Post-operative telephone review is cost-effective and acceptable to patients.

Hdl Handle:
http://hdl.handle.net/10147/207398
Title:
Post-operative telephone review is cost-effective and acceptable to patients.
Authors:
Gray, R T; Sut, M K; Badger, S A; Harvey, C F
Affiliation:
Department of Surgery, Mater Hospital, Belfast Health and Social Care Trust,, Crumlin Road, Belfast BT14 6AB. rgray05@qub.ac.uk
Citation:
Ulster Med J. 2010 May;79(2):76-9.
Journal:
The Ulster medical journal
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207398
PubMed ID:
21116423
Abstract:
INTRODUCTION: Patients undergoing selective minor emergency and elective procedures are followed up by a nurse-led structured telephone review six weeks post-operatively in our hospital. Our study objectives were to review patients' satisfaction, assess cost-effectiveness and compare our practice with other surgical units in Northern Ireland (NI). PATIENTS AND METHODS: Completed telephone follow-up forms were reviewed retrospectively for a three-year period and cost savings calculated. Fifty patients were contacted prospectively by telephone using a questionnaire to assess satisfaction of this follow-up. A postal questionnaire was sent to 68 general and vascular surgeons in NI, assessing individual preferences for patient follow-up. RESULTS: A total of 1378 patients received a telephone review from September 2005 to September 2008. One thousand one hundred and seventy-seven (85.4%) were successfully contacted, while 201 (14.6%) did not respond despite multiple attempts. One hundred and forty-seven respondents (10.7%) required further outpatient follow-up, thereby saving 1231 outpatient reviews, equivalent to pound41,509 per annum. Thirty-nine (78%) patients expected post-operative follow-up, with 29 (58%) expecting this in the outpatient department. However, all patients were satisfied with the nurse-led telephone review. Fifty-three (78%) consultants responded. Those who always, or occasionally, review patients post-operatively varies according to the operation performed, ranging from 2.2% appendicectomy patients to 40.0% for varicose vein surgery. CONCLUSION: Current practice in NI varies, but a significant proportion of patients are not routinely reviewed. This study confirmed that patients expect post-operative follow-up. A nurse-led telephone review service is acceptable to patients, cost-effective and reduces the number of unnecessary outpatient reviews.
Language:
eng
MeSH:
Cost-Benefit Analysis; Humans; Interviews as Topic/*methods; Northern Ireland; Nurse's Role; Patient Satisfaction/*statistics & numerical data; Physician's Practice Patterns/*statistics & numerical data; Postoperative Care/*economics/methods/*nursing
ISSN:
0041-6193 (Print); 0041-6193 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorGray, R Ten_GB
dc.contributor.authorSut, M Ken_GB
dc.contributor.authorBadger, S Aen_GB
dc.contributor.authorHarvey, C Fen_GB
dc.date.accessioned2012-02-01T10:23:59Z-
dc.date.available2012-02-01T10:23:59Z-
dc.date.issued2012-02-01T10:23:59Z-
dc.identifier.citationUlster Med J. 2010 May;79(2):76-9.en_GB
dc.identifier.issn0041-6193 (Print)en_GB
dc.identifier.issn0041-6193 (Linking)en_GB
dc.identifier.pmid21116423en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207398-
dc.description.abstractINTRODUCTION: Patients undergoing selective minor emergency and elective procedures are followed up by a nurse-led structured telephone review six weeks post-operatively in our hospital. Our study objectives were to review patients' satisfaction, assess cost-effectiveness and compare our practice with other surgical units in Northern Ireland (NI). PATIENTS AND METHODS: Completed telephone follow-up forms were reviewed retrospectively for a three-year period and cost savings calculated. Fifty patients were contacted prospectively by telephone using a questionnaire to assess satisfaction of this follow-up. A postal questionnaire was sent to 68 general and vascular surgeons in NI, assessing individual preferences for patient follow-up. RESULTS: A total of 1378 patients received a telephone review from September 2005 to September 2008. One thousand one hundred and seventy-seven (85.4%) were successfully contacted, while 201 (14.6%) did not respond despite multiple attempts. One hundred and forty-seven respondents (10.7%) required further outpatient follow-up, thereby saving 1231 outpatient reviews, equivalent to pound41,509 per annum. Thirty-nine (78%) patients expected post-operative follow-up, with 29 (58%) expecting this in the outpatient department. However, all patients were satisfied with the nurse-led telephone review. Fifty-three (78%) consultants responded. Those who always, or occasionally, review patients post-operatively varies according to the operation performed, ranging from 2.2% appendicectomy patients to 40.0% for varicose vein surgery. CONCLUSION: Current practice in NI varies, but a significant proportion of patients are not routinely reviewed. This study confirmed that patients expect post-operative follow-up. A nurse-led telephone review service is acceptable to patients, cost-effective and reduces the number of unnecessary outpatient reviews.en_GB
dc.language.isoengen_GB
dc.subject.meshCost-Benefit Analysisen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInterviews as Topic/*methodsen_GB
dc.subject.meshNorthern Irelanden_GB
dc.subject.meshNurse's Roleen_GB
dc.subject.meshPatient Satisfaction/*statistics & numerical dataen_GB
dc.subject.meshPhysician's Practice Patterns/*statistics & numerical dataen_GB
dc.subject.meshPostoperative Care/*economics/methods/*nursingen_GB
dc.titlePost-operative telephone review is cost-effective and acceptable to patients.en_GB
dc.contributor.departmentDepartment of Surgery, Mater Hospital, Belfast Health and Social Care Trust,, Crumlin Road, Belfast BT14 6AB. rgray05@qub.ac.uken_GB
dc.identifier.journalThe Ulster medical journalen_GB
dc.description.provinceLeinster-

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