Patient Satisfaction and Efficiency Benefits of a Novel Multidisciplinary Rhinology and Allergy Clinic

Autor: Kevin L. Li, Waleed M. Abuzeid, Christina H. Fang, Nadeem Akbar, Elina Jerschow, Denisa Ferastraoaru
Rok vydání: 2020
Předmět:
Male
Rhinology
Allergy
Chronic rhinosinusitis
Efficiency
Organizational
Ambulatory Care Facilities
Otolaryngology
0302 clinical medicine
Multidisciplinary approach
Paranasal Sinuses
Ambulatory Care
030223 otorhinolaryngology
Referral and Consultation
Rhinitis
Aged
80 and over
General Medicine
Middle Aged
Otorhinolaryngologic Diseases
Patient Satisfaction
Female
Immunotherapy
Adult
medicine.medical_specialty
Adolescent
Nasal Surgical Procedures
Chronic inflammatory disease
Young Adult
03 medical and health sciences
Nasal Polyps
Patient satisfaction
Allergy and Immunology
Hypersensitivity
medicine
Humans
Sinusitis
Intensive care medicine
Aged
Quality of Health Care
Allergy clinic
Patient Care Team
business.industry
medicine.disease
Rhinitis
Allergic
Endoscopic sinus surgery
030228 respiratory system
Otorhinolaryngology
Desensitization
Immunologic
Chronic Disease
Asthma
Aspirin-Induced
business
Zdroj: Annals of Otology, Rhinology & Laryngology. 129:699-706
ISSN: 1943-572X
0003-4894
DOI: 10.1177/0003489420905859
Popis: Background: Chronic rhinosinusitis (CRS) is a chronic inflammatory disease of the sinonasal mucosa and with strong associations to other immune-mediated comorbidities. Patients often require referral to both an otolaryngologist and an allergist/immunologist. This study is the first in the literature to describe a multidisciplinary clinic that offers patient care by subspecialists in rhinology and in allergy/immunology. Methods: One hundred twenty-nine patients were seen in the Comprehensive Sinus and Allergy Clinic (CSAC) between January 2016 and June 2017 and 43 selected patients were seen in both the standalone allergy and rhinology clinics over the same time period. Patient satisfaction was retrospectively assessed using a modified Press-Ganey satisfaction survey. Time to evaluation and time to follow up appointment were compared between the CSAC and both the standalone rhinology and allergy/immunology clinics. Results: Patients seen in the CSAC reported high satisfaction with the amount of time spent with the physicians (98.3%), quality of medical care (9.3 ± 1.0), and most importantly, the convenience of seeing two physicians in one day (9.5 ± 1.2). Time from referral placement to clinic evaluation ( P ≤ .02) and time to follow up appointment ( P ≤ .002) was significantly shorter for the CSAC than for the standalone Rhinology or Allergy clinics. Conclusion: Patients reported high satisfaction with the medical care provided and were also seen much faster in our multidisciplinary clinic as compared to standalone rhinology or allergy/immunology clinics. Overall, a multidisciplinary approach may be beneficial to patients presenting to tertiary referral centers with CRS and atopic conditions.
Databáze: OpenAIRE
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