Clinical trial NCT00129636: The Usefulness of Patients Receiving Their Own Letter After an Outpatient Attendance
Official title: A Study to Determine the Usefulness of Patients Receiving Their Own Letter After an Outpatient Attendance Compared to Receiving a Copy of the Letter Being Sent to Their General Practitioner
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Heart Diseases
Lung Diseases
Keywords: post consultation letter
Lead sponsor: Imperial College London
Sponsor class: OTHER
First posted: 2005-08-12
Enrollment: 84
Sex: ALL
Minimum age (years): 18
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: As part of the NHS plan it has been proposed to extend some consultants' usual practices and to send all patients copies of the letters sent to their general practitioners (GPs) following outpatient consultations. The current Secretary of State for Health has further extended this proposal and suggested that patients should have a specific letter to themselves after a hospital consultation.

The aim of this study is to send patients both a copy of the letter sent to their GPs and a specific letter to themselves and to assess the usefulness and comprehensibility of each.

Detailed description: As part of the NHS plan it has been proposed to extend some consultants' usual practices and to send all patients copies of the letters sent to their general practitioners following outpatient consultations. The current Secretary of State for Health has further extended this proposal and suggested that patients should have a specific letter to themselves after a hospital consultation.

The aim of this study is to send patients both a copy of the letter sent to their GPs and a specific letter to themselves and to assess the usefulness and comprehensibility of each. This study will assess the two styles of letter in Cardiology and Respiratory Outpatient Clinics staffed by 7 consultants and will involve a group of 15-20 patients from each of the clinics, total number approximately 150 patients.

All patients attending the clinics will be given a sheet outlining the study before their consultations. If they are interested in the study, patients will be given a Patient Information Sheet and asked consent to take part. The length of each of the two dictated letters will be recorded. To avoid costs to the NHS, the direct to patient letters will be typed at the study investigators' cost. Two copies of each letter, a short explanatory letter and a questionnaire will be sent to the patient and the patient will be asked to circle points in each of the letters which are unclear and return them to the department. At the end of the study the general practitioners will be contacted and asked their views about the two letters.

Eligibility criteria: Inclusion Criteria:

* All patients attending respiratory/cardiology outpatient clinics

Exclusion Criteria:

* Patients with reading/language difficulties

Primary outcomes:
measure: Comprehensibility of the two styles of letter
timeFrame: Baseline
Secondary outcomes:
measure: Patient preferences for the letters
timeFrame: baseline
measure: Deficiencies in the patient letter
timeFrame: baseline
Other outcomes:
Locations:
city: London
country: United Kingdom
facility: NHLI Imperial College
Study officials:
affiliation: Imperial College London
name: Martyn R Partridge, MD FRCP
role: PRINCIPAL_INVESTIGATOR
References:
citation: Roberts NJ, Partridge MR. How useful are post consultation letters to patients? BMC Med. 2006 Jan 20;4:2. doi: 10.1186/1741-7015-4-2.