质量和评价报告:威森肖医院虚拟骨折诊所

C. Warner, A. Pillai
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摘要

背景:自2011年在格拉斯哥皇家医院推出以来,管理门诊肌肉骨骼损伤的虚拟骨折诊所模式已经越来越受欢迎。2015年,威森肖医院将这个模型引入了他们的骨科。目的:在虚拟骨折诊所复查病例时,个体咨询师在出院率和面对面随访方面有何不同?评估虚拟骨折临床系统下患者对损伤处理的满意度。方法:对2017年5月11日至2018年5月11日12个月的患者进行回顾性研究。在此期间,我们收集了在虚拟骨折诊所复查的患者数量的数据,并分析了出院或召回随访的患者数量。一份基于NHS亲友测试的电话问卷从50名患者中收集,以评估他们对护理的总体满意度。结果:在纳入期内,有3361例患者转诊至虚拟骨折诊所。虚拟骨折门诊的平均出院率为30.4%,中位数为30.5%。出院率从顾问G的13%到顾问K的39%不等。88%的患者会向他们的朋友和家人推荐这项服务,80%的患者会将服务评为良好或优秀。结论:虚拟骨折临床模型在威森肖医院成功实施,在12个月内节省了约1157次预约。有显着差异在出院率之间的顾问,这似乎是由看到的病人数量的影响。影响这一点的个别因素需要进一步调查。通过威森肖医院的虚拟骨折诊所,患者对他们的护理非常满意,并且绝大多数人会推荐给其他人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality and Evaluation Report: Virtual Fracture Clinic at Wythenshawe Hospital
 Background: Following its introduction at Glasgow Royal Infirmary in 2011, the Virtual Fracture Clinic model of managing outpatient musculoskeletal injuries has grown significantly in popularity. Wythenshawe Hospital introduced this model to their orthopaedic department in 2015. Aims: How do individual consultants vary in terms of discharge rate versus face-to-face follow up when reviewing cases in a Virtual Fracture Clinic? To assess patients’ level of satisfaction with the management of their injury under a Virtual Fracture Clinic System. Methods: A retrospective study of a cohort of patients over 12 months from 11th May 2017 to 11th May 2018. Data regarding the number of patients reviewed in Virtual Fracture Clinic during this time was collected and the numbers of patients discharged or recalled for follow up analysed. A telephone questionnaire based on the NHS Friends and Family Test was collected from 50 patients within this cohort to assess overall satisfaction with their care. Results: 3361 patients were referred to virtual fracture clinic during the inclusion period. The mean percentage of cases discharged from virtual fracture clinic is 30.4% with a median of 30.5%. The rates of discharge ranged from Consultant G at 13% to Consultant K at 39%. 88% of patients would recommend this service to their friends and family and 80% would rate the service at the level of good or excellent. Conclusion: A virtual fracture clinic model has been successfully implemented at Wythenshawe saving approximately 1157 appointments in 12 months. There is significant variation in discharge rates between consultants which appears to be influenced by the number of patients seen. Individual factors which affect this require further investigation. Patients are very satisfied with their care through the Virtual Fracture Clinic at Wythenshawe Hospital and an overwhelming majority would recommend this to others.
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