View Clinical Trial (Medical Research Study)
Health-e-Access: A Study of Telemedicine in Primary Pediatric Care in Rochester, NY
| City: |
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Rochester |
| State: |
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New York |
| Zip Code: |
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14642 |
| Conditions: |
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Common Childhood Illnesses - Non-emergent Care |
| Purpose: |
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This study aims to take the existing model from the pilot of Telemedicine in Daycare and
expand it to other suburban childcare centers and both urban and suburban elementary
schools.
An assessment of the value of telehealth in the child programs will then be initiated to
detail the impact of utilization and costs.
An assessment of the value of integrating telehealth into primary care practice will also be
evaluated. The impact of continuity of care, well child visit rates, and immunization status
will be among the various measures used in this evaluation.
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| Study Summary: |
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This involves estimating the impact of reduced absence due to illness on parents and their
employers and estimating the value of a telehealth visit to these stakeholders. An interview
instrument was developed to administer before experience with telehealth and again after a
family has had experience with the program. In addition program attendance (childcare or
school) records will be collected to document changes in absenteeism pre and post telehealth
service implementation.
This study involves a before and after research design including both historical and
concurrent controls comparing a detailed utilization of health services including telehealth
visits, emergency department services and illness related office visits. Analyses will
include center-level analyses of service utilization on a weekly basis pre and post as well
as a child-level analyses including utilization before enrollment in a participating
childcare center or school through program participation and, eventually, telehealth
participation.
This is a descriptive observational study of the feasibility and acceptability of
integrating telehealth service into 10 primary care pediatric practices. This study will
document the integration process by maintaining a log of key communications relating to
decision making (meeting minutes, memos, written agreements, protocols) and by interviewing
key staff such as residents, nurse practitioners, attending physicians, staff nurses, and
administrative leaders following the study period.
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| Criteria: |
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Inclusion Criteria:
- All children at participating childcare centers and elementary schools.
Exclusion Criteria:
- Foster care children, children whose parents have refused participation, or children
whose parents are unable to appropriately comprehend the program for any reason.
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| NCT ID: |
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NCT00234806 |
| Primary Contact: |
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Principal Investigator Kenneth McConnochie, MD, MPH University of Rochester
Kenneth McConnochie, MD, MPH Phone: 585-273-4119 Email: ken_mcconnochie@urmc.rochester.edu
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| Backup Contact: |
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Email: neil_herendeen@urmc.rochester.edu Neil Herendeen, MD Phone: 585-273-4140
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| Location Contact: |
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Rochester, New York 14642 United States
Nancy Wood, CCRA Phone: 585-275-4451 Email: nancy_wood@urmc.rochester.edu
Site Status: Recruiting |
| Data Source: |
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ClinicalTrials.gov |
| Date Processed: |
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May 21, 2013 |
| Modifications to this listing: |
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