Pan African Clinical Trials Registry
South African Medical Research Council, South African Cochrane Centre
PO Box 19070, Tygerberg, 7505, South Africa
Telephone: +27 21 938 0506 / +27 21 938 0834 Fax: +27 21 938 0836
Email: pactradmin@mrc.ac.za Website: pactr.samrc.ac.za
Trial no.: PACTR202401789144564 Date of Approval: 15/01/2024
Trial Status: Retrospective registration - This trial was registered after enrolment of the first participant
TRIAL DESCRIPTION
Public title Effect of Teleradiology Service on Waiting Time and Service Satisfaction among Patients Attending Radiology Service in Northwest Ethiopia
Official scientific title Effect of Teleradiology Service on Waiting Time and Service Satisfaction among Patients Attending Radiology Service in Northwest Ethiopia
Brief summary describing the background and objectives of the trial Ideally, every citizen in the world should have quick access to a qualified specialist for medical care. However, due to the insufficient number of radiologists in developing countries, patients who live far away from tertiary hospitals are not accessing timely onsite radiology services, which results in prolonged patient waiting times and dissatisfaction. Hence, this study aimed to evaluate the effect of a web-based teleradiology system on waiting time and service satisfaction in public hospitals in northwest Ethiopia. We employed Rapid Application Development (RAD) Model for the system development, which includes phases such as requirement planning, user design, rapid construction, and cutover. We conducted requirements gathering to develop the system. The back-end used MySQL database software, while the front-end ones used Java technology. On a server computer at the referral hospital, the web-based eX-ray teleradiology application system was deployed. During the pre-intervention period, patient total waiting time and service satisfaction were determined among patients who accessed X-ray consultation services through an in-person referral approach. However, in the post-intervention period, we developed and deployed a web-based teleradiology system to evaluate the effect on waiting time and service satisfaction among patients who received radiography consultation services through the web-based teleradiology system.
Type of trial Non-Randomised
Acronym (If the trial has an acronym then please provide)
Disease(s) or condition(s) being studied Cancer,Digestive System,Ear, Nose and Throat,Infections and Infestations,Injury, Occupational Diseases, Poisoning,Musculoskeletal Diseases,Orthopaedics,Respiratory,Skin and Connective Tissue Diseases,Surgery
Sub-Disease(s) or condition(s) being studied Malaria,Tuberculosis
Purpose of the trial A web-based teleradiology system was developed and deployed to evaluate the effect of on waiting time and service satisfaction among all adult patients who received radiography consultation service through the web-based teleradiology system.
Anticipated trial start date 12/05/2022
Actual trial start date 12/05/2022
Anticipated date of last follow up 03/01/2023
Actual Last follow-up date
Anticipated target sample size (number of participants) 425
Actual target sample size (number of participants)
Recruitment status Completed
Publication URL
Secondary Ids Issuing authority/Trial register
STUDY DESIGN
Intervention assignment Allocation to intervention If randomised, describe how the allocation sequence was generated Describe how the allocation sequence/code was concealed from the person allocating the participants to the intervention arms Masking If masking / blinding was used
Single Group Non-randomised Numbered containers Open-label(Masking Not Used)
INTERVENTIONS
Intervention type Intervention name Dose Duration Intervention description Group size Nature of control
Control Group Web based eX Ray teleradiology A web-based teleradiology system was developed and deployed and was available 24/7. The intervention lasted for 9 months. The intervention package was created by examining various literature sources, observing the radiology workflow in healthcare facilities, conducting interviews with key individuals such as radiologists, hospital managers, and consulting clinicians, reviewing existing referral formats, and consulting other senior experts. After completing the development of the initial version, pilot testing was conducted to gather feedback from users. The comments and identified errors were fixed, and the second version was finalized. The second version was presented and demonstrated for Ph.D. students, invited radiologists, and senior experts at the University of Gondar Mintiwab Hall in March 2023. add, Following the presentation and demonstration, additional comments and suggestions were collected to add additional features and make the system more user-friendly. Subsequently, the third version, named "eX-ray web-based Teleradiology System," was prepared after incorporating the comments obtained from the experts during the presentation and demonstration. Finally, the cleaned version was deployed to the central server for implementation. 425 Uncontrolled
ELIGIBILITY CRITERIA
List inclusion criteria List exclusion criteria Age Category Minimum age Maximum age Gender
- The study populations included adult inpatients and outpatients (18 years of age and older) who received radiography service -Voluntarily expressed their willingness to participate in the study - Patients requiring referral to other hospitals for advanced radiography services - Critically ill and unwilling to participate were excluded from the study 80 and over: 80+ Year,Adult: 19 Year-44 Year,Aged: 65+ Year(s),Middle Aged: 45 Year(s)-64 Year(s) 18 Year(s) 82 Year(s) Both
ETHICS APPROVAL
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 15/07/2021 University of Gondar Institutional Review Board
Ethics Committee Address
Street address City Postal code Country
Gondar, Northwest Ethiopia Gondar 196 Ethiopia
OUTCOMES
Type of outcome Outcome Timepoint(s) at which outcome measured
Primary Outcome Patient waiting time At the end of 9 month
Secondary Outcome Patient satisfaction At the end of 9 month
RECRUITMENT CENTRES
Name of recruitment centre Street address City Postal code Country
Addis Zemen primary hospital Addis Zemen, South Gondar Zone, Northwest Ethiopia Addis Zemen Ethiopia
Ebinat primary hospital Ebinat, South Gondar Zone, Northwest Ethiopia Ebinat Ethiopia
Nefas Mewcha Primary Hospital Nefas Mewcha, South Gondar Zone, Northwest Ethiopia Nefasmewcha Ethiopia
Dr. Ambachew Memorial Primary Hospital Arbgebiya, South Gondar Zone, Northwest Ethiopia Arbgebiya Ethiopia
Wogeda Primary hospital Wogeda, South Gondar Zone, Northwest Ethiopia Wogeda Ethiopia
Mekane Eyesus Primary Hospital South Gondar Zone, Northwest Ethiopia Mekane Eyesus Ethiopia
Andabet Primary Hospital South Gondar Zone, Northwest Ethiopia Andabet Ethiopia
FUNDING SOURCES
Name of source Street address City Postal code Country
University of Gondar Gondar, Northwest Ethiopia Gondar Ethiopia
SPONSORS
Sponsor level Name Street address City Postal code Country Nature of sponsor
Primary Sponsor University of Gondar Gondar, Northwest Ethiopia Gondar Ethiopia University
COLLABORATORS
Name Street address City Postal code Country
CONTACT PEOPLE
Role Name Email Phone Street address
Principal Investigator Araya Mesfin Nigatu Nigatu hitdt2005@gmail.com +251918713813 Gondar, Northwest Ethiopia
City Postal code Country Position/Affiliation
Gondar Ethiopia University of Gondar
Role Name Email Phone Street address
Public Enquiries Aaya Nigatu hitdt2005@gmail.com +2518713813 Gondar, Nortwest Ethiopa
City Postal code Country Position/Affiliation
Gondar Ethiopia University of Gondar
Role Name Email Phone Street address
Scientific Enquiries Araya Nigatu hitdt2005@gmail.com +251918713813 Gondar, Northwest Ethiopia
City Postal code Country Position/Affiliation
Gondar Ethiopia University of Gondar
REPORTING
Share IPD Description Additional Document Types Sharing Time Frame Key Access Criteria
Yes After de-identification, individual participant data underpins the results reported in the form of manuscripts (text, tables, figures, and appendices). Moreover, the data will be presented to all stakeholders, including all concerned governmental bodies and non-governmental organizations, in the form of short reports in local languages and policy briefs. If participants require a project summary report, they can obtain it at their respective health facilities at the end of the study. Analytic Code,Clinical Study Report,Informed Consent Form,Statistical Analysis Plan,Study Protocol After the datasets generated during and/or analyzed for publications After the datasets generated during and/or analyzed for publications
URL Results Available Results Summary Result Posting Date First Journal Publication Date
NA No
Result Upload 1: Result Upload 2: Result Upload 3: Result Upload 4: Result Upload 5:
Result URL Hyperlinks Link To Protocol
Result URL Hyperlinks
Changes to trial information