This randomized controlled trial (RCT) examines the impacts of a publicly provided digital clinic that offers digital primary care services to consumers. This intervention grants access to a public digital clinic that provides chat-based primary care consultations via a mobile phone application and website, including care needs assessment, diagnoses, follow-up care recommendations, and prescriptions. The digital clinic supplements traditional public primary care services, including in-person visits and phone consultations. The trial takes place in Ostrobothnia, Finland, a healthcare district serving a population of 178,000 residents. The investigators will randomize access to the digital clinic at the household level, providing access to 50% of the households. By doing so, the investigators aim to evaluate whether digital services can substitute for, complement, or increase the utilization of traditional primary care, particularly in-person visits or calls to traditional clinics. At the end of the nine-month trial, access to the digital clinic will be expanded to the entire population.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
170,306
This intervention grants access to a digital clinic that provides chat-based primary care consultations via phone application and website.
Wellbeing Services County of Ostrobothnia
Vaasa, Finland
The number of in-person visits in public primary care (Y1.1)
This outcome includes in-person visits to nurses and physicians in traditional public primary care clinics.
Time frame: From the digital clinic launch to the end of treatment at 9 months
The number of other contacts with traditional public primary care (Y1.2)
This outcome includes care needs assessments, remote appointments to nurses and physicians, and professional-to-professional interactions between nurses and physicians in traditional public primary care clinics.
Time frame: From the digital clinic launch to the end of treatment at 9 months
The number of public digital clinic contacts (D.1).
This outcome includes care needs assessments, remote appointments to nurses and physicians (via chat and video), and professional-to-professional interactions between nurses and physicians in digital public primary care clinics.
Time frame: From the digital clinic launch to the end of treatment at 9 months
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