Acute Disease, Ambulatory Care, Family Practice, Nursing Care
Conditions
Keywords
Health Services Research, Nurse Practitioners, Outcome and Process Assessment (Health Care), Patient Acceptance of Health Care, Patient Satisfaction, Primary Health Care, Professional Autonomy
Brief summary
The purpose of this study is to compare the effectiveness of nursing care in relation to usual medical care in adult patients who demand to be visited the same day in Primary Care Teams in Catalonia, as it is suggested in other countries.
Detailed description
The primary care demand is rapidly growing and the family physicians feel overflowed by the demand and their capacity to solve things is limited by lack of time. Many organizational interventions have been planned to solve this problem. One of these is to imply the nurse professional to solve and control health problems that traditionally were the doctor's job. So, to demonstrate the nursing care is as effective as the medical care, we will compare, among both collectives, the 'quality' of care received by patients who ask an appointment for the same day.
Interventions
PROCEDURENurse practitioner care of patients
Sponsors
Carlos III Health Institute
Ministry of Health
Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina
Catalan Institute of Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
15 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients requesting same day consultations in primary care * assigned to the practice
Exclusion criteria
* do not want to participate * difficulties to follow-up * serious illness that makes the intervention impossible * home visits
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine if there are differences comparing the two groups in the perceived status of health, perception of the information, received attention, resource utilization and future intention to consult again with the same professional. | — |
| To determine if there are differences in the resolution of symptoms in 2 weeks after the visit comparing the two groups. | — |
| To determine if there are differences in the proportion of admission to hospital or to emergency room the next 2 weeks comparing the two groups. | — |
| To determine if there are differences in the satisfaction and resolution of the worries about the users state of health in 2 weeks after the visit comparing the two groups. | — |
| Description of the capacity of resolution of the nurse: | — |
| To determine if there are differences in the proportion of patients that make a second appointment for the same reason in the next 2 weeks, comparing the two groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| To identify if there is a type of user in which the effectiveness of the intervention is higher. | — |
| To determine the proportion of users visited by the nurse not having to be visited by the doctor afterwards for that reason. | — |
| Description of the clinical demands of the users and their demographic characteristics. | — |
Contacts
Primary ContactBegoña Iglesias, Physician
Outcome results
None listed