Digital Online Consultations - Effects on Antibiotic Prescribing and Health Care Utilization in Primary Care
NCT ID: NCT03474887
Last Updated: 2022-01-25
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
4057 participants
OBSERVATIONAL
2018-03-30
2021-12-20
Brief Summary
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METHODS: Medical record data is used to identify patients with a chief complaint of sore throat, cough/common cold/influenza, or dysuria after choosing online (DIGI) or physical (PHYSI) consultations. A cohort of patients with similar chief complaints prior to implementation of online consultations was used as a control group (CONTROL). Prospective data from local registries and medical records was gathered 14 days the consultation. The primary outcome was rate of antibiotic prescription after sore throat. Secondary outcomes included patient revisits (including hospital admissions), patient satisfaction, time to physician contact, registered diagnosis, and documentation or Centor Criteria and Urinary Tract Infection (UTI)-Criteria.
SIGNIFICANCE: Results will shed light on whether antibiotic prescription differs significantly between digital and physical primary care consultations. Hypotheses may also be generated as to how patients seek care in light of improved availability in a tax-sponsored healthcare system.
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Detailed Description
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Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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DIGI-Throat
Patients choosing to seek primary care through an online consultation with chief complaint sore throat.
Online Consultation
An online platform for communicating with a physician digitally. Patients answer a series of algorithm-based questions after specifying chief complaint, after which contact is established with a physician who can communicate through short messages. The physician can then order labs, prescribe relevant medication or book the patient for a physical consultation if need be.
DIGI-Resp
Patients choosing to seek primary care through an online consultation with chief complaint cough/common cold/influenza.
Online Consultation
An online platform for communicating with a physician digitally. Patients answer a series of algorithm-based questions after specifying chief complaint, after which contact is established with a physician who can communicate through short messages. The physician can then order labs, prescribe relevant medication or book the patient for a physical consultation if need be.
DIGI-Dysuria
Patients choosing to seek primary care through an online consultation with chief complaint dysuria.
Online Consultation
An online platform for communicating with a physician digitally. Patients answer a series of algorithm-based questions after specifying chief complaint, after which contact is established with a physician who can communicate through short messages. The physician can then order labs, prescribe relevant medication or book the patient for a physical consultation if need be.
PHYSI-Throat+CONTROL-Throat
Patients choosing to seek primary care through physical consultation with chief complaint sore throat.
\+ Patients seeking primary care prior to implementation of online consultations, with a chief complaint of sore throat.
Physical Consultation
Regular physician consultation at the primary care clinic.
PHYSI-Resp+CONTROL-Resp
Patients choosing to seek primary care through physical consultation with chief complaint cough/common cold/influenza.
\+ Patients seeking primary care prior to implementation of online consultations, with a chief complaint of cough/common cold/influenza.
Physical Consultation
Regular physician consultation at the primary care clinic.
PHYSI-Dysuria+CONTROL-Dysuria
Patients choosing to seek primary care through physical consultation with chief complaint dysuria
\+ Patients seeking primary care prior to implementation of online consultations, with a chief complaint of dysuria.
Physical Consultation
Regular physician consultation at the primary care clinic.
Interventions
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Physical Consultation
Regular physician consultation at the primary care clinic.
Online Consultation
An online platform for communicating with a physician digitally. Patients answer a series of algorithm-based questions after specifying chief complaint, after which contact is established with a physician who can communicate through short messages. The physician can then order labs, prescribe relevant medication or book the patient for a physical consultation if need be.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Patient who according to medical record presents with sore throat, cough/common cold/influenza, or dysuria
Exclusion Criteria
* Patient under the age of 18.
18 Years
ALL
No
Sponsors
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Doctrin
UNKNOWN
Capio Group
OTHER
Capio Go
UNKNOWN
Lund University
OTHER
Region Skane
OTHER
Responsible Party
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Principal Investigators
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Jan Sundkvist, Professor
Role: STUDY_CHAIR
CPF, Department of Clinical Sciences, Malmö
Locations
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Capio Go
Malmo, , Sweden
Countries
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References
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Entezarjou A, Sjobeck M, Midlov P, Nymberg VM, Vigren L, Labaf A, Jakobsson U, Calling S. Health care utilization following "digi-physical" assessment compared to physical assessment for infectious symptoms in primary care. BMC Prim Care. 2022 Jan 12;23:4. doi: 10.1186/s12875-021-01618-2. eCollection 2022.
Entezarjou A, Calling S, Bhattacharyya T, Milos Nymberg V, Vigren L, Labaf A, Jakobsson U, Midlov P. Antibiotic Prescription Rates After eVisits Versus Office Visits in Primary Care: Observational Study. JMIR Med Inform. 2021 Mar 15;9(3):e25473. doi: 10.2196/25473.
Other Identifiers
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2017/948
Identifier Type: -
Identifier Source: org_study_id
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