Standard trauma care
ProcedureIn both groups, all procedures and management will be done according to the hospital's standard of care.
NCT Number: NCT03506958
Treatment of fractures and dislocations are generally organized in the hospital setting. However, equal care for patients with non-complex fractures or dislocations may be provided in general practices. While substitution of trauma care from the secondary to the primary care setting is stimulated by the government and insurers, it is unknown what the patient satisfaction level is and which determinants affect this patient satisfaction. Therefore, the primary objective of this study is to determine the effect of treatment in a general practice on patient satisfaction compared to treatment in a hospital. The secondary objectives include assessments in quality of life, patient-reported outcomes and cost-effectiveness. Besides, results will be discussed using a small focus group consisting of patients (n=15 per group) and healthcare providers.
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Notify Me12 year and older
All sexes
Observational
General Practice Zorgplein Lemmer, Lemmer, Provincie Friesland, Netherlands
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
In both groups, all procedures and management will be done according to the hospital's standard of care.
Time frame: 12 weeks after treatment
Patient satisfaction measured using the Patient Satisfaction Questionnaire Short Form (PSQ-18)
Time frame: 1 week and 6 weeks after treatment
Patient satisfaction measured using the Patient Satisfaction Questionnaire Short Form (PSQ-18)
Time frame: 12 weeks after treatment
Assessment of treatment complications
Time frame: 12 weeks after treatment
Assessment of pain score using a visual-analogue scale (VAS)
Time frame: 12 weeks after treatment
Physical functioning according to the 12-item World Health Organisation (WHO) Disability Assessment Schedule II
Time frame: 12 weeks after treatment
Limitations in functions of upper extremities according to the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire
Time frame: 12 weeks after treatment
General health status according to the General Health Questionnaire (GHQ)
Time frame: 12 weeks after treatment
Quality of life using the EuroQol (EQ5D) questionnaire
Time frame: 1 week, 6 weeks, and 12 weeks after treatment
Time consumption (waiting time, treatment time, travelling time)
Time frame: 12 weeks after treatment
Costs of treatment
University Medical Center Groningen
Other
Patient Satisfaction in Treatment of Non-complex Fractures and Dislocations in Hospitals Versus in General Practitioners in the Netherlands: Prospective Cohort Study Protocol
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