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| Name | Class |
|---|---|
| Carlos III Health Institute | OTHER_GOV |
| Ministry of Health | AMBIG |
| Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina | OTHER |
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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.
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.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nurse practitioner care of patients | Procedure |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | ||
| 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. | ||
| 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Description of the clinical demands of the users and their demographic characteristics. | ||
| To identify if there is a type of user in which the effectiveness of the intervention is higher. | ||
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Begoña Iglesias, Physician | Contact | 0034938931216 | biglesias@ambitcp.catsalut.net |
| Name | Affiliation | Role |
|---|---|---|
| Begoña Iglesias, Physician | Catalan Institute of Health | Principal Investigator |
| Maria Teresa Grifell, Nurse | Catalan Institute of Health | Study Chair |
| Josep Maria Vidal, Physician |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 7742676 | Background | Effectiveness of health checks conducted by nurses in primary care: final results of the OXCHECK study. Imperial Cancer Research Fund OXCHECK Study Group. BMJ. 1995 Apr 29;310(6987):1099-104. | |
| 10632281 | Background | Mundinger MO, Kane RL, Lenz ER, Totten AM, Tsai WY, Cleary PD, Friedewald WT, Siu AL, Shelanski ML. Primary care outcomes in patients treated by nurse practitioners or physicians: a randomized trial. JAMA. 2000 Jan 5;283(1):59-68. doi: 10.1001/jama.283.1.59. |
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| ID | Term |
|---|---|
| D000208 | Acute Disease |
| D010342 | Patient Acceptance of Health Care |
| D017060 | Patient Satisfaction |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000074822 | Treatment Adherence and Compliance |
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| To determine the proportion of users visited by the nurse not having to be visited by the doctor afterwards for that reason. |
| Catalan Institute of Health |
| Study Chair |
| Sandra Pons, Physician | Catalan Institute of Health | Study Chair |
| Josep Casajuana, Physician | Catalan Institute of Health | Study Chair |
| Rosa Aragonès, Physician | Catalan Institute of Health | Study Chair |
| Mireia Fàbregas, Physician | Catalan Institute of Health | Study Chair |
| Neus Esgueva, Nurse | Catalan Institute of Health | Study Chair |
| Anna Calvet, Physician | Catalan Institute of Health | Study Chair |
| Maria Teresa Duran, Nurse | Catalan Institute of Health | Study Chair |
| Cristina Gallardo, Pysician | Catalan Institute of Health | Study Chair |
| Maria Assumpció Jiménez, Nurse | Catalan Institute of Health | Study Chair |
| Francisca Ramos, Physician | Catalan Institute of Health | Study Chair |
| Pere Joan Cortés, Physician | Catalan Institute of Health | Study Chair |
| Maria José Garcia, Physician | Catalan Institute of Health | Study Chair |
| Amparo Romaguera, Physician | Catalan Institute of Health | Study Chair |
| Soledad Romea, Physician | Catalan Institute of Health | Study Chair |
| Hèlia Cebrián, Nurse | Catalan Institute of Health | Study Chair |
| Jeannine Hernández, Physician | Catalan Institute of Health | Study Chair |
| Ramon Morera, Physician | Catalan Institute of Health | Study Chair |
| Manel Ferran, Physician | Catalan Institute of Health | Study Chair |
| Isabel Rosich, Farmacy | Catalan Institute of Health | Study Chair |
| Maria Carmen Sanchez, Nurse | Catalan Institute of Health | Study Chair |
| 10764366 | Background | Kinnersley P, Anderson E, Parry K, Clement J, Archard L, Turton P, Stainthorpe A, Fraser A, Butler CC, Rogers C. Randomised controlled trial of nurse practitioner versus general practitioner care for patients requesting "same day" consultations in primary care. BMJ. 2000 Apr 15;320(7241):1043-8. doi: 10.1136/bmj.320.7241.1043. |
| 10764367 | Background | Venning P, Durie A, Roland M, Roberts C, Leese B. Randomised controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care. BMJ. 2000 Apr 15;320(7241):1048-53. doi: 10.1136/bmj.320.7241.1048. |
| 10764365 | Background | Shum C, Humphreys A, Wheeler D, Cochrane MA, Skoda S, Clement S. Nurse management of patients with minor illnesses in general practice: multicentre, randomised controlled trial. BMJ. 2000 Apr 15;320(7241):1038-43. doi: 10.1136/bmj.320.7241.1038. |
| 11934775 | Background | Horrocks S, Anderson E, Salisbury C. Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ. 2002 Apr 6;324(7341):819-23. doi: 10.1136/bmj.324.7341.819. |
| 10796485 | Background | Zwarenstein M, Bryant W. Interventions to promote collaboration between nurses and doctors. Cochrane Database Syst Rev. 2000;(2):CD000072. doi: 10.1002/14651858.CD000072. |
| D015438 | Health Behavior |
| D001519 | Behavior |