Fractures, Bone, Dislocations
Conditions
Brief summary
Treatment of fractures and dislocations are generally organized in the hospital setting. However, equal care for patients with non-complex fractures or dislocations may be provided in general practices. While substitution of trauma care from the secondary to the primary care setting is stimulated by the government and insurers, it is unknown what the patient satisfaction level is and which determinants affect this patient satisfaction. Therefore, the primary objective of this study is to determine the effect of treatment in a general practice on patient satisfaction compared to treatment in a hospital. The secondary objectives include assessments in quality of life, patient-reported outcomes and cost-effectiveness. Besides, results will be discussed using a small focus group consisting of patients (n=15 per group) and healthcare providers.
Interventions
PROCEDUREStandard trauma care
In both groups, all procedures and management will be done according to the hospital's standard of care.
Sponsors
Antonius Hospital Sneek
Innovatiefonds De Friesland Zorgverzekeraar (DFZ)
University Medical Center Groningen
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* X-ray confirmed diagnosis of a non-complex fracture or dislocation, which can be treated in the primary care setting according to the treatment protocol. * Ability of the patient or assigned representative to understand the content of the patient information/informed consent form. * Signed and dated written informed consent. Parents of patients of age 12-17 must provide a signed and dated written informed consent as well.
Exclusion criteria
* Patients of age 11 years and younger. * Patients presenting outside ordinary business hours.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction | 12 weeks after treatment | Patient satisfaction measured using the Patient Satisfaction Questionnaire Short Form (PSQ-18) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complications of treatment | 12 weeks after treatment | Assessment of treatment complications |
| Pain score | 12 weeks after treatment | Assessment of pain score using a visual-analogue scale (VAS) |
| Physical functioning | 12 weeks after treatment | Physical functioning according to the 12-item World Health Organisation (WHO) Disability Assessment Schedule II |
| Limitations in functions of upper extremities (if applicable) | 12 weeks after treatment | Limitations in functions of upper extremities according to the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire |
| Patient satisfaction | 1 week and 6 weeks after treatment | Patient satisfaction measured using the Patient Satisfaction Questionnaire Short Form (PSQ-18) |
| Quality of life | 12 weeks after treatment | Quality of life using the EuroQol (EQ5D) questionnaire |
| Time consumption | 1 week, 6 weeks, and 12 weeks after treatment | Time consumption (waiting time, treatment time, travelling time) |
| Costs | 12 weeks after treatment | Costs of treatment |
| General health status | 12 weeks after treatment | General health status according to the General Health Questionnaire (GHQ) |
Countries
Netherlands
Outcome results
None listed