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OpenTrials
Completed

NCT Number: NCT04736992

HKCFP-HKU Primary Care Morbidity Survey in Hong Kong

Background:

Information about the health problems of patients presenting in primary care is crucial to understanding the health of the general community for the planning and allocation of health care resources. Practice-based morbidity studies conducted in primary care settings have proven to be helpful in documentation of disease prevalence and for service planning. With the change in morbidity pattern and the aging population, our study will help to inform primary health care policy and guide work force and service planning.

Method:

This is a prospective practice-based study of health problems presenting in primary care. Doctors who agree to participate in the study will record the health problem and type of management performed in consecutive patient encounters for one of the designated weeks during each season over the course of one year.

Analysis:

Data collected will be analysed by descriptive statistics, comparison with data from previous morbidity study, and by non-linear mixed effects for factors associated with morbidity and management patterns in primary care.

Results:

Findings will will 1) provide evidence to support the allocation of resources to continue and to expand primary care initiatives that support the provision of quality chronic disease care in private sector, 2) enable continued surveillance of the morbidity trends in Hong Kong by providing data for comparison with past and future studies, and 3) inform the content of educational curricula for medical and health care students and practitioners to prepare them to better meet the needs of the community.

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Key information

Conditions

Sex eligibility

All sexes

Study type

Observational

Primary location

Department of Family Medicine and Primary Care, University of Hong Kong

Hong Kong

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Consented primary care doctors in Hong Kong who are working in:
  • the public sector (GOPC), or
  • Department of Health Clinic, or
  • private solo or group practices, or
  • university health services, or
  • non-profit organizations, or
  • private hospital family medicine clinics

Exclusion criteria

  • Doctors who do not consent
  • Doctors who are not working as primary care doctors

Treatment and study plan

No intervention involved

Other

No intervention involved

Primary outcomes

  1. Prevalence of health problems and diseases presenting in primary care

    Time frame: immediately after completion of data collection, up to 6 months

  2. Rates of management activities including referral, investigation, prescription and preventive care intervention by primary care doctors

    Time frame: immediately after completion of data collection, up to 6 months

  3. Distribution of health problems and diseases presenting in the public compared with the private primary care setting

    Time frame: immediately after completion of data collection, up to 6 months

  4. Factors which affect the proportion and distribution of health problems in the public sector compared with the private sector

    Time frame: immediately after completion of data collection, up to 6 months

Secondary outcomes

  1. Prescription rates of specific classes of drugs including benzodiazepines, antidepressants, NSAIDs, and antibiotics

    Time frame: immediately after completion of data collection, up to 6 months

  2. Seasonal variation in primary care morbidity pattern

    Time frame: immediately after completion of data collection, up to 6 months

  3. Relationship between patient's presenting problem and doctor's diagnosis

    Time frame: immediately after completion of data collection, up to 6 months

Sponsors and collaborators

Lead sponsor

The University of Hong Kong

Other

Registry information

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Feb 3, 2021
Registry last updated
Nov 2, 2022

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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