Study Results
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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COMPLETED
NA
120 participants
INTERVENTIONAL
2013-04-30
2017-09-30
Brief Summary
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Detailed Description
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The aim of this study is to evaluate the effects of NHGDoc on quality of care. In addition, we want to gain insight into the barriers and facilitators that affect the systems' impact.
A cluster randomized controlled trial will be conducted among 120 general practices in the Netherlands. Eligible practices will be randomized to receive either the regular NHGDoc modules (control arm) or the regular modules and an additional module on heart failure (intervention arm). The effect evaluation will focus on processes of care (e.g. prescription behavior) as well as on patient outcomes (e.g. hospital admissions, mortality). Additionally, a process evaluation will be conducted, which includes a focus group study and a survey among participating healthcare providers to evaluate the perceived barriers and facilitators to using 'NHGDoc'.
Results of this study will provide insight in the ability of computerized decision support systems and in particular 'NHGDoc' to improve quality of primary care. Whereas the trial focuses on a specific NHGDoc domain - heart failure - we believe our conclusions are relevant to other primary care areas as well, particularly as this study also explores the factors that contribute to the systems' effectiveness.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Active decision support
Regular NHGDoc domains plus NHGDoc domain heart failure
NHGDoc domain Heart Failure
Healthcare providers receive patient specific alerts in terms of diagnosing and treatment of patients with heart failure
Passive decision support
Regular NHGDoc domains
No interventions assigned to this group
Interventions
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NHGDoc domain Heart Failure
Healthcare providers receive patient specific alerts in terms of diagnosing and treatment of patients with heart failure
Eligibility Criteria
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Inclusion Criteria
* NHGDoc should be available in the general practices
ALL
No
Sponsors
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Netherlands: Ministry of Health, Welfare and Sports
OTHER_GOV
Radboud University Medical Center
OTHER
Responsible Party
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Principal Investigators
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Tijn Kool, PhD
Role: PRINCIPAL_INVESTIGATOR
IQ healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands
Locations
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Radboud University Nijmegen Medical Centre, IQ healthcare
Nijmegen, , Netherlands
Countries
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References
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Lugtenberg M, Pasveer D, van der Weijden T, Westert GP, Kool RB. Exposure to and experiences with a computerized decision support intervention in primary care: results from a process evaluation. BMC Fam Pract. 2015 Oct 16;16:141. doi: 10.1186/s12875-015-0364-0.
Lugtenberg M, Westert GP, Pasveer D, van der Weijden T, Kool RB. Evaluating the uptake and effects of the computerized decision support system NHGDoc on quality of primary care: protocol for a large-scale cluster randomized controlled trial. Implement Sci. 2014 Oct 17;9:145. doi: 10.1186/s13012-014-0145-5.
Other Identifiers
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NHGDoc 2012
Identifier Type: -
Identifier Source: org_study_id
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