Patient satisfaction with a multidisciplinary colorectal and urogynaecology service

OʼLeary, Bobby D; Agnew, Gerard; Fitzpatrick, Myra; Hanly, Ann

doi:10.1007/s11845-019-02010-x

Cited by 6 publications

(4 citation statements)

References 10 publications

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“…CP patients undergoing multidisciplinary treatment report greater pain relief with more realistic expectations, adherence to medication plans and follow-up appointments, and better health literacy about pain, as compared to patients treated by a single provider (12)(13)(14). In chronic pain, multidisciplinary care has the potential to reduce opioid use and improve patients' quality of life and satisfaction with treatment (9,15). Multi-disciplinary CP teams may include neurologists, anesthesiologists with specialty training in pain, physical medicine and rehabilitation specialists, physical or occupational therapists, functional neurosurgeons, spine surgeons, social workers, psychologists, nurses and midlevel providers.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Multidisciplinary Conferences on Healthcare Utilization in Chronic Pain Patients

et al. 2021

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Approximately 100 million adults in the United States have chronic pain, though only a subset utilizes the vast majority of healthcare resources. Multidisciplinary care has been shown to improve outcomes in a variety of clinical conditions. There is concern that multidisciplinary care of chronic pain patients may overwhelm existing resources and increase healthcare utilization due to the volume of patients and the complexity of care. We report our findings on the use of multidisciplinary conferences (MDC) to facilitate care for the most complex patients seen at our tertiary center. Thirty-two of nearly 2,000 patients seen per year were discussed at the MDC, making up the top 2% of complex patients in our practice. We evaluated patients' numeric rating score (NRS) of pain, medication use, hospitalizations, emergency department visits, and visits to pain specialists prior to their enrollment in MDC and 1 year later. Matched samples were compared using Wilcoxon's signed rank test. Patients' NRS scores significantly decreased from 7.64 to 5.54 after inclusion in MDC (p < 0.001). A significant decrease in clinic visits (p < 0.001) and healthcare utilization (p < 0.05) was also observed. Opioid and non-opioid prescriptions did not change significantly (p = 0.43). 83% of providers agreed that MDC improved patient care. While previous studies have shown the effect of multi-disciplinary care, we show notable improvements with a team established around a once-a-month MDC.

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Section: Introductionmentioning

confidence: 99%

The Impact of Multidisciplinary Conferences on Healthcare Utilization in Chronic Pain Patients

et al. 2021

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“…Multidisciplinary outpatient clinics have been described in other specialities [19][20][21] with high levels of satisfaction. To our knowledge, this was the first MDT myeloma clinic that was implemented and evaluated prospectively.…”

Section: Discussionmentioning

confidence: 99%

High patient satisfaction and increased physical activity following a remote multidisciplinary team multiple myeloma clinic

Lecat

Fisher

Atta

et al. 2023

Support Care Cancer

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Purpose Patients with multiple myeloma suffer from disease-related complications such as bone destruction, toxicities from repeated therapies and age-related co-morbidities. With improved treatment options, patients are living longer and have specific survivorship needs such as low exercise levels that need to be addressed. In this study, we designed, implemented and evaluated a multidisciplinary team (MDT) myeloma clinic that provided participants with tailored exercise and lifestyle advice. Methods The Promoting Individualised Self-Management and Survivorship (PrISMS) clinic was set up in two UK myeloma centres. This remote MDT clinic comprised of a doctor, a nurse specialist and a physiotherapist. Patients were required to complete blood tests and a questionnaire about their symptoms and concerns before each consultation. Patient-reported outcome measures were captured using validated questionnaires. Patient feedback was collected using a specially designed survey and structured telephone interviews. Results Sixty-one patients were enrolled in the pilot clinic with 210 consultations held during the study period. Nine patients had disease progression and were referred safely back to face-to-face clinics. There was a significant improvement in patients’ exercise score (p = 0.02) after PrISMS clinic. Patient satisfaction was high, with 83% feeling more confident in self-managing myeloma after PrISMS clinic. Conclusion PrISMS clinic is safe and feasible, with high patient compliant and acceptability. It empowers patients to self-manage their condition and encourages physical activity, which is associated with improved quality of life and fatigue level. Future randomised controlled trials will help to confirm its benefits on patient clinical outcomes and cost-effectiveness.

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“…This corroborates our results showing that the information was strongly associated with a better satisfaction, probably due to the fact that the TBD-RC had a dedicated and very specialized team. Moreover, in a multidisciplinary colorectal and uro-gynecology service in Ireland, seeing many specialists at the same place was associated with a high satisfaction of the patients and higher physician confidence [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Acceptance of diagnosis and management satisfaction of patients with “suspected Lyme borreliosis” after 12 months in a multidisciplinary reference center: a prospective cohort study

Raffetin

Chahour²,

Schemoul³

et al. 2023

BMC Infect Dis

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Introduction Because patients with a “suspicion of Lyme borreliosis (LB)” may experience medical wandering and difficult care paths, often due to misinformation, multidisciplinary care centers were started all over Europe a few years ago. The aim of our study was to prospectively identify the factors associated with the acceptance of diagnosis and management satisfaction of patients, and to assess the concordance of the medical health assessment between physicians and patients 12 months after their management at our multidisciplinary center. Methods We included all adults who were admitted to the Tick-Borne Diseases Reference Center of Paris and the Northern Region (TBD-RC) (2017–2020). A telephone satisfaction survey was conducted 12 months after their first consultation. It consisted of 5 domains and 13 items rated between 0 (lowest) and 10 (highest grade): (1)Reception; (2)Care and quality of management; (3)Information/explanations given to the patients; (4)Current medical condition and acceptance of the final diagnosis; (5)Overall appreciation. Factors associated with diagnosis acceptance and management satisfaction at 12 months were identified using logistic regression models. The concordance of the health status as assessed by doctors and patients was calculated using a Cohen’s kappa test. Results Of the 569 patients who consulted, 349 (61.3%) answered the questionnaire. Overall appreciation had a median rating of 9 [8;10] and 280/349 (80.2%) accepted their diagnoses. Patients who were “very satisfied” with their care paths at TBD-RC (OR = 4.64;CI95%[1.52–14.16]) had higher odds of diagnosis acceptance. Well-delivered information was strongly associated with better satisfaction with the management (OR = 23.39;CI95%[3.52–155.54]). The concordance between patients and physicians to assess their health status 12 months after their management at TBD-RC was almost perfect in the groups of those with confirmed and possible LB (κ = 0.99), and moderate in the group with other diagnoses (κ = 0.43). Conclusion Patients seemed to approve of this multidisciplinary care organization for suspected LB. It helped them to accept their final diagnoses and enabled a high level of satisfaction with the information given by the doctors, confirming the importance of shared medical decisions, which may help to reduce health misinformation. This type of structure may be useful for any disease with a complex and controversial diagnosis.

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Patient satisfaction with a multidisciplinary colorectal and urogynaecology service

Cited by 6 publications

References 10 publications

The Impact of Multidisciplinary Conferences on Healthcare Utilization in Chronic Pain Patients

The Impact of Multidisciplinary Conferences on Healthcare Utilization in Chronic Pain Patients

High patient satisfaction and increased physical activity following a remote multidisciplinary team multiple myeloma clinic

Acceptance of diagnosis and management satisfaction of patients with “suspected Lyme borreliosis” after 12 months in a multidisciplinary reference center: a prospective cohort study

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