Electronic Referral and Booking of Outpatient Day Case Surgery Compared With Traditional Referral Routines.

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

COMPLETED

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-10-31

Study Completion Date

2012-12-31

Brief Summary

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We want in this study to investigate the cost-effectiveness and waiting time of direct electronic referral and booking of outpatient surgery compared to the traditional patient pathway where the patient is seen at the outpatient clinic prior to surgery.

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Detailed Description

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Waiting time from referral to day case outpatient surgery is unacceptable long. In Norway it is as much as 48 weeks for common conditions like gallstones, inguinal hernia and sinus pilonidalis. Electronic standardised referrals sent by the Norwegian Healthcare Network, and booking of surgery by the general practitioner might be a way to reduce the waiting time and increase the cost effectiveness of outpatient surgery.

The trial is designated as a randomized controlled trial were selected patients (inguinal hernia, gall stone disease and sinus pilonoidalis) referred to the university hospital, were either randomized to direct electronic referral and booking for outpatient surgery (one stop), or using the traditional patient pathway where all patients are seen at the outpatient clinic several weeks before surgery.

Conditions

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Referral and Consultation Telemedicine Surgery, Outpatient Surgery, Day Medical Records Systems, Computerized Health Services Research Health Care Surveys

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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1

The one stop strategy is a set of interventions directed at GPs referring to the University Hospital. The interventions include: Guidelines for referral, standardised electronic referrals, booking for outpatient surgery and a patient information form.

Group Type ACTIVE_COMPARATOR

one stop (Electronic standardised referrals and appointment bookings)

Intervention Type BEHAVIORAL

The one stop strategy is a set of interventions directed at GPs referring to the University Hospital. The interventions include: Guidelines for referral, standardised electronic referrals, booking for outpatient surgery and a patient information form.

2

Patients in the control group are randomised to use the regular patient pathway prior to day case outpatient surgery. All these patients are referred to the surgical outpatient clinic. At the outpatient clinic patients are examined by a surgeon and indications for surgery is decided by the surgeon. If indicated, patients are then referred to outpatient surgery and the surgical procedure is performed several weeks after the examination.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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one stop (Electronic standardised referrals and appointment bookings)

The one stop strategy is a set of interventions directed at GPs referring to the University Hospital. The interventions include: Guidelines for referral, standardised electronic referrals, booking for outpatient surgery and a patient information form.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patients were eligible if they were diagnosed by their GP for an inguinal hernia, sinus pilonidalis or gallstone disease which require surgical treatment.