Clinical trial NCT02837406: Evaluation of the Health Digital Territories Program in the Five Pilot Territories (EvaTSN Project )
Official title: Evaluation of the Implementation and Results of the Health Digital Territories Program in the Five Pilot Territories (EvaTSN Project )
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Evaluation of a National Health Information Technology-based Program to Improve Healthcare Coordination and Access to Information
Lead sponsor: University Hospital, Bordeaux
Sponsor class: OTHER
Collaborators: name: University of Bordeaux
First posted: 2016-07-19
Enrollment: 150
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Health professionals, primary care physicians (General Practitioner ), other liberal medical professionals, hospital practitioners, field professionals, medical social, users of evaluated systems, patients, industrial responsable of digital health program

Brief summary: The aim is to evaluate a national health information technology-based program to improve healthcare coordination and access to information.

Detailed description: Improvement of coordination of all health and social care actors in the patient pathways is an important issue in many countries; Health Information (HI) technology has been considered as a potentially effective answer to this issue. The French Health Ministry first funded the development of five TSN ("Territoire de Soins Numérique" / Digital health territories) programs, aiming at improving healthcare coordination and access to information for healthcare providers, patients or the population, and at improving healthcare professionals work organization; The French Health Ministry then launched a call for grant to fund one Eva TSN project consisting in evaluating the TSN programs implementation and impact and to develop a model for HI technology evaluation.

Eligibility criteria: * Patients(people living in the five pilot territories of the Health Digital Territories program and the five control territories
* 'Users' who used the devices implemented, including platforms computerized,
* "Health professionals" : which includes both the health professions, medical and social professionals and groups representing them (URPS, etc.) and health facilities
* "Governance bodies" such as Regional Hospitalization Agency, the local authorities, etc.
* Manufacturers responsable for implementation of considered digital solutions.

Primary outcomes:
measure: Type and number of services developed for professionals
timeFrame: June 2018
Secondary outcomes:
measure: Number of users who are familiar with the program
timeFrame: June 2018
measure: Number of users (professional and / or patient / citizen)
timeFrame: June 2018
measure: Number of clicks by professional and / or user patient / citizen
timeFrame: June 2018
measure: Online time (start, end) by professional and / or user patient / citizen
timeFrame: June 2018
measure: Relevance rate of short stay admissions
timeFrame: june 2018
measure: Rates of preventable hospital stays
timeFrame: June 2018
measure: Rate of irrelevant drug prescriptions
timeFrame: June 2018
measure: Rate of recourse to prevention programs
timeFrame: June 2018
Other outcomes:
Locations:
city: Chalon-sur-Saône
country: France
facility: Agences Régionales de Santé Bourgogne
city: LYON cedex
country: France
facility: Agence régionale de santé de Rhône Alpes
city: Mont de Marsan
country: France
facility: Agences Régionales de Santé Aquitaine
city: Paris
country: France
facility: Agence Régionale de Santé (ARS) Ile-de-France
city: Saint-Denis
country: France
facility: Agence Régionale Santé Océan Indien
Study officials:
affiliation: University Hospital, Bordeaux
name: Louis-Rachid SALMI, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Saillour-Glenisson F, Duhamel S, Fourneyron E, Huiart L, Joseph JP, Langlois E, Pincemail S, Ramel V, Renaud T, Roberts T, Sibe M, Thiessard F, Wittwer J, Salmi LR; EvaTSN Research group. Protocole of a controlled before-after evaluation of a national health information technology-based program to improve healthcare coordination and access to information. BMC Health Serv Res. 2017 Apr 21;17(1):297. doi: 10.1186/s12913-017-2199-y.