Effectiveness of a Educational Intervention to Improve the Resolution Capacity of Primary Health Care Teams. - Full Text View

Sponsors and Collaborators:	Catalan Institute of Health Fondo de Investigacion Sanitaria
Information provided by:	Catalan Institute of Health
ClinicalTrials.gov Identifier:	NCT00140283

Purpose

There is a great variability in the different primary care teams referral rate. And variability means inappropriateness somewhere in the process of care. The most important determinants of the variability are the attitude and knowledge of the professional, the existence and availability of evidence, the resources available and the professionals practice style. To improve the knowledge of the professionals could be a way to decrease the variability. Because of this, we have the aim to determinate the effectiveness of an educational intervention to improve the primary care teams from the city of Barcelona referral rate.

Condition	Intervention	Phase
Referral and Consultation	Procedure: Educational interactive intervention	Phase IV

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Educational/Counseling/Training, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Official Title:	Phase IV Cluster Randomised Controlled Trial With 2 Parallel Groups, to Evaluate the Effectiveness of a Educational Intervention to Improve the Resolution Capacity.

Further study details as provided by Catalan Institute of Health:

Primary Outcome Measures:

Total number of referrals of the selected condition done by the primary care professionals to specialized consultants by 100 patients attended in 1 year.

Estimated Enrollment:	48
Study Start Date:	July 2004
Estimated Study Completion Date:	May 2005

Detailed Description:

The aim of our study is to determinate if an active educational intervention (interactive sessions discussing clinical cases plus the minimal intervention) reduces the professionals referral rate compared with the minimal intervention group (written adapted clinical practice guidelines and feedback about their referral rate compared with other primary care teams). It is a cluster-randomized controlled trial stratified by the percentage of reform and the referral rate. The subjects were primary care physicians of the 51 teams of Barcelona city attending 1.160.748 inhabitants.

Eligibility

Genders Eligible for Study:

Both

Criteria

Inclusion Criteria:

Primary care teams who agree to participate.
Primary care teams attending adult population (older than 14).

Exclusion Criteria:

Primary care teams where the intervention would be difficult to take place.
Primary care teams where the referral rate is not available.
Primary care teams with a percentage of reform lower than 40%.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00140283

Locations

Spain
Àmbit Barcelona (Catalan Institute of Health)
Barcelona, Spain

Sponsors and Collaborators

Catalan Institute of Health

Fondo de Investigacion Sanitaria

Investigators

Principal Investigator:

Josep Casajuana, Physician

Catalan Institute of Health

More Information

No publications provided

Study ID Numbers:	PI031409, P03/30
Study First Received:	August 31, 2005
Last Updated:	August 31, 2005
ClinicalTrials.gov Identifier:	NCT00140283
Health Authority:	Spain: Ministry of Health

Keywords provided by Catalan Institute of Health:

Effectiveness
Educational intervention
Primary health care

ClinicalTrials.gov processed this record on February 12, 2009