[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"leadSponsorName\":\"Hospital El Salvador\",\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:":39},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":4,"overallStatus":27,"whyStopped":4,"lastUpdateSubmitDate":28,"lastUpdatePostDateStruct":29,"startDateStruct":32,"completionDateStruct":34,"leadSponsor":36,"locationsCount":5},"100624229","ai-telemedicine-support-for-primary-care-physicians-in-el-salvador-100624229",false,"NCT07406919","AI Telemedicine Support for Primary Care Physicians in El Salvador","Pragmatic Randomized Clinical Trial of AI-Assisted Telemedicine to Improve Diagnostic Accuracy Among Primary Care Physicians in El Salvador","Inclusion Criteria:\n\n* Must be a physician employed by the DoctorSV telemedicine program\n* Must provide written informed consent to participate in the study\n* Consultations must be for acute pathologies of the digestive, respiratory, or urinary systems, or acute ophthalmic infections manageable in primary care\n* Consultation must be the first medical contact (first visit) for the current acute episode\n* The condition must correspond to specific ICD-11 codes defined in the study protocol\n\nExclusion Criteria:\n\n* Physicians who are inactive on the platform for more than 4 consecutive weeks\n* Physicians who transition to work modalities other than telemedicine or reduce their working hours to less than 20 hours per week\n* Physicians whose employment contract ends (resignation, dismissal, or contract completion) during the data collection period\n* Consultations classified by the physician as requiring immediate in-person attention\n* Consultations requiring referral to another level of care or specialty for definitive management\n* Consultations interrupted or incomplete due to connectivity or system failures\n* Consultations solely for administrative purposes (e.g., certificates, repeat prescriptions without clinical evaluation)\n* Consultations that are follow-up visits or controls for a previously evaluated episode","ALL","18 Years",{"count":19,"type":20},180,"ESTIMATED","INTERVENTIONAL",[23],"NA","The goal of this clinical trial is to learn whether access to an artificial intelligence (AI) clinical decision support assistant can improve diagnostic accuracy during real-world telemedicine consultations among primary care physicians in El Salvador.\n\nThe main questions it aims to answer are:\n\n* Does access to the AI assistant increase the proportion of correct diagnoses compared to telemedicine without AI assistance?\n* Does the effect of the AI assistant differ according to the physician's prior experience using AI in telemedicine?\n\nResearchers will compare physicians with the AI assistant enabled to physicians with the AI assistant temporarily disabled to see if access to AI improves diagnostic accuracy.\n\nParticipants (physicians) will:\n\n* Provide telemedicine consultations as part of their routine clinical duties.\n* Be randomly assigned to either have the AI assistant enabled or disabled during the study period.\n* Continue documenting clinical encounters in the electronic platform as usual.\n* Have their anonymized consultation notes reviewed by an independent expert panel to determine diagnostic accuracy.",[26],"Artificial Intelligence (AI) in Diagnosis","NOT_YET_RECRUITING","2026-02-13",{"date":30,"type":31},"2026-02-17","ACTUAL",{"date":33,"type":20},"2026-02",{"date":35,"type":20},"2026-08",{"name":37,"class":38},"Hospital El Salvador","OTHER_GOV",""]