Digitally Supported Person-centered Care Systems (DignityCare)

University Hospital of North Norway

Status: Completed

Conditions: Multiple Chronic Conditions

Treatments: Other: 01 - Clinical notes from one provider; Other: 03 - Summaries of and clinical notes from several providers; Other: 02 - Access to notes from primary and secondary care

Study type: Interventional

Funder types: Other

Identifiers

NCT07142616

2024/ 251632

Details and patient eligibility

About

The case history of patients with complex and long-term needs is often stored in fragments across many different care providers, each with a separate electronic health record. Even when the notes are stored in the same organization, the large volume of information makes it difficult for practitioners to grasp the full overview of the patient's situation.

The DigiTeam tool, combines information management features to present notes from across the care pathway from the three main providers: General Practice, Health and Social care Services, and Secondary care. It also includes summaries of the patient's concerns, conditions, and treatment plan. It provides links to the source documents that are the basis for the summaries.

The overarching aim is to examine the effect of physicians' use of the DigiTeam for three patient cases derived from real-world pseudonymized notes, on the quality of the physcians' ensuing case summary and treatment plan. In the comparator arms, physicians use usual care tools, i.e. only one or three sources of notes and no information management features.

Enrollment: 93 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• General practitioner OR
• Physician who has graduated within the last five years.

If the recruitment is difficult, medical students and other physicians may be included.

To recruit participants, the trial will be announced through known networks, social media, the researchers' network, and general announcements.

Exclusion criteria

• There is no exclusion criterium.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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93 participants in 3 patient groups

01 Usual care with clinical notes from one provider

Active Comparator group

Description:

Access to all clinical notes available to the provider in the patient's case. The provider is General practice in two patient cases, and hospital in one patient case.

Treatment:

Other: 01 - Clinical notes from one provider

02 Clinical notes from several providers

Active Comparator group

Description:

Access to all clinical notes across three providers: General practitioner, Social services and Specialist care.

Treatment:

Other: 02 - Access to notes from primary and secondary care

03 - DigiTeam - Summaries of and clinical notes from several providers

Experimental group

Description:

Access to all clinical notes across three providers: General practitioner, Social services and Specialist care, like in arm 02. In addition, access to information management features, such as summaries of patient's priorities, and clinical summaries of key health problems, including links to source documents.

Treatment:

Other: 03 - Summaries of and clinical notes from several providers