Status:
COMPLETED
A Multicenter Research on the Effects of Substitution of Hospital Ward Care From Medical Doctors to Physician Assistants
Lead Sponsor:
Radboud University Medical Center
Collaborating Sponsors:
ZonMw: The Netherlands Organisation for Health Research and Development
Conditions:
Substitution of Care
Eligibility:
All Genders
18+ years
Brief Summary
Reallocation of healthcare is one solution to the problems healthcare is facing. In the Netherlands reallocation of care to Physician Assistants (PAs) hasn't adequately been studied. Given the growing...
Eligibility Criteria
Inclusion
- Inclusion criteria:
- • Wards using a mixed PA/physician model (with PA ward coverage of at least 50% of the available ward hours per week, during dayshifts on weekdays) or a physician model (daily coverage by a (specialized medical doctor)
- Exclusion criteria on ward level:
- Wards from specialty hospitals
- Wards with only PAs in training
- Wards with a nurse practitioner (NP) in the role of house officer (NP, NP/MD or PA/NP/MD model)
- Pediatric and psychiatric wards, intensive care units
- Exclusion criteria on patient level:
- Terminal patients
- Not fluent in Dutch language
- Age \< 18 years
- Patients in daycare
Exclusion
Key Trial Info
Start Date :
April 1 2013
Trial Type :
OBSERVATIONAL
Allocation :
ACTUAL
End Date :
May 1 2015
Estimated Enrollment :
2382 Patients enrolled
Trial Details
Trial ID
NCT01835444
Start Date
April 1 2013
End Date
May 1 2015
Last Update
May 14 2015
Active Locations (24)
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1
Scheper Ziekenhuis
Emmen, Drenthe, Netherlands
2
Gelre Ziekenhuizen
Apeldoorn, Gelderland, Netherlands
3
Rijnstate
Arnhem, Gelderland, Netherlands, 6800 TA
4
Slingeland Ziekenhuis
Doetinchem, Gelderland, Netherlands