eConculta: Impact of Virtual Visits in Primary Care

NCT ID: NCT01124968

Last Updated: 2011-02-08

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

16720 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Study Completion Date

2010-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

eConsulta is a before and after quasi-experimental study without control group and its purpose is to asses the impact of virtual visits in primary care on the frequency of attendance of the patients to the primary care centre. The use of virtual consultations should lower the number of face to face visits to primary care. It also should create satisfaction to both users: primary care professionals and patients.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Excess on primary care face to face demands generates a work overload for the professionals, and it could lead to a lower quality of care and less job satisfaction. Not all primary care demands need a face to face encounter so incorporating new technologies into daily practice care such as communication doctor/nurse-patient through a website could be part of the solution. So we designed a study in order to assess the impact of the use of virtual consultation on frequency of attendance and the satisfaction of patients and professionals with the service.

It is a before after quasi-experimental multi-centre study with no control group. Agreed voluntarily to participate 13 primary care centres, 20 primary care physicians, 17 nurses them having 16.720 reference adult patients. We designed a website where participants can access the internet and consult their doctor/nurse, who will answer within 48 hours at maximum. The intervention will last 6 months.

We believe that the site can be useful by both patient and professional. For some types of patient, the use of the site may increase its accessibility, reduce face to face consultations and improve satisfaction, while the professional makes a more efficient practice.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Adult

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

eConsulta

Those patients who are offered to use the eConsulta, a web where they can virtually consult with their primary care doctor or nurse.

Group Type EXPERIMENTAL

eConsulta

Intervention Type OTHER

It is a web specifically designed for the project where elected patients can consult virtually with their primary care physician and within 48 hours have an answer.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

eConsulta

It is a web specifically designed for the project where elected patients can consult virtually with their primary care physician and within 48 hours have an answer.

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* 18 years or over
* having a primary care centre assigned
* to have both physician and nurse participating in the project
* to use the same electronic clinical recording software

Exclusion Criteria

* none
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Institut Catala de Salut

OTHER_GOV

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Institut Català de la Salut

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Josep Casajuana

Role: PRINCIPAL_INVESTIGATOR

Institut Català de la Salut

Maria A Casas

Role: STUDY_CHAIR

Institut Català de la Salut

Rosa Chumillas

Role: STUDY_CHAIR

Institut Català de la Salut

Mireia Fàbregas

Role: STUDY_CHAIR

Institut Català de la Salut

Ana I Garaikoetxea

Role: STUDY_CHAIR

Institut Català de la Salut

Maria I Garrido

Role: STUDY_CHAIR

Institut Català de la Salut

Yolanda Lejardi

Role: STUDY_CHAIR

Institut Català de la Salut

María J Martínez

Role: STUDY_CHAIR

Institut Català de la Salut

Maria C Piorno

Role: STUDY_CHAIR

Institut Català de la Salut

Joan Camús

Role: STUDY_CHAIR

Institut Català de la Salut

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

EAP Gòtic

Barcelona, Barcelona, Spain

Site Status

EAP Ramón Turró

Barcelona, Barcelona, Spain

Site Status

EAP El Clot

Barcelona, Barcelona, Spain

Site Status

EAP Sant Martí

Barcelona, Barcelona, Spain

Site Status

EAP La Sagrera

Barcelona, Barcelona, Spain

Site Status

EAP Montnegre

Barcelona, Barcelona, Spain

Site Status

EAP Sant Andreu

Barcelona, Barcelona, Spain

Site Status

EAP El Carmel

Barcelona, Barcelona, Spain

Site Status

EAP Horta

Barcelona, Barcelona, Spain

Site Status

EAP Pare Claret

Barcelona, Barcelona, Spain

Site Status

EAP Dr. Carles Ribas

Barcelona, Barcelona, Spain

Site Status

EAP Congrés

Barcelona, Barcelona, Spain

Site Status

EAP Guinardó Baix

Barcelona, Barcelona, Spain

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Spain

References

Explore related publications, articles, or registry entries linked to this study.

Spielberg AR. On call and online: sociohistorical, legal, and ethical implications of e-mail for the patient-physician relationship. JAMA. 1998 Oct 21;280(15):1353-9. doi: 10.1001/jama.280.15.1353.

Reference Type BACKGROUND
PMID: 9794317 (View on PubMed)

Weiss N. E-mail consultation: clinical, financial, legal, and ethical implications. Surg Neurol. 2004 May;61(5):455-9; discussion 459. doi: 10.1016/j.surneu.2003.09.029.

Reference Type BACKGROUND
PMID: 15120220 (View on PubMed)

Leong SL, Gingrich D, Lewis PR, Mauger DT, George JH. Enhancing doctor-patient communication using email: a pilot study. J Am Board Fam Pract. 2005 May-Jun;18(3):180-8. doi: 10.3122/jabfm.18.3.180.

Reference Type BACKGROUND
PMID: 15879565 (View on PubMed)

Messikomer CM. "Our options have changed. .. we will not call you back". Communicating with my primary care physician. Perspect Biol Med. 2007 Summer;50(3):435-43. doi: 10.1353/pbm.2007.0035.

Reference Type BACKGROUND
PMID: 17660636 (View on PubMed)

Roter DL, Larson S, Sands DZ, Ford DE, Houston T. Can e-mail messages between patients and physicians be patient-centered? Health Commun. 2008;23(1):80-6. doi: 10.1080/10410230701807295.

Reference Type BACKGROUND
PMID: 18443995 (View on PubMed)

Kjaer NK, Jepsen KL, Ruwald S, Jepsen NP, Nielsen HH. [E-mail communication in general practice]. Ugeskr Laeger. 2005 Nov 21;167(47):4461-5. Danish.

Reference Type BACKGROUND
PMID: 16305766 (View on PubMed)

Kuszler PC. A question of duty: common law legal issues resulting from physician response to unsolicited patient email inquiries. J Med Internet Res. 2000 Jul-Sep;2(3):E17. doi: 10.2196/jmir.2.3.e17. No abstract available.

Reference Type BACKGROUND
PMID: 11720940 (View on PubMed)

Bovi AM; Council on Ethical and Judicial Affairs of the American Medical Association. Ethical guidelines for use of electronic mail between patients and physicians. Am J Bioeth. 2003 Summer;3(3):W-IF2. doi: 10.1162/152651603322874771.

Reference Type BACKGROUND
PMID: 14735881 (View on PubMed)

Related Links

Access external resources that provide additional context or updates about the study.

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

eConsulta

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

The Virtual BETTER Study
NCT05425797 COMPLETED NA