Evaluation of Mobile X-ray Within the Triple Aim Method

Overview

Background:

In foreign countries, mobile x-ray already is being used where transfer to the radiology department at the hospital may be an obstacle. Using mobile x-ray, the x-ray examination is performed in the patients own home with transportable equipment that reminds of the transportable x-ray equipment that is being used in the intensive care units. At The Department of Radiology (DOR), Aarhus University Hospital there is an ongoing project mobile x-ray for patients living in nursing homes in Aarhus. The project will be evaluated inspired by the Triple Aim Approach in three sub studies.

Overall aim:

The overall aim is to conclude if mobile x-ray improves healthcare for fragile patients.

Hypotheses:

- Patients examined with mobile x-ray have fewer number of hospital admissions compared with patients examined with x-ray at DOR.

- Patients examined with mobile x-ray are more satisfied with their examination compared with patients examined with x-ray at DOR.

Sub study 1 – Population health

Aim:

The primary aim is to study if mobile x-ray improves the health of the defined population measured in hospital admission. Also to study challenges conducting a RCT.

The outcome measures:

The primary outcome is hospital admissions.

Sub study 2 – Experience of care

Aim:

The aim is to study the satisfaction with mobile x-ray compared the satisfaction to x-ray at DOR.

Methods:

Observations, interview and questionnaires.

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: April 17, 2019

Interventions

  • Procedure: Mobile X-ray
    • Evaluating the effect of mobile x-ray compared to x-ray at the Hospital

Arms, Groups and Cohorts

  • Mobile X-ray
    • X-ray examination in the patients own home
  • X-ray at the Hospital
    • X-ray at the University Hospital in The Department of Radiology

Clinical Trial Outcome Measures

Primary Measures

  • Hospital admissions
    • Time Frame: one year
    • How many patients are hospitalized

Secondary Measures

  • patient satisfaction
    • Time Frame: one year
    • Measuring satisfaction using questionnaires

Participating in This Clinical Trial

Inclusion Criteria

  • patients referred to a mobile X-ray examination in Aarhus Municipality

Exclusion Criteria

  • all other patients referred to an x-ray examination

Gender Eligibility: All

Minimum Age: N/A

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • University of Aarhus
  • Collaborator
    • Aarhus University Hospital
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Helene Nørrelund, Decan, Principal Investigator, University of Aarhus

Citations Reporting on Results

Vigeland E, Bøhm RE, Rostad A, Lysdahl KB. Mobile X-ray service for nursing homes. Tidsskr Nor Laegeforen. 2017 Feb 7;137(3):198-202. doi: 10.4045/tidsskr.16.0035. eCollection 2017 Feb. English, Norwegian.

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