E-consultation, general practice, internal medicine, RCT. E-meedenkconsult, e-consultatie, huisartsgeneeskunde, interne geneeskunde, RCT.
Conditions
Interventions
E-consultation (E-meedenkconsult) via the GP internet programme ZorgDomein. In the e-consultation the GP presents the patient case to the internist and the internist gives advice after four working da
Sponsors
Medical Coordination Centre Omnes
Eligibility
Inclusion criteria
Inclusion criteria: Patients with symptoms in the internal medicine spectrum. The GP is doubtful regarding management or referral. The patient is 18 years or older. Informed consent. GPs associated to Medical Coordination Centre Omnes.
Exclusion criteria
Exclusion criteria: The patient is already under treatment of the internist for the present symptom(s). The patient should be referred urgently or in a crisis situation. The GP is sure that the patient should not be referred. The GP is sure that the patient should be referred.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of referrals to the internal outpatient clinic after six months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Matches between the intended management choice of the GPs, the advices of the internists and the subsequent GP management. Relevant clinical events, health care consumption, pharmacotherapy, additional testing, referrals to other specialists. Health care costs. | — |
Contacts
Public ContactDennis Muris
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Outcome results
None listed