Nurse vs General Practitioner Care for Patients Requesting Same Day Consultations in Primary Care

NCT ID: NCT00461201

Last Updated: 2007-04-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

1640 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Brief Summary

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The purpose of this study is to compare the effectiveness of nursing care in relation to usual medical care in adult patients who demand to be visited the same day in Primary Care Teams in Catalonia, as it is suggested in other countries.

Detailed Description

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The primary care demand is rapidly growing and the family physicians feel overflowed by the demand and their capacity to solve things is limited by lack of time. Many organizational interventions have been planned to solve this problem. One of these is to imply the nurse professional to solve and control health problems that traditionally were the doctor's job. So, to demonstrate the nursing care is as effective as the medical care, we will compare, among both collectives, the 'quality' of care received by patients who ask an appointment for the same day.

Conditions

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Acute Disease Nursing Care Ambulatory Care Family Practice

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Interventions

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Nurse practitioner care of patients

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* patients requesting same day consultations in primary care
* assigned to the practice

Exclusion Criteria

* do not want to participate
* difficulties to follow-up
* serious illness that makes the intervention impossible
* home visits
Minimum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Carlos III Health Institute

OTHER_GOV

Sponsor Role collaborator

Ministry of Health

AMBIG

Sponsor Role collaborator

Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

OTHER

Sponsor Role collaborator

Catalan Institute of Health

OTHER_GOV

Sponsor Role lead

Principal Investigators

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Begoña Iglesias, Physician

Role: PRINCIPAL_INVESTIGATOR

Catalan Institute of Health

Maria Teresa Grifell, Nurse

Role: STUDY_CHAIR

Catalan Institute of Health

Josep Maria Vidal, Physician

Role: STUDY_CHAIR

Catalan Institute of Health

Sandra Pons, Physician

Role: STUDY_CHAIR

Catalan Institute of Health

Josep Casajuana, Physician

Role: STUDY_CHAIR

Catalan Institute of Health

Rosa Aragonès, Physician

Role: STUDY_CHAIR

Catalan Institute of Health

Mireia Fàbregas, Physician

Role: STUDY_CHAIR

Catalan Institute of Health

Neus Esgueva, Nurse

Role: STUDY_CHAIR

Catalan Institute of Health

Anna Calvet, Physician

Role: STUDY_CHAIR

Catalan Institute of Health

Maria Teresa Duran, Nurse

Role: STUDY_CHAIR

Catalan Institute of Health

Cristina Gallardo, Pysician

Role: STUDY_CHAIR

Catalan Institute of Health

Maria Assumpció Jiménez, Nurse

Role: STUDY_CHAIR

Catalan Institute of Health

Francisca Ramos, Physician

Role: STUDY_CHAIR

Catalan Institute of Health

Pere Joan Cortés, Physician

Role: STUDY_CHAIR

Catalan Institute of Health

Maria José Garcia, Physician

Role: STUDY_CHAIR

Catalan Institute of Health

Amparo Romaguera, Physician

Role: STUDY_CHAIR

Catalan Institute of Health

Soledad Romea, Physician

Role: STUDY_CHAIR

Catalan Institute of Health

Hèlia Cebrián, Nurse

Role: STUDY_CHAIR

Catalan Institute of Health

Jeannine Hernández, Physician

Role: STUDY_CHAIR

Catalan Institute of Health

Ramon Morera, Physician

Role: STUDY_CHAIR

Catalan Institute of Health

Manel Ferran, Physician

Role: STUDY_CHAIR

Catalan Institute of Health

Isabel Rosich, Farmacy

Role: STUDY_CHAIR

Catalan Institute of Health

Maria Carmen Sanchez, Nurse

Role: STUDY_CHAIR

Catalan Institute of Health

Central Contacts

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Begoña Iglesias, Physician

Role: CONTACT

0034938931216

References

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Effectiveness of health checks conducted by nurses in primary care: final results of the OXCHECK study. Imperial Cancer Research Fund OXCHECK Study Group. BMJ. 1995 Apr 29;310(6987):1099-104.

Reference Type BACKGROUND
PMID: 7742676 (View on PubMed)

Mundinger MO, Kane RL, Lenz ER, Totten AM, Tsai WY, Cleary PD, Friedewald WT, Siu AL, Shelanski ML. Primary care outcomes in patients treated by nurse practitioners or physicians: a randomized trial. JAMA. 2000 Jan 5;283(1):59-68. doi: 10.1001/jama.283.1.59.

Reference Type BACKGROUND
PMID: 10632281 (View on PubMed)

Kinnersley P, Anderson E, Parry K, Clement J, Archard L, Turton P, Stainthorpe A, Fraser A, Butler CC, Rogers C. Randomised controlled trial of nurse practitioner versus general practitioner care for patients requesting "same day" consultations in primary care. BMJ. 2000 Apr 15;320(7241):1043-8. doi: 10.1136/bmj.320.7241.1043.

Reference Type BACKGROUND
PMID: 10764366 (View on PubMed)

Venning P, Durie A, Roland M, Roberts C, Leese B. Randomised controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care. BMJ. 2000 Apr 15;320(7241):1048-53. doi: 10.1136/bmj.320.7241.1048.

Reference Type BACKGROUND
PMID: 10764367 (View on PubMed)

Shum C, Humphreys A, Wheeler D, Cochrane MA, Skoda S, Clement S. Nurse management of patients with minor illnesses in general practice: multicentre, randomised controlled trial. BMJ. 2000 Apr 15;320(7241):1038-43. doi: 10.1136/bmj.320.7241.1038.

Reference Type BACKGROUND
PMID: 10764365 (View on PubMed)

Horrocks S, Anderson E, Salisbury C. Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ. 2002 Apr 6;324(7341):819-23. doi: 10.1136/bmj.324.7341.819.

Reference Type BACKGROUND
PMID: 11934775 (View on PubMed)

Zwarenstein M, Bryant W. Interventions to promote collaboration between nurses and doctors. Cochrane Database Syst Rev. 2000;(2):CD000072. doi: 10.1002/14651858.CD000072.

Reference Type BACKGROUND
PMID: 10796485 (View on PubMed)

Other Identifiers

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PI060715

Identifier Type: -

Identifier Source: org_study_id