The evaluation of a primary care based dermatology service
| ISRCTN | ISRCTN31962758 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN31962758 |
| Secondary identifying numbers | SDO/34/2002 |
- Submission date
- 12/09/2003
- Registration date
- 12/09/2003
- Last edited
- 19/02/2008
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Skin and Connective Tissue Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Prof Chris Salisbury
Scientific
Scientific
University of Bristol
Cotham House
Cotham Hill
Bristol
BS6 6JL
United Kingdom
| Phone | +44 (0)117 954 6658 |
|---|---|
| c.salisbury@bristol.ac.uk |
Study information
| Study design | Randomised controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | GP practice |
| Study type | Quality of life |
| Scientific title | |
| Study objectives | To compare the effectiveness, cost-effectiveness, accessibility and acceptability of a Primary Care Dermatology Service. This service is an example of the model, promoted in the NHS Plan, of services provided by GPs with special interests (GPSIs) to other GPs across a PCT area. |
| Ethics approval(s) | Not provided at time of registration. |
| Health condition(s) or problem(s) studied | Non-urgent skin problems |
| Intervention | The Bristol primary care dermatology service is staffed by two GPs with Special Interests (GPSIs) and a specialist nurse, and operates from a suburban health centre. It provides care for patients registered with the 29 general practices in one primary care trust. Both GPSIs have postgraduate training and experience in dermatology. All patients see a GPSI initially but may be followed up by a GPSI or the specialist nurse, or may be referred to hospital outpatient care if necessary. The control arm received care from the hospital outpatient dermatology clinic as usual. The main study using a revised protocol applied to all patients recruited from 01/09/2002; all patients recruited before this were in the pilot study. |
| Intervention type | Other |
| Primary outcome measure | 1. Disease-related quality of life assessed using the dermatology life quality index (DLQI) and a single-item measure of improvement 2. Improved patient-perceived access, assessed using a new scale |
| Secondary outcome measures | 1. Patient satisfaction with consultation (Consultation Satisfaction Questionnaire) and with facilities (new scale) 2. Preference for site of care 3. Proportion of failed appointments 4. Waiting times to first appointment |
| Overall study start date | 01/02/2002 |
| Completion date | 30/04/2005 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | 544 (363 primary care arm; 181 hospital arm) |
| Key inclusion criteria | Adult patients referred to a hospital dermatology clinic assessed on the basis of the referral letter to be potentially suitable for GPSI management. Suitable patients had non-urgent problems with a provisional diagnosis. |
| Key exclusion criteria | 1. Children aged less than 16 years 2. Urgent skin problems 3. Patients where the referral letter indicated that the referrer specifically requested hospital management or the patient clearly needed hospital facilities |
| Date of first enrolment | 01/02/2002 |
| Date of final enrolment | 30/04/2005 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
University of Bristol
Bristol
BS6 6JL
United Kingdom
BS6 6JL
United Kingdom
Sponsor information
NHS Service Delivery and Organisation Programme (SDO) (UK)
Government
Government
London School of Hygiene and Tropical Medicine
99 Gower Street
London
WC1E 6AZ
United Kingdom
| Phone | +44 (0)20 7612 7980 |
|---|---|
| sdo@lshtm.ac.uk | |
"ROR" |
https://ror.org/02wnqcb97 |
Funders
Funder type
Government
NHS Service Delivery and Organisation Programme (SDO) (UK) (ref: SDO/34/2002)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | Results | 17/12/2005 | Yes | No |
