Patient Satisfaction with Postoperative Follow‐up by a Hand Therapist

Elnikety, S; El-Husseiny, M; Kamal, Tamer; Talawadekar, Gautam D; Richards, Helen; Smith, Andrew M.

doi:10.1002/msc.225

Cited by 3 publications

(6 citation statements)

References 11 publications

(11 reference statements)

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“…The DNA rate for initial hand therapy post-operative appointments in this study was comparable (13%). In one study, the UK NHS reported a DNA rate of 75% for follow-up appointments which is significantly higher than DNA rate in this study (Elnikety et al, 2012).…”

Section: Discussioncontrasting

confidence: 74%

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Allied health led post‐operative hand clinic: Evaluation of an alternative model of care

Sobb

Tharakan

Beazley

2021

Aus Occup Therapy J

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Introduction To assist with the increasing orthopaedic workload, an allied health led hand therapy clinic was established to manage people having routine hand surgeries. The aim of this study was to evaluate patient and doctor satisfaction and safety of this alternative service delivery model. Methods Prospective multimethod design evaluation was undertaken by occupational therapists and physiotherapists working in the field of hand therapy. Satisfaction surveys were completed by orthopaedic doctors and patients. Patient outcomes were assessed at 6 weeks post operatively using the Quick Disability of Arm, Shoulder and Hand questionnaire, total active range of motion, Crawford Classification, sensation using light touch and pain with activity utilising Wong Baker FACES® Pain Rating Scale. Quantitative satisfaction survey data were analysed and presented as frequencies and percentages with open question responses analysed using a qualitative description approach. All complications and readmissions within a 3‐month period were identified and recorded to assess safety of this model of care. Results For the 6‐week post‐operative review, 81 patients were seen by an allied health professional rather than a doctor. Patient satisfaction was high with 90% of patients satisfied with post‐operative care provided by allied health; 2% of patients preferred to be seen by a doctor. Doctor satisfaction was also high with 95% of doctors being satisfied and confident with the quality of care provided. A high proportion of patients reported pain 2/10 or less with activity (82.72%), had full sensation (69.14%), excellent range of motion (82.72%), and Quick Disability Arm, Shoulder and Hand scores on average were below 25% indicating minimal functional deficits. Only five patients required doctor involvement post‐operatively. Conclusion The allied heath led service delivery model was demonstrated to be safe and have high patient and doctor satisfaction, indicating an acceptable alternate pathway for management of people following routine hand surgery.

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Section: Discussioncontrasting

confidence: 74%

“…Both doctor and patient surveys were developed from previously published research and additional questions were identified based on the study aims (Elnikety et al, 2012; Harle et al, 2009). The patient satisfaction survey contained six questions overall.…”

Section: Methodsmentioning

confidence: 99%

Allied health led post‐operative hand clinic: Evaluation of an alternative model of care

Sobb

Tharakan

Beazley

2021

Aus Occup Therapy J

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“…In earlier studies, it was seen that the physicians strongly supported the idea of referring appropriate patients to secondary care services including Physiotherapy [11]. Patients referred to a physiotherapist have high levels of patient satisfaction and majority of them do not want a follow up with the referring physician/surgeon [12]. A study was conducted over a period of two years on 116 patients who were referred to a physiotherapist by a surgeon for post-operative follow up.…”

Section: Discussionmentioning

confidence: 99%

“…A study was conducted over a period of two years on 116 patients who were referred to a physiotherapist by a surgeon for post-operative follow up. After treatment, on conducting a survey, it was seen that almost 90 % of the patients were very satisfied with the follow up treatment given by the physiotherapist and 85% of them expressed their opinion of not going back to the surgeon for another follow up [12]. It can be said that the patients have a high level of trust and satisfaction in the treating physiotherapists, if referred at the right time.…”

Section: Discussionmentioning

confidence: 99%

Referring doctors' perspectives about Physiotherapy management for chronic musculoskeletal pain

Rajan¹,

Bellare²

2013

IJTRR

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Background: Patients diagnosed with chronic disabling musculoskeletal pain have better health outcomes and higher levels of satisfaction with Physiotherapy management. A pilot study conducted by the authors found that doctor's referral to Physiotherapy treatment could have affected the satisfaction of the patients towards Physiotherapy management. Objectives:The aim of the current study was to look into the perspectives of referring doctors (physicians and surgeons) towards Physiotherapy as reported by the patients. Secondarily, it was of interest to see how the treatment strategies by the Physiotherapist affect patient satisfaction. Methods: The study was conducted at the orthopedic pain center in the Physiotherapy department at a tertiary care hospital in Mumbai, India. Personal interviews were conducted with 193 patients using a valid questionnaire. Results: The average age of the subjects was 47.5 years. Average duration of pain was close to 8 years, with low back pain being the most common location of pain. Majority of the patients were not referred for any particular Physiotherapy treatment (37.32%). Almost an equal percentage of subjects (33.16%) were referred for both exercise and electrotherapy treatments to the Physiotherapy department. Most of the times (around 68%), there was agreement in the treatment modes suggested by the referring doctor and the attending physiotherapist. However, in about 32% of the patients referred, there seemed to be a mismatch. Conclusion:The referring doctors (physicians/surgeons) gave considerable freedom to the physiotherapists regarding the treatment of chronic musculoskeletal pain. Some of them seemed to recommend electrotherapy as a treatment mode, due to which, there was dissatisfaction amongst patients about the treatment methodologies recommended by the physiotherapist.

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“…The added pressures from the impact of COVID-19 have meant that there is a significant catch-up to be made on elective work, with even less clinic availability due to face-to-face restrictions. Changes in the National Health Service (NHS) [1] have involved the redesign of service provision and the application of new policies, owing to financial needs to improve cost efficiency.…”

Section: Introductionmentioning

confidence: 99%

Early Discharge and Patient-Initiated Follow-Up in Hand Surgery: A New Norm Following Simple Hand Surgery?

Abed,

Samson,

David

2024

Cureus

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Aims: The demand for elective hand surgery has increased substantially over the last 10 years. With COVID-19 providing an added challenge of restrictions on face-to-face consultations, already overflowing follow-up clinics will be stressed further. Our aim is to assess the viability, effectiveness, and safety of an early discharge directly from the operating theatre following common hand surgery procedures with the safety net of open-access follow-up. Methods: All eligible patients undergoing open-hand surgery under local anaesthesia between February 2019 and December 2020 were offered early discharge. Informed consent was obtained in the clinic, and they were counselled on rehabilitation immediately prior to surgery. Patients were given a custom-made "open-access business card" with clear post-operative instructions and hand exercises, along with information on how to get in touch to request clinic follow-up. A review was completed at a minimum of two months following surgery. Administrative support staff were briefed beforehand to minimise any delays in follow-up requests and either book patients who requested follow-up into a routine elective clinic or utilise ring-fenced emergency elective clinic slots depending on the patient's individual requirements.Results: A total of 105 patients were included in this study, with an average age of 60 years. The average interval between surgery and review was 20 weeks. Eighty-nine patients had a successful early discharge, with 16 patients requesting clinic follow-up. The average time to follow up in the clinic was 35 weeks (range: four to 84 weeks). There were no complications that we were made aware of, and the most common reason for returning to the clinic was a new complaint, unrelated to the surgery.Conclusions: Although virtual follow-up is now well established in both the fracture and elective clinic settings, early discharge is largely uncharted water. Our pilot demonstrates that early discharge and patientinitiated follow-up for common elective hand surgical procedures under local anaesthesia are efficient, safe, and viable.

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Patient Satisfaction with Postoperative Follow‐up by a Hand Therapist

Abstract: This study reflects the successful application of postoperative follow-up by a hand therapist.

Cited by 3 publications

References 11 publications

Allied health led post‐operative hand clinic: Evaluation of an alternative model of care

Allied health led post‐operative hand clinic: Evaluation of an alternative model of care

Referring doctors' perspectives about Physiotherapy management for chronic musculoskeletal pain

Early Discharge and Patient-Initiated Follow-Up in Hand Surgery: A New Norm Following Simple Hand Surgery?

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