scholarly journals Single institution experience with telemedicine for pediatric urology outpatient visits: adapting to COVID-19 restrictions, patient satisfaction, and future utilization

2021 ◽  
Author(s):  
Zoe Gan ◽  
Seo Young Lee ◽  
Dana A. Weiss ◽  
Jason Van Batavia ◽  
Sharmayne Siu ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Pediatric Urology ◽  
Single Institution ◽  
Outpatient Visits ◽  
Future Utilization

scholarly journals Tuberculosis Control Program and patient satisfaction, Rio de Janeiro, Brazil

2014 ◽  
Vol 48 (3) ◽  
pp. 497-507 ◽  
Author(s):  
Margareth Crisóstomo Portela ◽  
Sheyla Maria Lemos Lima ◽  
Cláudia Brito ◽  
Vanja Maria Bessa Ferreira ◽  
Claudia Caminha Escosteguy ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
User Satisfaction ◽  
Rio De Janeiro ◽  
Control Program ◽  
University Education ◽  
Southeastern Brazil ◽  
Tuberculosis Control ◽  
Factors Associated ◽  
Outpatient Visits ◽  
Tuberculosis Control Program

OBJECTIVE To evaluate factors associated with users’ satisfaction in the Tuberculosis Control Program. METHODS A cross-sectional study of 295 patients aged ≥ 18 years, with two or more outpatient visits in the Tuberculosis Control Program, in five cities in the metropolitan region of Rio de Janeiro, RJ, Southeastern Brazil, in 2010. Considering an estimated population of 4,345 patients, the sampling plan included 15 health care units participating in the program, divided into two strata: units in Rio de Janeiro City, selected with probability proportional to the monthly average number of outpatient visits, and units in the other four cities. In the units, four temporal clusters of five patients each were selected with equal probability, totaling 300 patients. A questionnaire investigating the users’ clinical and sociodemographic variables and aspects of care and service in the program relevant to user satisfaction was applied to the patients. Descriptive statistics about users and their satisfaction with the program were obtained, and the effects of factors associated with satisfaction were estimated. RESULTS Patients were predominantly males (57.7%), with a mean age of 40.9 and with low level of schooling. The mean treatment time was 4.1 months, mostly self-administered (70.4%). Additionally, 25.8% had previously been treated for tuberculosis. There was a high level of satisfaction, especially regarding medication provision, and respect to patients by the health professionals. Patients who were younger (≤ 30), those on self-administered treatment, and with graduate level, showed less satisfaction. Suggestions to improve the services include having more doctors (70.0%), and offering exams in the same place of attendance (55.1%). CONCLUSIONS Patient satisfaction with the Tuberculosis Control Program was generally high, although lower among younger patients, those with university education and those on self-administered treatment. The study indicates the need for changes to structural and organizational aspects of care, and provides practical support for its improvement.

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

10.2196/15313 ◽  
2019 ◽  
Vol 7 (11) ◽  
pp. e15313 ◽  
Author(s):  
Wanhua Xie ◽  
Xiaojun Cao ◽  
Hongwei Dong ◽  
Yu Liu
Keyword(s):  
Patient Satisfaction ◽  
Medical Center ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Outpatient Services ◽  
Cross Sectional ◽  
Web Based ◽  
Outpatient Visits ◽  
Registration Rate ◽  
Before And After

Background In 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. Objective This 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. Methods The 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. Results Smartphone-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). Conclusions Smartphone-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.

scholarly journals Effects of Patient-Initiated Visits on Patient Satisfaction and Clinical Outcomes in a Type 1 Diabetes Outpatient Clinic: A 2-Year Randomized Controlled Study

2021 ◽  
Author(s):  
Nina Drøjdahl Ryg ◽  
Jeppe Gram ◽  
Maryam Haghighi ◽  
Claus Bogh Juhl
Keyword(s):  
Type 1 Diabetes ◽  
Patient Satisfaction ◽  
Outpatient Clinic ◽  
Intervention Group ◽  
Controlled Study ◽  
Clinical Variables ◽  
Randomized Controlled ◽  
Outpatient Visits ◽  
Patient Reported

Objective: We investigated the effects of replacing regular outpatient follow-up through prescheduled visits with patient-initiated visits on patient satisfaction and clinical variables of type 1 diabetes (T1D). <p> </p> <p>Research Design and Methods: A 24-month randomized controlled trial, where adults with T1D were allocated to either patient-initiated unlimited access to outpatient visits, or usual care through regular prescheduled visits. The primary outcome was 7 patient-reported experience measures of patient satisfaction focused on benefit of consultation and accessibility of the outpatient clinic. Secondary outcomes included clinical variables of diabetes and use of staff resources.</p> <p> </p> <p>Results: We enrolled 357 outpatients (intervention, n=178; control, n=179). After 24 months, participants in the intervention group experienced more benefit from consultations compared to baseline within groups (p<0.05) and fewer unnecessary visits compared to controls (p<0.05). Patient needs covered and satisfaction with the outpatient clinic was high and unchanged in both groups, and accessibility was increased (3 questions, all p<0.05). A calculated 7-item patient satisfaction sum score favored the intervention group over controls (p<0.001). There were no significant changes in HbA1c, LDL, blood pressure, and complication status. The mean number of outpatient visits over 24 months (±SD) was lower in the intervention group compared to controls (4.4±2.8 vs. 6.3±2.7, p<0.001), while the number of telephone contacts was higher (3.1±3.4 vs. 2.5±3.2, p<0.001).</p> <p> </p> <p>Conclusions: Patient satisfaction remained high or improved with patient-initiated on-demand use of the diabetes outpatient clinic, with no decline in the quality of diabetes care, and a reduction in the use of staff resources.</p>

Our Experience With Transumbilical Breast Augmentation: Largest Published Series to Date With 2263 Patients

2019 ◽  
Vol 37 (2) ◽  
pp. 81-90
Author(s):  
Ehab Akkary ◽  
Shaina Contic ◽  
Ethan Benning ◽  
Robert Shumway
Keyword(s):  
Patient Satisfaction ◽  
Breast Augmentation ◽  
Cosmetic Surgery ◽  
Capsular Contracture ◽  
Pectoralis Major Muscle ◽  
Operating Time ◽  
Silicone Implants ◽  
Intravenous Sedation ◽  
Extensive Literature ◽  
Single Institution

Transumbilical Breast Augmentation (TUBA) represents a unique approach for breast augmentation (BA). The endoscopic-guided procedure allows for placement of saline breast implants above or below the pectoralis major muscle without placing any incisions on or near the breast. The procedure has not been widely adopted likely due to the high learning curve and the need for advanced endoscopic skills. In addition, silicone implants have increasingly become more popular than saline implants for multiple reasons over the years, which has naturally decreased the number of TUBA cases. Here, we present the largest series of TUBA cases performed at a single institution and present our standardized reproducible technique to promote wider application of TUBA in Cosmetic Surgery. This is a single-institution retrospective study that included 2263 patients (4526 implants) between 1994 and 2017. All cases were performed under tumescence anesthesia with monitored intravenous sedation. Operating time, conversion to another approach, early and late complications, and patient satisfaction were studied. Our data were compared with the available studies via an extensive literature review. In total, 2263 patients (4526 implants) were included in the study. There was 1 case that required unilateral intraoperative conversion to periareolar approach in the initial experience for technical difficulty. Five small postoperative hematomas occurred that were successfully treated with conservative management and did not require evacuation, and 4 out of 5 postoperative hematomas occurred in subpectoral BA and 1 occurred in subglandular BA. Average operating time was 45 minutes. Remote Grade III and IV capsular contracture occurred in 113 patients requiring capsulectomy through periareolar approach. There were 3 cases of superficial umbilical wound infection that occurred, 1 in subglandular BA and 2 in subpectoral BA. These cases were treated with oral antibiotics and local wound care. No implant infection occurred. There were 32 cases of mild asymmetry that were acceptable by patients and did not require a revision, 19 cases occurred in the subpectoral BA group, and 13 cases occurred in the subglandular BA group. The procedure yielded a very high satisfaction rate. TUBA is a safe and reproducible procedure for BA with short operative time, high patient satisfaction, and comparable outcomes with other approaches.

scholarly journals Telemedicine and patient satisfaction during the COVID-19 pandemic: A case–control study of outpatient pediatric urology patients

2021 ◽  
pp. 136749352110582
Author(s):  
Sarah A Holzman ◽  
Carol A Davis-Dao ◽  
Antoine E Khoury ◽  
Michelle A Fortier ◽  
Zeev N Kain
Keyword(s):  
Patient Satisfaction ◽  
Case Control Study ◽  
Conditional Logistic Regression ◽  
Patient Survey ◽  
Pediatric Urology ◽  
Rank Test ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Urology Clinic ◽  
Control Study

Telemedicine has increased during the coronavirus disease 2019 pandemic. Our objective was to determine if patient satisfaction with telemedicine differed from in-person visits in an academic pediatric urology clinic. Following outpatient telemedicine and in-person pediatric urology visits, the validated NRC Health© Patient Survey was used to assess patient experience. Patient satisfaction was assessed on a 10-point scale with scores of 9–10 considered “satisfied” and 1–8 considered “not satisfied.” Satisfaction scores between telemedicine and in-person groups were compared using McNemar’s test, Wilcoxon signed rank test, and conditional logistic regression. Fifty-one patients had urology telemedicine visits during April–August 2020 and completed the NRC Health© Patient Survey. Propensity score matching was used to identify 102 in-person controls between January 2019 and March 2020. Ninety-two percent of telemedicine patients were satisfied compared to 87% of in-person patients (OR 1.7 95% CI [0.53–5.6]). Regression analysis adjusting for matching variables demonstrated that patient satisfaction was higher for telemedicine compared to in-person visits but was not statistically significant (OR 1.5 95% CI [0.43–5.6]). Patient satisfaction with telemedicine was similar to in-person visits in the pediatric urology clinic. Reduced waiting time and convenience associated with telemedicine visits provide an opportunity for telemedicine as a useful modality for pediatric urology.

Complications of Robotic Surgery in Pediatric Urology: A Single Institution Experience

Urology ◽  
2013 ◽  
Vol 82 (4) ◽  
pp. 917-921 ◽  
Author(s):  
Danesh Bansal ◽  
W. Robert Defoor ◽  
Pramod P. Reddy ◽  
Eugene A. Minevich ◽  
Paul H. Noh
Keyword(s):  
Robotic Surgery ◽  
Pediatric Urology ◽  
Single Institution

scholarly journals On the generalizability of same-day partial knee replacement surgery—A non-selective interventional study evaluating efficacy, patient satisfaction, and safety in a public hospital setting

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260816
Author(s):  
Magnus Tveit
Keyword(s):  
Patient Satisfaction ◽  
Adverse Events ◽  
Knee Replacement ◽  
Public Hospital ◽  
Class Iii ◽  
Knee Replacement Surgery ◽  
Replacement Surgery ◽  
Outpatient Visits ◽  
Same Day Discharge ◽  
Partial Knee Replacement

Purpose Programs referred to as Fast-Track/Rapid Recovery/Enhanced Recovery After Surgery have proven both effective and safe in joint replacement surgery, to the degree where same-day discharge (SDD) has been attempted in carefully selected cases at specialized outpatient units. Therefore, the primary aim of this study was to evaluate a same-day surgery protocol regarding safety using the minor partial knee replacement (PKR) procedure by non-selectively recruiting patients at a public hospital for one consecutive year. Methods 33 unselected PKR cases were included in this open clinical trial. The inclusion/exclusion criteria were solely based on logistics, as all the procedures were medial PKRs, designated the first morning slots, and performed by one single-surgeon. Strict postoperative criteria based on vital parameters, urinary function, bleeding, and mobilization had to be met before discharge was considered. SDD rate, patient satisfaction, number of outpatient visits, adverse events and readmissions within 90 days were evaluated. A predetermined subgroup analysis was also conducted where patients <80 yrs. and with an American Society of Anesthesiologists (ASA) classification <III was compared with those aged ≥80 yrs. and/or ASA class ≥III. Results 29 of 33 (88%) successfully achieved SDD. In a univariate comparison, 100% of the patients <80 yrs. and ASA class <III achieved SDD, whereas a corresponding 43% applied for those aged ≥80 yrs. and/or ASA class ≥III (p = 0.001). A 93% overall satisfaction rate was reached. Only 8% extra outpatient visits were required, all occurring within the first 2 weeks (well in line with routine practice.) One plausible transient ischemic attack and one readmission caused by a penetrating trauma not affecting the knee were identified, both of which happened 10 weeks after surgery. No adverse events or readmissions occurred within the first 48 hours of surgery. Conclusion When following strict criteria for discharge, same-day partial knee replacement surgery may be both feasible and safe, even without preselection of patients.

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