Treatment of fractures and dislocations are generally organized in the hospital setting. However, equal care for patients with non-complex fractures or dislocations may be provided in general practices. While substitution of trauma care from the secondary to the primary care setting is stimulated by the government and insurers, it is unknown what the patient satisfaction level is and which determinants affect this patient satisfaction. Therefore, the primary objective of this study is to determine the effect of treatment in a general practice on patient satisfaction compared to treatment in a hospital. The secondary objectives include assessments in quality of life, patient-reported outcomes and cost-effectiveness. Besides, results will be discussed using a small focus group consisting of patients (n=15 per group) and healthcare providers.
Study Type
OBSERVATIONAL
Enrollment
117
In both groups, all procedures and management will be done according to the hospital's standard of care.
General Practice Zorgplein Lemmer
Lemmer, Provincie Friesland, Netherlands
Antonius Hospital Sneek
Sneek, Provincie Friesland, Netherlands
Patient satisfaction
Patient satisfaction measured using the Patient Satisfaction Questionnaire Short Form (PSQ-18)
Time frame: 12 weeks after treatment
Patient satisfaction
Patient satisfaction measured using the Patient Satisfaction Questionnaire Short Form (PSQ-18)
Time frame: 1 week and 6 weeks after treatment
Complications of treatment
Assessment of treatment complications
Time frame: 12 weeks after treatment
Pain score
Assessment of pain score using a visual-analogue scale (VAS)
Time frame: 12 weeks after treatment
Physical functioning
Physical functioning according to the 12-item World Health Organisation (WHO) Disability Assessment Schedule II
Time frame: 12 weeks after treatment
Limitations in functions of upper extremities (if applicable)
Limitations in functions of upper extremities according to the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire
Time frame: 12 weeks after treatment
General health status
General health status according to the General Health Questionnaire (GHQ)
Time frame: 12 weeks after treatment
Quality of life
Quality of life using the EuroQol (EQ5D) questionnaire
Time frame: 12 weeks after treatment
Time consumption
Time consumption (waiting time, treatment time, travelling time)
Time frame: 1 week, 6 weeks, and 12 weeks after treatment
Costs
Costs of treatment
Time frame: 12 weeks after treatment
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.