A Sustainable Model for Patient follow-up following an International Cleft Mission: A Proof of Concept
| Autor: | Jordan W. Swanson, Patrick A. Gerety, Mark H. Weinstein, Ari M. Wes, Nancy Folsom, Jesse A. Taylor, Nadine Paul |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty 020205 medical informatics Patient follow up Adolescent Cleft Lip Developing country 02 engineering and technology Audiology Proof of Concept Study 03 medical and health sciences 0302 clinical medicine Patient satisfaction Phone Telephone number 0202 electrical engineering electronic engineering information engineering Medicine Humans 030212 general & internal medicine Quality of care Child business.industry Infant Medical Missions Continuity of Patient Care Thailand Disadvantaged Cleft Palate Otorhinolaryngology Patient Satisfaction Family medicine Child Preschool Female Oral Surgery business Cell Phone |
| Zdroj: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association. 55(7) |
| ISSN: | 1545-1569 |
| Popis: | Purpose: Patient follow-up after cleft missions is imperative if we are to critically assess the quality of care provided in these settings. The adoption of mobile telephones among disadvantaged families abroad may enable such an undertaking in a cost-effective manner. This project aimed to assess the efficacy of cellular phone-based follow-up in a developing country following a cleft mission to Thailand. Methods: Changing Children's Lives Inc. performed a cleft surgical mission to Udon Thani, Thailand, in January 2013. Telephone numbers collected at that time were used to survey the patients or their parents 1.5 years postoperatively. Results: Of the 56 patients who underwent cleft lip and/or palate surgery during the mission, more than 50% ( n = 30, 54%) were reachable by telephone; all chose to participate in the study. The cost for families was U.S. $124.92 (56.15); 26 families (87%) believed their money was well spent. Follow-up care was received by 22 (73%) patients, and all but one family ( n = 29, 97%) felt that their child received all of the medical care and support required. All families ( N = 30) would recommend similar cleft care to a friend. Of the patients younger than 18 years of age ( n = 24, 80%), 20 (80%) families found their child more comfortable interacting with peers, more comfortable interacting with adults, and more confident postoperatively. Conclusion: In one month, a survey response rate of more than 50% was obtained by leveraging the increased adoption of mobile phones in rural settings. Nearly all patients/families treated during the cleft mission were satisfied with the care that they received. |
| Databáze: | OpenAIRE |
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