InfectionsNCT06092866
Digital Versus Telephone Symptom Assessment and Triage in Primary Care
A study testing Digital triage in people with Infections and Injuries, run by Region Skane at 1 site in Sweden.
Trial summary
A 'digital-first' approach is currently under implementation in several Swedish regions. The principles behind implementing an online service as an access way to primary care are based on an expectation that it can make access easier, direct people to appropriate levels of care, and increase both availability of heath… Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Infections, Injuries, Psychiatric Disorder
- What is being tested?
- Digital triage
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 22 participants
- Where
- 1 siteSweden
- Study dates
- 24 Oct 2023to 31 Mar 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Age 18 years or older who is listed at the health center
Who cannot join
- Patients <18 years or parents seeking advice for their children
- Cannot communicate in Swedish or other communication difficulties in language or writing
- Patients without a mobile Bank identification (to log in to the platform)
- Administrative issues, e.g. rebooking of time
Trial locations and contacts
1 site in 1 country.
About this study
A 'digital-first' approach is currently under implementation in several Swedish regions.
The principles behind implementing an online service as an access way to primary care are based on an expectation that it can make access easier, direct people to appropriate levels of care, and increase both availability of heath care and cost efficiency. However, a recent Swedish report concluded that digital triage in primary care has not been investigated in a clinical real-world setting, including real patients, meaning that the benefits and risks for patients as well as on a system level remain unclear.
The aim of this trial is to study the feasibility of a larger trial that will compare digital triage and traditional telephone triage on adherence to triaged health care level, in a randomized controlled study (feasibility study, RCT). The study will recruit a total of 120 patients, of which half will be randomized to telephone triage and half to digital triage.
Read the detailed description
Ten regions in Sweden are currently collaborating in the implementation of a new digital platform for digital symptom assessment and triage.
The patient's path is as following:
- Triage to self-care. The patient will start his/her health care contact at the website www.1177.se with mobile bank identification. An algorithm-based computerized symptom checker performs the initial assessment, based on patient's self-reported complains. This initial triage can result in an auto-triage with self-care advice for non-complicated health issues.
- Triage to digital assessment by chat with a nurse. Patients with more complex needs will be directed to the primary health care center (PHCC) where the patient is listed. There is also a central back-up unit that manages patients during out of office hours. The triage nurse can supplement the patient history with additional questions and finally determine the level of care.
- Patients in need of further assessment are booked to a physical visit to a doctor or other health care staff, or referral to an emergency room.
Study design
Design: Feasibility study, randomized controlled study Patients: Patients referred by the online symptom checker to digital triage with a nurse and patients receiving traditional telephone triage. This study is planned to be carried out at one or more health centers where both traditional telephone triage and digital triage are used. The study will be conducted initially as a feasibility study with 30 participants in each arm and the inclusion period will continue until this number is met. A larger RCT is planned in the future, based on the feasibility study. The consent to participate will be filled in electronically by the participants in the digital triage group, and by the nurse in the telephone group (and documented in the electronic medical record).
- Being tested
- Digital triage
- Keywords
- triage, primary care, digital, remote, health care consumption
- Medical subject headings
- Infections, Wounds and Injuries, Mental Disorders, Digestive System Diseases, Skin Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Digital triageBehavioural
Also called Symptom assessment
A registered nurse assesses the symptoms reported by the patient on the online platform and gives appropriate advice for further care using chat.
| Study group | Role | What they receive |
|---|---|---|
| Digital triage | Experimental | Patients are triaged with symptom assessment by a nurse using a digital platform. They are receiving either advice for self-care, referred to other care-level or booked to a digital or physical visit on the primary health care center. Receives: Behavioral: Digital triage |
| Telephone triage | Active comparator | Patients are triaged with symptom assessment by a nurse using tradition telephone. They are receiving either advice for self-care, referred to other care-level or booked to a digital or physical visit on the primary health care center. Receives: Behavioral: Digital triage |
What is being measured
The primary outcome is the main question the study is designed to answer.
Recruitment rate as percentage of patients included in the study measured using data from the primary health care center
Percentage of patients that accept to be included in the study of all patients that contact the primary care center during the studied period of time
Measured: 6 months
Drop-out rate as percentage of patients that drop-out from the trial
Percentage of patients that drop-out from the trial
Measured: 6 months
Eligibility criteria in percentage of patients being eligible to be included in the study
Age 18 years or older and listed on the primary care center
Measured: 6 months
Secondary outcomes (2)
Adherence to recommended health care level as percentage of patients that adhere to recommended care level
Within 2 months after the triage contact, data collected from the regional data base
Measured: 2 months
Interrater reliability
agreement between the care-level suggested by the online symptom checker and the care-level suggested by the nurse, data collected from the electronic medical journals
Measured: 2 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Oct 2023
- Study start24 Oct 2023
- Primary completion31 Dec 2025
- Study completion31 Mar 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for InfectionsStudies of the same condition, open and under way.
- More trials run by Region SkaneThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Randomization 1:1
- Masking
- None (open label)
- Enrolment
- 22 participants (actual)
Sponsor and investigators
- Lead sponsor
- Region Skane
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Veronica Milos Nymberg, Lund University
- Investigators
- Veronica V Milos Nymberg, PhD, Principal investigator, Lund University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06092866
- Sponsor's protocol ID
- 2022-03883-01
- Status last verified
- Apr 2026
- First submitted
- 10 Aug 2023
- Last updated
- 1 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Data will be shared with researchers at Lund university or other universities upon reasonable request.
Study at a glance
From the registry record, last updated by the sponsor on 1 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Digital Versus Telephone Symptom Assessment and Triage in Primary Care
- ClinicalTrials.gov ID
- NCT06092866
- Acronym / sponsor ID
- 2022-03883-01
- Keywords
- triage, primary care, digital, remote, health care consumption
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 22 participants (actual)
- Lead sponsor
- Region SkaneUniversity, hospital or other
- Study start
- 24 Oct 2023 (actual)
- Primary completion
- 31 Dec 2025 (actual)
- Study completion
- 31 Mar 2026 (actual)
- First posted
- 23 Oct 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A 'digital-first' approach is currently under implementation in several Swedish regions.
The principles behind implementing an online service as an access way to primary care are based on an expectation that it can make access easier, direct people to appropriate levels of care, and increase both availability of heath care and cost efficiency. However, a recent Swedish report concluded that digital triage in primary care has not been investigated in a clinical real-world setting, including real patients, meaning that the benefits and risks for patients as well as on a system level remain unclear.
The aim of this trial is to study the feasibility of a larger trial that will compare digital triage and traditional telephone triage on adherence to triaged health care level, in a randomized controlled study (feasibility study, RCT). The study will recruit a total of 120 patients, of which half will be randomized to telephone triage and half to digital triage.
Detailed description
Ten regions in Sweden are currently collaborating in the implementation of a new digital platform for digital symptom assessment and triage.
The patient's path is as following:
- Triage to self-care. The patient will start his/her health care contact at the website www.1177.se with mobile bank identification. An algorithm-based computerized symptom checker performs the initial assessment, based on patient's self-reported complains. This initial triage can result in an auto-triage with self-care advice for non-complicated health issues.
- Triage to digital assessment by chat with a nurse. Patients with more complex needs will be directed to the primary health care center (PHCC) where the patient is listed. There is also a central back-up unit that manages patients during out of office hours. The triage nurse can supplement the patient history with additional questions and finally determine the level of care.
- Patients in need of further assessment are booked to a physical visit to a doctor or other health care staff, or referral to an emergency room.
Study design
Design: Feasibility study, randomized controlled study Patients: Patients referred by the online symptom checker to digital triage with a nurse and patients receiving traditional telephone triage. This study is planned to be carried out at one or more health centers where both traditional telephone triage and digital triage are used. The study will be conducted initially as a feasibility study with 30 participants in each arm and the inclusion period will continue until this number is met. A larger RCT is planned in the future, based on the feasibility study. The consent to participate will be filled in electronically by the participants in the digital triage group, and by the nurse in the telephone group (and documented in the electronic medical record).
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Randomization 1:1
| Arm | Type | Receives |
|---|---|---|
| Digital triage | Experimental | Behavioral: Digital triagePatients are triaged with symptom assessment by a nurse using a digital platform. They are receiving either advice for self-care, referred to other care-level or booked to a digital or physical visit on the primary health care center. |
| Telephone triage | Active comparator | Behavioral: Digital triagePatients are triaged with symptom assessment by a nurse using tradition telephone. They are receiving either advice for self-care, referred to other care-level or booked to a digital or physical visit on the primary health care center. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Age 18 years or older who is listed at the health center
Key exclusion criteria (4 listed)
- Patients <18 years or parents seeking advice for their children
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Digital triageAlso: Symptom assessmentA registered nurse assesses the symptoms reported by the patient on the online platform and gives appropriate advice for further care using chat. | Behavioural | Digital triage, Telephone triage |
Primary outcome
Recruitment rate as percentage of patients included in the study measured using data from the primary health care center
Time frame: 6 months
Percentage of patients that accept to be included in the study of all patients that contact the primary care center during the studied period of time
Drop-out rate as percentage of patients that drop-out from the trial
Time frame: 6 months
Percentage of patients that drop-out from the trial
Eligibility criteria in percentage of patients being eligible to be included in the study
Time frame: 6 months
Age 18 years or older and listed on the primary care center
2 secondary outcomes
Adherence to recommended health care level as percentage of patients that adhere to recommended care level
Time frame: 2 months
Interrater reliability
Time frame: 2 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 May 2026.
- Individual participant dataSharing planned: Undecided. Data will be shared with researchers at Lund university or other universities upon reasonable request.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Veronica V Milos Nymberg, PhD principal investigator
Lund University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Digital triage in people with Infections and Injuries, run by Region Skane at 1 site in Sweden.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Recruitment rate as percentage of patients included in the study measured using data from the primary health care center (time frame: 6 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 May 2026.