This trial is active, not recruiting.

Condition referral and consultation
Treatment educational interactive intervention
Phase phase 4
Sponsor Catalan Institute of Health
Collaborator Fondo de Investigacion Sanitaria
Start date July 2004
End date May 2005
Trial size 48 participants
Trial identifier NCT00140283, P03/30, PI031409


There is a great variability in the different primary care teams referral rate. And variability means inappropriateness somewhere in the process of care. The most important determinants of the variability are the attitude and knowledge of the professional, the existence and availability of evidence, the resources available and the professionals practice style. To improve the knowledge of the professionals could be a way to decrease the variability. Because of this, we have the aim to determinate the effectiveness of an educational intervention to improve the primary care teams from the city of Barcelona referral rate.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking open label
Primary purpose educational/counseling/training

Primary Outcomes

Total number of referrals of the selected condition done by the primary care professionals to specialized consultants by 100 patients attended in 1 year.
time frame:

Eligibility Criteria

Male or female participants of any age.

Inclusion Criteria: - Primary care teams who agree to participate. - Primary care teams attending adult population (older than 14). Exclusion Criteria: - Primary care teams where the intervention would be difficult to take place. - Primary care teams where the referral rate is not available. - Primary care teams with a percentage of reform lower than 40%.

Additional Information

Official title Phase IV Cluster Randomised Controlled Trial With 2 Parallel Groups, to Evaluate the Effectiveness of a Educational Intervention to Improve the Resolution Capacity.
Principal investigator Josep Casajuana, Physician
Description The aim of our study is to determinate if an active educational intervention (interactive sessions discussing clinical cases plus the minimal intervention) reduces the professionals referral rate compared with the minimal intervention group (written adapted clinical practice guidelines and feedback about their referral rate compared with other primary care teams). It is a cluster-randomized controlled trial stratified by the percentage of reform and the referral rate. The subjects were primary care physicians of the 51 teams of Barcelona city attending 1.160.748 inhabitants.
Trial information was received from ClinicalTrials.gov and was last updated in August 2005.
Information provided to ClinicalTrials.gov by Catalan Institute of Health.