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Completed

NCT Number: NCT02710799

Evaluation of the Effects of Teleconsultations on a Endocrinology Referral List

The aim of this study is evaluate the effects of telephone teleconsultations to primary care physicians (compared to the state's referral protocol) in the referrals waiting list for endocrinological appointments.

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Key information

Conditions

Diabetes Mellitus Body Weight Endocrine Gland Neoplasms Endocrine System Diseases Glucose Metabolism Disorders Goiter Head and Neck Neoplasms Hyperthyroidism Hypothyroidism Metabolic Diseases Neoplasms Neoplasms by Site Nutrition Disorders Nutritional and Metabolic Diseases Obesity Overnutrition Overweight Pathological Conditions, Signs and Symptoms Signs and Symptoms Thyroid Diseases Thyroid Neoplasms Thyroid Nodule

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Secretaria Estadual da Saúde

Porto Alegre, Rio Grande do Sul, 90110-150, Brazil

About this study

Rio Grande do Sul state's referral list for endocrinology evaluation in specialized care is highly overloaded. There is currently a referral protocol to select patients how should be referred. It will be evaluated if a intervention of telephone-based teleconsultations provided by the TelessaúdeRS to the primary care physicians can provide additional benefits. TelessaúdeRS is a telehealth program from the University of Rio Grande do Sul. This will be evaluated in a cluster randomized clinical trial.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients from counties with at least 5 endocrinology referrals waiting appointment.
  • Patients referred from primary care physicians
  • Patients referred because one of the protocol conditions (Diabetes Mellitus, Hypothyroidism, Hyperthyroidism, Goiter, Thyroid nodule, Obesity).

Exclusion criteria

  • Patients from counties with more than one hundred endocrinology referrals waiting appointment.

Treatment and study plan

Teleconsultation

Other

The teleconsultations will be performed by medical doctors, mostly family physicians, but also internists and endocrinologists. The teleconsultations will follow a structured format to discuss some topics on the disease and access the relevant information (based on the state's protocols). The doubts from the primary care physician will be addressed.

protocol

Other

The informations provided in the referral list will be evaluated through the state's referrals protocols.

Primary outcomes

  1. Number of consultations authorized

    Time frame: 1 year

    Number of consultations authorized after the evaluation by the control and intervention strategies.

Secondary outcomes

  1. Number of new referrals for endocrinology

    Time frame: 1 year

    Total number of new referrals performed by the county.

  2. Adherence to the state's protocols

    Time frame: 1 year

    Number of new referrals for endocrinology with adequate informations according to the state's protocols.

  3. Usage of TelessaúdeRS teleconsultations

    Time frame: 1 year

    Total number of calls to TelessaúdeRS hotline (available to every primary care physician working in brazilian public health system)

Sponsors and collaborators

Lead sponsor

Hospital de Clinicas de Porto Alegre

Other

Collaborators

  • Programa de Pesquisa e Pós-Graduação em Epidemiologia da UFRGS
  • Secretaria Estadual da Saúde do Estado do Rio Grande do Sul
  • TelessaúdeRS / UFRGS

Registry information

Official study title

Evaluation of the Effectivity of Teleconsultations for Improving the Referrals From Primary Care to Specialized Care of Patients With Chronic Endocrinological Conditions

Important dates

Study start
2015
Primary completion
2016
Study completion
2016
First posted
Mar 17, 2016
Registry last updated
Aug 10, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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