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Published in: Trials 1/2022

Open Access 01-12-2022 | Triage | Study protocol

Examining the impact of a symptom assessment application on patient-physician interaction among self-referred walk-in patients in the emergency department (AKUSYM): study protocol for a multi-center, randomized controlled, parallel-group superiority trial

Authors: Hendrik Napierala, Marvin Kopka, Maria B. Altendorf, Myrto Bolanaki, Konrad Schmidt, Sophie K. Piper, Christoph Heintze, Martin Möckel, Felix Balzer, Anna Slagman, Malte L. Schmieding

Published in: Trials | Issue 1/2022

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Abstract

Background

Due to the increasing use of online health information, symptom checkers have been developed to provide an individualized assessment of health complaints and provide potential diagnoses and an urgency estimation. It is assumed that they support patient empowerment and have a positive impact on patient-physician interaction and satisfaction with care. Particularly in the emergency department (ED), symptom checkers could be integrated to bridge waiting times in the ED, and patients as well as physicians could take advantage of potential positive effects. Our study therefore aims to assess the impact of symptom assessment application (SAA) usage compared to no SAA usage on the patient-physician interaction in self-referred walk-in patients in the ED population.

Methods

In this multi-center, 1:1 randomized, controlled, parallel-group superiority trial, 440 self-referred adult walk-in patients with a non-urgent triage category will be recruited in three EDs in Berlin. Eligible participants in the intervention group will use a SAA directly after initial triage. The control group receives standard care without using a SAA. The primary endpoint is patients’ satisfaction with the patient-physician interaction assessed by the Patient Satisfaction Questionnaire.

Discussion

The results of this trial could influence the implementation of SAA into acute care to improve the satisfaction with the patient-physician interaction.

Trial registration

German Clinical Trials Registry DRKS00028598. Registered on 25.03.2022
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Metadata
Title
Examining the impact of a symptom assessment application on patient-physician interaction among self-referred walk-in patients in the emergency department (AKUSYM): study protocol for a multi-center, randomized controlled, parallel-group superiority trial
Authors
Hendrik Napierala
Marvin Kopka
Maria B. Altendorf
Myrto Bolanaki
Konrad Schmidt
Sophie K. Piper
Christoph Heintze
Martin Möckel
Felix Balzer
Anna Slagman
Malte L. Schmieding
Publication date
01-12-2022
Publisher
BioMed Central
Published in
Trials / Issue 1/2022
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-022-06688-w

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