency Service by a Nurse Practitioner instead of a General Practitioner (substitution of care from physicians to nurses).
Eligibility Criteria
You may qualify if:
- Patients (with urgencylevel U2, U3, U4, or U5) requesting an appointment at the primary out-of-hours service during the weekend between 10am and 6pm.
You may not qualify if:
- None
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Centrale Huisartsen Post (CHP)
Eindhoven, North Brabant, 5623 EJ, Netherlands
Related Publications (1)
van der Biezen M, Wensing M, van der Burgt R, Laurant M. Towards an optimal composition of general practitioners and nurse practitioners in out-of-hours primary care teams: a quasi-experimental study. BMJ Open. 2017 May 30;7(5):e015509. doi: 10.1136/bmjopen-2016-015509.
PMID: 28559458DERIVED
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 31, 2015
First Posted
April 3, 2015
Study Start
May 1, 2014
Primary Completion
January 1, 2016
Study Completion
January 1, 2016
Last Updated
April 7, 2016
Record last verified: 2016-04