Impact of Handing to Patients a Copy of the Consultation Report on Their Medicine Consumption

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

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2015-05-31

Brief Summary

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In France, patients with benign viral infections (ie: gastro enteritis and/or rhinopharyngitis, etc.) often receive several prescriptions from their doctors, although there is evidence that these medicines are not efficient.

We hypothesize that patients could be reassured by health advices, especially if they are written. In addition, we believe that doctors would feel less guilty for not prescribing drugs if they could hand written consultation reports to patients, in these situations.

We aim to assess the impact of handing to patients with viral gastroenteritis or upper respiratory tract infections, a copy of the consultation report on their medicine consumption.

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Detailed Description

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In France, 90% of General practitioners' (GPs) consultations end with prescription of drugs (versus only 43,2% in Netherlands). A french medical thesis published in 2013 showed that drugs prescriptions were not a priority for patients. Rather than medicine's prescription, patients preferred attentive listening associated with personalized advices from their GPs. Several studies also showed that a commercial relationship exists between doctors and patients. The prescription is like an exchange currency against the patient money.

We aim to assess the impact of handing to patients with viral gastroenteritis or upper respiratory tract infections, a copy of the consultation report on their medicine consumption.

Conditions

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Viral Gastro Enteritis Pharyngitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intervention

Written medical report and standardized medical advices

Group Type EXPERIMENTAL

Written medical report and standardized medical advices

Intervention Type OTHER

The intervention will include: 1) handing the patient at the end of the consultation a copy of the consultation report which will be composed of:

1. a detailed report of the consultation (motive, case history, clinical examination, conclusion)
2. written standardized medical advices from evidence published in the literature. Interventions will be designed by several general practitioners and tested by few patients.

Control

Standardized medical advice only

Group Type ACTIVE_COMPARATOR

Control

Intervention Type OTHER

Other:

Oral standardized medical advices from evidence published in the literature. Physicians will be trained by a single investigator.

Interventions

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Written medical report and standardized medical advices

The intervention will include: 1) handing the patient at the end of the consultation a copy of the consultation report which will be composed of:

1. a detailed report of the consultation (motive, case history, clinical examination, conclusion)
2. written standardized medical advices from evidence published in the literature. Interventions will be designed by several general practitioners and tested by few patients.

Intervention Type OTHER

Control

Other:

Oral standardized medical advices from evidence published in the literature. Physicians will be trained by a single investigator.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

All consecutive patients with \>18 ans Diagnosis of gastroenteritis or rhinopharyngitis by the physician Written consent by patient

Exclusion Criteria

Patients who have already visited the doctor in the last 15 days A given patient can only be included once Diagnostic uncertainty or need of laboratory tests Cognitive impairment Only one patient by family or visit

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes