Disseminating NIH Evidence Based Sickle Cell Recommendations in North Carolina

Duke University

Status: Completed

Conditions: Sickle Cell Disease

Study type: Observational

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT03253211

PRO00076048

Details and patient eligibility

About

This project will improve the efficiency and quality of healthcare for persons with sickle cell disease, an under-served and at risk population by implementing a co-management model of care. Many patients with sickle cell disease (SCD) receive care primarily from specialty physicians and emergency departments (ED), thus resulting in a lack of primary care and a high number of ED visits and hospitalizations. The goal is to improve PCP and SCD specialist co-management. The overall purpose of this dissemination project is to evaluate utilization data, as well as patient and provider reported outcomes associated with the dissemination of a toolbox of decision support tools to PCP's and ED providers across NC and SC.

Full description

The investigators will achieve the goals stated above through three aims.

1. Examine the effects of decision support tools on study outcomes during the 12 months prior to project start and across the 3.5 years of the project in NC and SC. The investigators will also determine which patient and practice level characteristics predict study outcomes.
2. Evaluate individual provider-reported awareness, use and preference of health maintenance tables and algorithms amongst PCPs and ED providers in NC and SC at project start and yearly across the project. Additionally, the investigators will explore patient reported awareness of and satisfaction with co-management model of care in NC and SC.
3. The investigators will conduct an exploratory cost analysis of the dissemination and implementation of the SCD co-management model and its effect on healthcare resource utilization.

Enrollment: 4,392 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• patient with diagnosis of sickle cell disease, emergency department clinician, or primary care clinician in the state of NC or part of SC

Exclusion criteria

• Non-English speaking, non-resident of NC or SC

Trial design

4,392 participants in 4 patient groups

State

Description:

North Carolina

SCD Patients

Providers

Description:

Primary care and emergency department clinicians

Year

Description:

Baseline, year 2, year 3