Point-of-Care Follow-Up With Primary Care After Emergency Department Discharge
| Status: | Recruiting |
|---|---|
| Conditions: | Hospital |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | 18 - 100 |
| Updated: | 8/6/2016 |
| Start Date: | November 2015 |
| End Date: | December 2018 |
| Contact: | Melissa L McCarthy, ScD |
| Email: | melmccar@gwu.edu |
| Phone: | 4108688252 |
The purpose of this trial is to determine whether setting up a follow-up appointment for
patients who received treatment and were discharged from the emergency department increases
their compliance with the follow-up appointment. We are enrolling patients who need a
follow-up visit, have health insurance but report do not have a primary care doctor.
Patients are randomized to one of three treatment groups: (1) assistance setting up a
follow-up appointment by a research assistant using ZocDoc; (2) ZocDoc information given to
the subject to set up follow-up appointment by him/herself; or (3) usual discharge
instructions by ED staff. Subjects are phoned approximately 2 weeks after the ED visit and
asked whether they completed a follow-up visit, satisfaction with their ED visit,
satisfaction with their follow-up visit, and additional ED treatment and recovery.
patients who received treatment and were discharged from the emergency department increases
their compliance with the follow-up appointment. We are enrolling patients who need a
follow-up visit, have health insurance but report do not have a primary care doctor.
Patients are randomized to one of three treatment groups: (1) assistance setting up a
follow-up appointment by a research assistant using ZocDoc; (2) ZocDoc information given to
the subject to set up follow-up appointment by him/herself; or (3) usual discharge
instructions by ED staff. Subjects are phoned approximately 2 weeks after the ED visit and
asked whether they completed a follow-up visit, satisfaction with their ED visit,
satisfaction with their follow-up visit, and additional ED treatment and recovery.
This is a randomized controlled trial involving adult emergency department (ED) patients who
need a follow-up visit as defined by the ED provider (importance of follow-up rated as 5 or
greater on a 0 to 10 scale). There is software available called ZocDoc that provides a user
the ability to identify primary care providers who have open appointments and will take the
person's health insurance (in network and outside of network) and list the doctors based on
their proximity to the person in need. We are testing whether booking appointments for ED
patients using ZocDoc vs. giving patients the information to use ZocDoc themselves vs.
standard discharge instructions given by ED staff (i.e. you should follow-up with a primary
care doctor) affects compliance with self-reported follow-up visits. We are enrolling
patients while they are in the ED, completed a short baseline interview and then another
interview with them over the telephone approximately two weeks after the index ED visit. The
follow-up interview asks subjects whether they have completed a follow-up visit,
satisfaction with the ED visit and the primary care visit, any other additional ED treatment
and extent of recovery from the problem that brought them to the ED the first time.
need a follow-up visit as defined by the ED provider (importance of follow-up rated as 5 or
greater on a 0 to 10 scale). There is software available called ZocDoc that provides a user
the ability to identify primary care providers who have open appointments and will take the
person's health insurance (in network and outside of network) and list the doctors based on
their proximity to the person in need. We are testing whether booking appointments for ED
patients using ZocDoc vs. giving patients the information to use ZocDoc themselves vs.
standard discharge instructions given by ED staff (i.e. you should follow-up with a primary
care doctor) affects compliance with self-reported follow-up visits. We are enrolling
patients while they are in the ED, completed a short baseline interview and then another
interview with them over the telephone approximately two weeks after the index ED visit. The
follow-up interview asks subjects whether they have completed a follow-up visit,
satisfaction with the ED visit and the primary care visit, any other additional ED treatment
and extent of recovery from the problem that brought them to the ED the first time.
Inclusion Criteria: Patients with health insurance but report not having a primary care
provider and are rated by the ED provider as needing a follow-up visit with a primary care
provider (rated as moderate to high need by ED provider).
Exclusion Criteria: Patients doesn't want a primary care provider or patient doesn't want
a follow-up visit. Patient is unable to understand consent, is a prisoner, or does not
have access to email (because ZocDoc sends appointment information to email).
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