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Application of Behavioral Economics to Improve eConsult

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University of Southern California

Status

Completed

Conditions

Quality of Health Care

Treatments

Behavioral: Rating tool
Behavioral: Feedback

Study type

Interventional

Funder types

Other

Identifiers

NCT03784950
HS-17-00077

Details and patient eligibility

About

Using behavioral economics, the study objective is to increase the efficiency, quality, and timeliness of care for Los Angeles County (LAC) Department of Health Services (DHS) patients by nudging specialists toward more effective use of eConsult, a web-based consultation and communication portal for Primary Care Providers (PCPs) and specialists, improving access for patients in greatest need of specialty care.

Full description

Historically, the Los Angeles County (LAC) Department of Health Services (DHS) Safety Net system has faced challenges in delivering specialty services that are timely, geographically equitable, and coordinated in a patient centered manner. Recently, LACDHS improved infrastructure through implementation of eConsult, a web-based consultation and communication portal for Primary Care Providers (PCPs) and specialists, improving access for patients in greatest need of specialty care. The study investigators will conduct a pragmatic randomized trial with the goal of increasing the efficiency, quality, and timeliness of care for LACDHS patients by nudging specialists toward more effective use of eConsult. If successful, these nudges may reduce the number and increase the value of face-to-face consults.

Enrollment

220 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • LACDHS providers who are eConsult system users

Exclusion criteria

  • None

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Sequential Assignment

Masking

None (Open label)

220 participants in 3 patient groups

Rating tool only
Experimental group
Description:
Rating eConsults from peer specialists in first phase
Treatment:
Behavioral: Rating tool
Feedback only
Experimental group
Description:
Receiving feedback from peer specialists in first phase
Treatment:
Behavioral: Feedback
Rating Tool plus Feedback
Experimental group
Description:
Both rating and feedback in second phase.
Treatment:
Behavioral: Rating tool
Behavioral: Feedback

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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