A Patient Information Leaflet Reduces Parental Anxiety Before Their Child's First Craniofacial Multidisciplinary Outpatient Appointment

Pidgeon, Thomas E.; Blore, Christopher; Webb, Yasmin; Horton, Jo; Evans, Martin

doi:10.1097/scs.0000000000003955

Cited by 17 publications

(14 citation statements)

References 18 publications

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“…Activities to strengthen publicity should be conducted through media campaigns. Pidgen TE [24] noted that parents had limited information regarding appointment setting. Therefore, we solicited the opinions and suggestions of patients and their family members as well as clinical departments to develop the “Explanation of 17 common problems of patients and their family members” and “Implementation details of the comprehensive reservation service for non-emergency registration” guidance documents.…”

Section: Discussionmentioning

confidence: 99%

Effects of a comprehensive reservation service for non-emergency registration on appointment registration rate, patient waiting time, patient satisfaction and outpatient volume in a tertiary hospital in China

Xie

Yang

Cao

et al. 2019

BMC Health Serv Res

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Background: In China, a long waiting time for registration is a common occurrence in many tertiary hospitals. This study aimed to analyze the effects of a comprehensive reservation service for non-emergency registration on appointment registration rate, patient waiting time, patient satisfaction and outpatient volume at the Guangzhou Women and Children's Medical Center. Methods: This was a cross-sectional study. This study investigated the effects of a comprehensive reservation service for non-emergency registration in Guangzhou Women and Children's Medical Center in China starting in October 2015. In total, 2194 patients completed a satisfaction survey administered by the Guangdong Situation Research Center. The content of the questionnaire consisted of six aspects: general impression, service attitude, service quality, hospital environment, price perception and medical ethics. A Likert 5-point rating scale was used in the questionnaire; answers were classified as "very satisfied", "relatively satisfied", "neutral", "unsatisfied" and "very unsatisfied". The method of application was paper-based. T-tests were used to compare the sample means, and chisquare tests were used to compare the rates. A multiple-test procedure was performed to evaluate the differences in the reservation rates during a 12-month period. Results: After the implementation of the comprehensive reservation service for non-emergency registration in our hospital, which has an annual outpatient volume of approximately 4 million, the monthly appointment registration rate increased from (34.95 ± 2.91)% to(89.13 ± 3.12)%,P < 0.01. The patient waiting time was significantly reduced (P < 0.01), and the proportion of patients who believed that the waiting time required improvement was decreased significantly (P < 0.01). Moreover, the third-party evaluation result of outpatient satisfaction significantly improved (P < 0.01). The total hospital outpatient volume decreased(P < 0.01). The outpatient volume of the Department of General Pediatrics decreased.

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Section: Discussionmentioning

confidence: 99%

Effects of a comprehensive reservation service for non-emergency registration on appointment registration rate, patient waiting time, patient satisfaction and outpatient volume in a tertiary hospital in China

Xie

Yang

Cao

et al. 2019

BMC Health Serv Res

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“…The findings indicated that the organization of the consultation with the MDT was experienced as emotionally challenging, first of all if participants were not prepared for the number of health professionals present and their function. A recent study based on a craniofacial sample (Pidgeon et al, 2017) showed that a leaflet providing specific information about the MDT appointment led to lower levels of anxiety in parents who attended consultations. The development of a leaflet like the one described in Pidgeon et al (2017) could possibly be a next step in the current treatment setting, hopefully contributing to parents feeling more prepared to their first consultation.…”

Section: Discussionmentioning

confidence: 99%

“…A recent study based on a craniofacial sample (Pidgeon et al, 2017) showed that a leaflet providing specific information about the MDT appointment led to lower levels of anxiety in parents who attended consultations. The development of a leaflet like the one described in Pidgeon et al (2017) could possibly be a next step in the current treatment setting, hopefully contributing to parents feeling more prepared to their first consultation. Preliminary results from our study subsequently also led the team to include a photograph of the whole team when sending out invitations for the MDT, a change that has not yet been assessed.…”

Section: Discussionmentioning

confidence: 99%

“All Eyes on Me”: A Qualitative Study of Parent and Patient Experiences of Multidisciplinary Care in Craniofacial Conditions

Myhre

Agai

Dundas

et al. 2019

The Cleft Palate Craniofacial Journal

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Objective: The present study investigated how adults with congenital craniofacial anomalies (CFAs) and parents experience the long-term and complex treatment offered by a multidisciplinary team (MDT). Design: Exploratory-descriptive qualitative study based on individual semistructured interviews. Setting: Centralized national follow-up and treatment of CFAs by a multidisciplinary craniofacial team from which participants were systematically recruited. Participants: The sample included 48 parents of children with CFAs and 16 adults with CFAs (N = 64). Results: In general, participants reported to be satisfied with the follow-up and treatment they received from the MDT. Still, some aspects of treatment were experienced as demanding such as the large number of health professionals present during the consultation and being the object of their scrutinizing attention. Health professionals’ communication skills were described as central for participants’ involvement in, and satisfaction with, treatment. Participants also expressed a need for more treatment-related information regarding future treatment. Conclusions: Findings could have implications for the organization of care for parents and patients with rare CFAs. The many advantages of MDTs also create unique challenges for patients and parents that need to be addressed. Patients and families should be prepared for the first consultation with the MDT. Health professionals should be aware of their communication style when interacting with patients and be aware of individual differences and needs regarding treatment-related experiences and expectations.

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“…Previous studies mainly reported the use of smartphones for emergency triage and referral for some diseases [14-16], but the added value of using smartphone-based triage for regular appointments remains undefined. The most concerning aspect of adequate appointment registration is that the parents’ level of information regarding their child’s illness is limited [17]. Mobile health is a promising app for appointment registration [14].…”

Section: Introductionmentioning

confidence: 99%

The Use of Smartphone-Based Triage to Reduce the Rate of Outpatient Error Registration: Cross-Sectional Study

Xie¹,

Cao²,

Dong³

et al. 2019

JMIR Mhealth Uhealth

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BackgroundIn many clinics, patients now have the option to make Web-based appointments but doing so according to their own judgment may lead to wrong registration and delayed medical services. We hypothesized that smartphone-based triage in outpatient services is superior to Web-based self-appointment registration guided by the medical staff.ObjectiveThis study aimed to investigate smartphone-based triage in outpatient services compared with Web-based self-appointment registration and to provide a reference for improving outpatient care under appointment registration.MethodsThe following parameters in Guangzhou Women and Children’s Medical Center were analyzed: wrong registration rate, the degree of patient satisfaction, outpatient visits 6 months before and after smartphone-based triage, queries after smartphone-based triage, number of successful registrations, inquiry content, and top 10 recommended diseases and top 10 recommended departments after queries.ResultsSmartphone-based triage showed significant effects on average daily queries, which accounted for 16.15% (1956/12,112) to 29.46% (3643/12,366) of daily outpatient visits. The average daily successful registration after queries accounted for 56.14% (1101/1961) to 60.92% (1437/2359) of daily queries and 9.33% (1130/12,112) to 16.83% (2081/12,366) of daily outpatient visits. The wrong registration rate after smartphone-based triage was reduced from 0.68% (12,810/1,895,829) to 0.12% (2379/2,017,921) (P<.001), and the degree of patient satisfaction was improved. Monthly outpatient visits were increased by 0.98% (3192/325,710) to 13.09% (42,939/328,032) compared with the same period the preceding year (P=.02).ConclusionsSmartphone-based triage significantly reduces the wrong registration rate caused by patient Web-based appointment registration and improves the degree of patient satisfaction. Thus, it is worth promoting.

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A Patient Information Leaflet Reduces Parental Anxiety Before Their Child's First Craniofacial Multidisciplinary Outpatient Appointment

Cited by 17 publications

References 18 publications

Effects of a comprehensive reservation service for non-emergency registration on appointment registration rate, patient waiting time, patient satisfaction and outpatient volume in a tertiary hospital in China

Effects of a comprehensive reservation service for non-emergency registration on appointment registration rate, patient waiting time, patient satisfaction and outpatient volume in a tertiary hospital in China

“All Eyes on Me”: A Qualitative Study of Parent and Patient Experiences of Multidisciplinary Care in Craniofacial Conditions

The Use of Smartphone-Based Triage to Reduce the Rate of Outpatient Error Registration: Cross-Sectional Study

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