Musculoskeletal physiotherapy: What do patients expect from an initial out-patient appointment?

Physiotherapy ◽  
2021 ◽  
Vol 113 ◽  
pp. e32-e33
Author(s):  
N. Griffin
Keyword(s):  
Patient Appointment

scholarly journals Clinical audit on possible causes of hospital initiated clinic cancellations and recommendation to improve the service

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S324-S324
Author(s):  
Tanzida Haque ◽  
Mosab Mohammed Jodat Ibrahim ◽  
Bapu Ravindranath
Keyword(s):  
Inner City ◽  
Clinical Audit ◽  
Significant Loss ◽  
Junior Doctors ◽  
Time Period ◽  
Cancellation Rate ◽  
The World ◽  
Patient Appointment ◽  
Training Opportunities ◽  
Changeover Period

AimsThe aim of this audit is to explore the possible causes of clinic cancellation in an inner city CMHT and the recommendation to reduce the burden.BackgroundCancellations of planned appointments have been a major and long-standing problem for healthcare organisations across the world. It represents a significant loss of revenue and waste of resources, have significant psychological, social and financial implications for patients and their families and represent a significant loss of training opportunities for trainees. Re-scheduling appointment is one of the major issues of inconvenience to the patients. It also increases workload for the patient appointment team.MethodData have been collected retrospectively from patient appointment booking team regarding clinic cancellation with causes of cancellation recorded in the system (01/07/2019–30/09/2019). The investigators have investigated if the cancellation has been made when it was absolutely necessary to cancel the clinic (Unavailability of doctors due to leave/on calls) and if patients have been informed at least 8 weeks prior to the appointed clinic as per trust protocol.ResultTotal number of 193 clinics were booked at the CMHT from July 2019 – September 2019. About 54% clinics were cancelled during the time period. The Clinic Cancellation rate was higher in September (68%) and was lowest in August (30.30%). As the month of July is the changeover period for trainees, the number of clinics booked during August was relatively less than normal. 72% clinics were cancelled by junior doctors and 28% clinics were cancelled by consultants at the CMHT. The major cause of clinic cancellation was unavailability of the junior doctors due to on call (31.58%) which was not communicated to the patient appointment booking team. Due to annual leave, 25% clinics were cancelled and 21% clinics were cancelled due to study leave. In both cases it is evident that, lack of communication between clinicians and patient appointment team are primarily responsible for hospital-initiated clinic cancellations. As per Patient Appointment booking team, around 50% cases, patients were informed 8 weeks in advance before cancelling the clinics.ConclusionThis is evident from this audit that the number of hospital-initiated clinic cancellations can be reduced by improving communication between Patient Appointment booking service, Medical staffing department and clinicians. The findings of the audit have been shared locally with CMHT managers, clinicians and with the patient appointment booking team.

scholarly journals Telephone Follow-Up following Office Anorectal Surgery

2008 ◽  
Vol 90 (6) ◽  
pp. 464-466 ◽  
Author(s):  
Rebecca C Fallaize ◽  
Christine Tinline-Purvis ◽  
Anthony R Dixon ◽  
Anne-Marie Pullyblank
Keyword(s):  
Patient Satisfaction ◽  
Medical Treatment ◽  
Patient Treatment ◽  
Second Line ◽  
Anorectal Surgery ◽  
Fissure In Ano ◽  
Level Of Satisfaction ◽  
Patient Appointment ◽  
High Level

INTRODUCTION Patients with minor anorectal conditions are frequently reviewed at an 8-week out-patient appointment (OPA). This study was designed to assess whether telephone follow-up could reduce OPA numbers whilst maintaining patient satisfaction. PATIENTS AND METHODS Over an 11-month period, 46 patients (23 male) underwent banding of haemorrhoids and 14 were prescribed medical treatment for fissure-in-ano (3 male). All were telephoned at 6 weeks and were offered an 8-week OPA if they had continuing problems. Patients were telephoned at a later date by a member of the hospital's patient panel to assess satisfaction. RESULTS Overall, 88% were contacted at 6 weeks, 60% at the first attempt; 40% required two or more attempts. Of those who underwent banding, 68% were asymptomatic, 17% requested an OPA for re-banding and 15% requested an OPA for a different problem. Of fissure patients, 25% were cured; the remainder were prescribed either second-line medical treatment (8%), anorectal physiology (42%) or surgery (25%). All avoided an OPA. Of a potential 60 OPAs, 47 were saved by telephone follow-up. None of 7 non-contactable patients accepted a written offer of an OPA. Overall, 89% of patients were contacted by the patient panel; of these patients, 93% reported a high level of satisfaction. CONCLUSIONS Telephone follow-up can reduce the number of OPAs following out-patient treatment of minor anorectal conditions whilst maintaining a high level of patient satisfaction. However, it requires considerable consultant time. This process could be developed into either a nurse-led service with booked telephone appointments or a patient-led service to a dedicated hotline.

scholarly journals Integrated scheduling of tasks and gynecologists to improve patient appointment scheduling; a case study

2018 ◽  
Vol 16 ◽  
pp. 10-19 ◽  
Author(s):  
N.M. van de Vrugt ◽  
S.T. Luen-English ◽  
W.A.P. Bastiaansen ◽  
S. Kleinluchtenbeld ◽  
W.T.P. Lardinois ◽  
...  
Keyword(s):  
Appointment Scheduling ◽  
Integrated Scheduling ◽  
Patient Appointment ◽  
Improve Patient ◽  
Patient Appointment Scheduling

Sexual health care of HIV-positive patients: an audit of a local service

2003 ◽  
Vol 14 (7) ◽  
pp. 493-496 ◽  
Author(s):  
Jane Hutchinson ◽  
Penny Goold ◽  
Hugh Wilson ◽  
Kevin Jones ◽  
Claudia Estcourt
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Hiv Care ◽  
Hiv Positive ◽  
Hiv Diagnosis ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sexual Health Care ◽  
Patient Appointment ◽  
Health Screen

The sexual health care of 175 HIV-positive patients attending the two HIV clinics at Barts and the London NHS Trust was audited for the first time. The audit standard was that 100% of patients should be in receipt of a sexual health screen within six months of their first HIV out-patient appointment. Overall, 44.5% of patients had a sexual health screen, of which 46 (60.5%) were diagnosed with a sexually transmitted infection. Those screened were younger than those who were not. Five factors were identified which were significantly associated with not having a genitourinary screen performed; site of HIV care, setting of HIV diagnosis, stage of HIV disease, specialty of HIV physician and whether a screen was recommended by the HIV physician. A number of recommendations have been implemented to improve the uptake of sexual health screening amongst HIV-positive patients.

scholarly journals Improving the accuracy of patients' expectations of the psychiatric out-patient consultation

1999 ◽  
Vol 23 (7) ◽  
pp. 425-427 ◽  
Author(s):  
B. C. Douglas ◽  
L. M. Noble ◽  
S. P. Newman
Keyword(s):  
Intervention Study ◽  
Clinical Implications ◽  
Patient Appointment ◽  
Patient Consultation ◽  
The Impact ◽  
First Time

Aims and methodTo investigate the impact of a video to improve the accuracy of patients' expectations of their first out-patient appointment. An intervention study was conducted in which patients watched a video before their appointment. The video provided information about the content of the consultation, the psychiatrist's role and types of treatments.ResultsThe intervention increased the accuracy of patients' expectations but had no impact on satisfaction or anxiety. The video was popular as a means of preparing patients for the consultation.Clinical implicationsThis could be offered routinely to patients attending services for the first time.

scholarly journals Measuring the effectiveness of patient-chosen reminder methods in a private orthodontic practice

2018 ◽  
Vol 88 (3) ◽  
pp. 314-318 ◽  
Author(s):  
Lauren M. Wegrzyniak ◽  
Deborah Hedderly ◽  
Kishore Chaudry ◽  
Prashanti Bollu
Keyword(s):  
Descriptive Statistics ◽  
Phone Call ◽  
Retrospective Case ◽  
Patient Appointment ◽  
Using Data ◽  
Retrospective Case Study ◽  
E Mail ◽  
Office Location ◽  
Patient Attendance

ABSTRACTObjective:To evaluate the effectiveness of patient-chosen appointment reminder methods (phone call, e-mail, or SMS text) in reducing no-show rates.Materials and Methods:This was a retrospective case study that determined the correlation between patient-chosen appointment reminder methods and no-show rates in a private orthodontic practice. This study was conducted in a single office location of a multioffice private orthodontic practice using data gathered in 2015. The subjects were patients who self-selected the appointment reminder method (phone call, e-mail, or SMS text). Patient appointment data were collected over a 6-month period. Patient attendance was analyzed with descriptive statistics to determine any significant differences among patient-chosen reminder methods.Results:There was a total of 1193 appointments with an average no-show rate of 2.43% across the three reminder methods. No statistically significant differences (P = .569) were observed in the no-show rates between the three methods: phone call (3.49%), e-mail (2.68%), and SMS text (1.90%).Conclusions:The electronic appointment reminder methods (SMS text and e-mail) had lower no-show rates compared with the phone call method, with SMS text having the lowest no-show rate of 1.90%. However, since no significant differences were observed between the three patient-chosen reminder methods, providers may want to allow patients to choose their reminder method to decrease no-shows.

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