Survey of North American Multidisciplinary Cleft Palate and Craniofacial Team Clinic Administration.
| Autor: | Pfeifauf, Kristin D., Patel, Kamlesh B., Snyder-Warwick, Alison, Skolnick, Gary B., Scheve, Sibyl, Naidoo, Sybill D. |
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| Předmět: |
OUTPATIENT medical care
CLEFT palate CLINICAL medicine COMMUNICATION HEALTH care teams PATIENT aftercare MEDICAL databases INFORMATION storage & retrieval systems MEDICAL appointments SURVEYS TELEPHONES HEALTH insurance reimbursement PATIENT care conferences CRANIOFACIAL abnormalities DESCRIPTIVE statistics ECONOMICS |
| Zdroj: | Cleft Palate Craniofacial Journal; Apr2019, Vol. 56 Issue 4, p508-513, 6p |
| Abstrakt: | Objective: This study aims to provide an understanding of the ways cleft palate (CP) and craniofacial teams address billing, administration, communication of clinical recommendations, appointment scheduling, and diagnosis-specific protocols. Design: An online clinic administration survey was developed using data from an open-ended telephone questionnaire. The online survey was distributed by e-mail to the American Cleft Palate-Craniofacial Association (ACPA) nurse coordinator electronic mailing list, used regularly by the ACPA and its members to communicate with teams. The response was 34.1% (42/123). Two incomplete records were excluded, as were any inconsistent responses of 3 teams submitting duplicate records. Results: Six (15.8%) of 38 teams do not charge for clinic visits. For all other teams, some or all providers bill individually for services (68.4%) or a single lump sum applies (10.5%). Patients of 34 (89.5%) of 38 teams occasionally or often neglect to schedule or attend follow-up appointments. Twenty-six (66.7%) of 39 team directors were plastic surgeons. Phone is a common method of contacting families for scheduling (60.0%) and appointment reminders (82.5%). Most teams' providers (90.0%) routinely communicate findings to each other during postclinical conference. Most teams saw patients with isolated cleft lip (43.6%), cleft lip and palate (64.1%), or isolated CP (59.0%) annually. Conclusions: The breadth of strategies team clinic administration strategies warrants further exploration of the variations and their effects on patient-centered outcomes including the quality of life, satisfaction, cost, and resource utilization. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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