Shared Medical Appointments for Prostate Cancer Active Surveillance Followup Visits

Abstract

Introduction: To accommodate for the rapidly increasing patient volume and followup visits of men with prostate cancer on active surveillance (AS), we carried out a quality improvement project to secure high-quality care and enhance patient experience. Methods:We proposed an innovative clinic systems redesignd"shared medical appointments" (SMAs)din which multiple patients were seen in a group format at the same time by the health care team led by a urologist leading the Institution's AS program.Results: We piloted four SMAs during JulyeNovember 2019. Running the SMAs was feasible and improved the contact time for each patient while at the same time being time and resource efficient for the health care providers and using the standard billing processes. The group dynamic was open and pleasant. The majority of patients rated their overall experience with SMA as excellent. Almost all patients responded that they were likely or very likely to attend another SMA in the future. All patients said that they would either definitely or probably recommend this visit type to a friend of family member with prostate cancer. Most patients rated their overall satisfaction with the SMA as extremely high.Conclusions: Utilizing SMAs for AS followup visits was feasible and acceptable. Our promising findings suggest that SMAs can ensure high-quality patient care. Well-controlled studies comparing SMAs to individual usual care visits should be conducted with end points including knowledge, patient and staff satisfaction, anxiety and quality-of-life outcomes, AS adherence, process measures and resource utilization.

The impact of COVID-19 on urology office visits and adoption of telemedicine services

“…Telemedicine has been employed in situations that require time-sensitive patient care and coordination such as urologic oncology with studies showing high levels of physician and patient satisfaction [20 ▪ ]. Shared medical appointments in a group setting allow providers to counsel a group of patients in a single setting [21]. Virtual visits also allow multiple family members to join from different locations to get an improved appreciation of the care plan for their relative which would allow for better coordinated care.…”