Point-of-Care Follow-Up With Primary Care After Emergency Department Discharge
1 other identifier
interventional
220
1 country
1
Brief Summary
The purpose of this trial is to determine whether setting up a follow-up appointment for patients who received treatment and were discharged from the emergency department increases their compliance with the follow-up appointment. We are enrolling patients who need a follow-up visit, have health insurance but report do not have a primary care doctor. Patients are randomized to one of three treatment groups: (1) assistance setting up a follow-up appointment by a research assistant using ZocDoc; (2) ZocDoc information given to the subject to set up follow-up appointment by him/herself; or (3) usual discharge instructions by ED staff. Subjects are phoned approximately 2 weeks after the ED visit and asked whether they completed a follow-up visit, satisfaction with their ED visit, satisfaction with their follow-up visit, and additional ED treatment and recovery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2015
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
November 1, 2015
CompletedFirst Submitted
Initial submission to the registry
April 13, 2016
CompletedFirst Posted
Study publicly available on registry
April 15, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
July 31, 2017
CompletedAugust 8, 2017
August 1, 2017
1.6 years
April 13, 2016
August 4, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Self-reported follow-up visit
patient-reported follow-up visit with a primary care doctor
2-4 weeks after the index ED visit
Secondary Outcomes (4)
Satisfaction with the ED visit
Measured 2 weeks after the index ED visit
Satisfaction with the primary care visit
2-4 weeks after the index ED visit
Recovery from health problem
2-4 weeks after the index ED visit
Additional ED visit(s)
2-4 weeks after the index ED visit
Study Arms (3)
ZocDoc Assistance
EXPERIMENTALResearch assistant sets up follow-up appointment for subject using ZocDoc.
ZocDoc Information
ACTIVE COMPARATORResearch assistance provides subject with written information about ZocDoc.
Usual Care
NO INTERVENTIONED staff gives written and verbal discharge instructions to subject.
Interventions
Research assistant sets up a follow-up appointment for a subject with a primary care doctor using ZocDoc
Providing ZocDoc information to subjects so that they can make a follow-up appointment with a primary care doctor themselves
Eligibility Criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
George Washington University Hospital
Washington D.C., District of Columbia, 20037, United States
Related Publications (2)
Doran KM, Colucci AC, Hessler RA, Ngai CK, Williams ND, Wallach AB, Tanner M, Allen MH, Goldfrank LR, Wall SP. An intervention connecting low-acuity emergency department patients with primary care: effect on future primary care linkage. Ann Emerg Med. 2013 Mar;61(3):312-321.e7. doi: 10.1016/j.annemergmed.2012.10.021. Epub 2012 Dec 20.
PMID: 23261312BACKGROUNDChan TC, Killeen JP, Castillo EM, Vilke GM, Guss DA, Feinberg R, Friedman L. Impact of an internet-based emergency department appointment system to access primary care at safety net community clinics. Ann Emerg Med. 2009 Aug;54(2):279-84. doi: 10.1016/j.annemergmed.2008.10.030. Epub 2008 Dec 13.
PMID: 19070939BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Tina Choudri, MD
George Washington University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
April 13, 2016
First Posted
April 15, 2016
Study Start
November 1, 2015
Primary Completion
June 1, 2017
Study Completion
July 31, 2017
Last Updated
August 8, 2017
Record last verified: 2017-08