An evaluation of menopause service delivery during the COVID-19 pandemic.

Q3 Medicine
Hugo Pedder, Lynne Robinson, Kathy Abernethy, Haitham Hamoda, Jo Marsden
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引用次数: 0

Abstract

Objective: To investigate the experience of remote outpatient menopause service delivery by clinicians and patients during the COVID-19 pandemic.

Methods: Two surveys explored the experiences of patients and clinicians separately. Patients attending menopause clinics in the UK were directed to an online survey which included questions on demographics and on their experience of their most recent appointment. A clinician survey was shared to members of the British Menopause Society (BMS) via email and was made available on the BMS website. It contained questions on clinic characteristics and clinicians' experience of delivering remote menopause consultations. Surveys were available for completion between 01/12/2020 and 10/02/2021.

Results: Of 180 patients who completed the patient survey, 52% felt remote consultations were the same or better than face-to-face consultations, and 90% of patients felt a choice between remote and face-to-face consultations should be offered. Patients overall were satisfied with many aspects of care, though numerous problems were highlighted with appointment administration. Of 76 clinicians who completed the clinician survey, most found remote patient consultations either no different or a bit worse than face-to face consultations but found that they offered more flexibility. In some cases, significant rescheduling was necessary to accommodate for the clinical needs of the consultation.

Conclusion: A 'one-size-fits-all' approach to managing the delivery of menopause care is not supported by patients or clinicians. There must be a robust process in place to avoid problems with appointment scheduling and associated communications. Lessons learned from the pandemic can help to provide holistic menopause care.

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COVID-19大流行期间更年期服务提供的评估
目的:了解新冠肺炎大流行期间临床医生和患者远程门诊更年期服务的体验。方法:两项调查分别探讨了患者和临床医生的经验。在英国,参加更年期诊所的患者被引导进行一项在线调查,其中包括人口统计数据和他们最近一次预约的经历等问题。一项临床医生调查通过电子邮件分享给了英国更年期协会(BMS)的成员,并在BMS的网站上公布。它包含了关于临床特点和临床医生提供远程更年期咨询的经验的问题。调查可于2020年12月1日至2021年2月10日期间完成。结果:在完成患者调查的180名患者中,52%的患者认为远程会诊与面对面会诊相同或更好,90%的患者认为应该在远程和面对面会诊之间进行选择。总体而言,患者对护理的许多方面都很满意,尽管在预约管理方面存在许多问题。在完成临床医生调查的76名临床医生中,大多数人发现远程患者咨询要么没有区别,要么比面对面咨询差一点,但他们发现远程患者咨询提供了更多的灵活性。在某些情况下,有必要重新安排时间,以适应临床咨询的需要。结论:一种“一刀切”的方法来管理更年期护理的交付不受患者或临床医生的支持。必须有一个健全的流程,以避免在预约安排和相关通信方面出现问题。从大流行病中吸取的教训有助于提供全面的更年期护理。
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来源期刊
Post reproductive health
Post reproductive health Medicine-Obstetrics and Gynecology
CiteScore
2.50
自引率
0.00%
发文量
31
期刊介绍: Post Reproductive Health (formerly Menopause International) is a MEDLINE indexed, peer reviewed source of news, research and opinion. Aimed at all those involved in the field of post reproductive health study and treatment, it is a vital resource for all practitioners and researchers. As the official journal of the British Menopause Society (BMS), Post Reproductive Health has a broad scope, tackling all the issues in this field, including the current controversies surrounding postmenopausal health and an ageing and expanding female population. Initially this journal will concentrate on the key areas of menopause, sexual health, urogynaecology, metabolic bone disease, cancer diagnosis and treatment, recovering from cancer, cardiovascular disease, cognition, prescribing, use of new hormone therapies, psychology, the science of ageing, sociology, economics, and quality of life. However as a progressive and innovative journal the Editors are always willing to consider other areas relevant to this rapidly expanding area of healthcare.
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