Evaluation of Mobile X-ray Within the Triple Aim Method

Study Overview
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Brief Summary
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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.

Official Title
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Evaluation of Mobile X-ray Within the Triple Aim Method

Conditions
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X-rays; Effects, Health Impairment, Patient Satisfaction

Intervention / Treatment
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* Procedure: Mobile X-ray


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients referred to a mobile X-ray examination in Aarhus Municipality Exclusion Criteria: all other patients referred to an x-ray examination
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Single Group Assignment
Interventional Model Description: Randomized controlled trial
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Mobile X-ray<br>Intervention: X-ray examination in the patients own home | Procedure: Mobile X-ray<br>* Evaluating the effect of mobile x-ray compared to x-ray at the Hospital<br>|
| Placebo Comparator: X-ray at the Hospital<br>Control: X-ray at the hospital | Procedure: Mobile X-ray<br>* Evaluating the effect of mobile x-ray compared to x-ray at the Hospital<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hospital admissions | How many patients are hospitalized | one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| patient satisfaction | Measuring satisfaction using questionnaires | one year |