Patient perception of telephone follow-up after resection for colorectal cancer: Is it time for an alternative to the out-patient clinic?

The economic reality of modern healthcare provides a timely reminder to clinicians of their duty to provide outstanding and cost-effective care. Although multiple guidelines outline investigation, management and surveillance of colorectal cancer, none advocate a particular delivery method. Nurse-led...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Marcus Gilmartin, Nicholas Leaver, George Hall, Helena Fawdry, Seung Lee, James Nicholson, Ramya Kalaiselvan, Raj Rajaganeshan
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2019
Materias:	patient perception quality of care nurse-led follow-up telephone clinic colorectal cancer health equity health economics national health service innovation Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/763de862b4364332a0e090df999d1bcf
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:763de862b4364332a0e090df999d1bcf
record_format	dspace
spelling	oai:doaj.org-article:763de862b4364332a0e090df999d1bcf2021-11-15T04:28:38ZPatient perception of telephone follow-up after resection for colorectal cancer: Is it time for an alternative to the out-patient clinic?2372-0247https://doaj.org/article/763de862b4364332a0e090df999d1bcf2019-04-01T00:00:00Zhttps://pxjournal.org/journal/vol6/iss1/10https://doaj.org/toc/2372-0247The economic reality of modern healthcare provides a timely reminder to clinicians of their duty to provide outstanding and cost-effective care. Although multiple guidelines outline investigation, management and surveillance of colorectal cancer, none advocate a particular delivery method. Nurse-led telephone follow-up in multiple specialties has demonstrated equivalent clinical outcomes and patient satisfaction when compared to traditional outpatient department follow-up. This paper aims to compare nurse-led telephone and outpatient follow-up, following surgical resection of colorectal cancer (CRC), focusing on patient perceptions. This cross-sectional study distributed adapted patient satisfaction questionnaire (PS-Q 18) to patients undergoing surveillance following CRC resection via either nurse-led telephone clinics (TC) or standard outpatient department appointments (OPD). 161 questionnaires were distributed (100 OPD, 61 TC); the response rate was 70% for the OPD group, and 87% for the TC group (p=0.02). There was no statistically significant difference between patient reported satisfaction or in preference for healthcare delivery system between groups. More patients in the TC group had serum CEA measured than OPD group. This survey demonstrates high patient satisfaction with telephone follow-up. Owing to the financial benefits on both a patient and healthcare provider level, as well as improved screening uptake (CEA) in our study, a role for this innovative specialist nurse-led telephone clinic clearly exists. The benefits of telephone follow-up in terms of health economics, health equity and adherence to screening protocols support its exclusive role in long-term CRC surveillance.Marcus GilmartinNicholas LeaverGeorge HallHelena FawdrySeung LeeJames NicholsonRamya KalaiselvanRaj RajaganeshanThe Beryl Institutearticlepatient perceptionquality of carenurse-led follow-uptelephone cliniccolorectal cancerhealth equityhealth economicsnational health serviceinnovationMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient perception quality of care nurse-led follow-up telephone clinic colorectal cancer health equity health economics national health service innovation Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient perception quality of care nurse-led follow-up telephone clinic colorectal cancer health equity health economics national health service innovation Medicine (General) R5-920 Public aspects of medicine RA1-1270 Marcus Gilmartin Nicholas Leaver George Hall Helena Fawdry Seung Lee James Nicholson Ramya Kalaiselvan Raj Rajaganeshan Patient perception of telephone follow-up after resection for colorectal cancer: Is it time for an alternative to the out-patient clinic?
description	The economic reality of modern healthcare provides a timely reminder to clinicians of their duty to provide outstanding and cost-effective care. Although multiple guidelines outline investigation, management and surveillance of colorectal cancer, none advocate a particular delivery method. Nurse-led telephone follow-up in multiple specialties has demonstrated equivalent clinical outcomes and patient satisfaction when compared to traditional outpatient department follow-up. This paper aims to compare nurse-led telephone and outpatient follow-up, following surgical resection of colorectal cancer (CRC), focusing on patient perceptions. This cross-sectional study distributed adapted patient satisfaction questionnaire (PS-Q 18) to patients undergoing surveillance following CRC resection via either nurse-led telephone clinics (TC) or standard outpatient department appointments (OPD). 161 questionnaires were distributed (100 OPD, 61 TC); the response rate was 70% for the OPD group, and 87% for the TC group (p=0.02). There was no statistically significant difference between patient reported satisfaction or in preference for healthcare delivery system between groups. More patients in the TC group had serum CEA measured than OPD group. This survey demonstrates high patient satisfaction with telephone follow-up. Owing to the financial benefits on both a patient and healthcare provider level, as well as improved screening uptake (CEA) in our study, a role for this innovative specialist nurse-led telephone clinic clearly exists. The benefits of telephone follow-up in terms of health economics, health equity and adherence to screening protocols support its exclusive role in long-term CRC surveillance.
format	article
author	Marcus Gilmartin Nicholas Leaver George Hall Helena Fawdry Seung Lee James Nicholson Ramya Kalaiselvan Raj Rajaganeshan
author_facet	Marcus Gilmartin Nicholas Leaver George Hall Helena Fawdry Seung Lee James Nicholson Ramya Kalaiselvan Raj Rajaganeshan
author_sort	Marcus Gilmartin
title	Patient perception of telephone follow-up after resection for colorectal cancer: Is it time for an alternative to the out-patient clinic?
title_short	Patient perception of telephone follow-up after resection for colorectal cancer: Is it time for an alternative to the out-patient clinic?
title_full	Patient perception of telephone follow-up after resection for colorectal cancer: Is it time for an alternative to the out-patient clinic?
title_fullStr	Patient perception of telephone follow-up after resection for colorectal cancer: Is it time for an alternative to the out-patient clinic?
title_full_unstemmed	Patient perception of telephone follow-up after resection for colorectal cancer: Is it time for an alternative to the out-patient clinic?
title_sort	patient perception of telephone follow-up after resection for colorectal cancer: is it time for an alternative to the out-patient clinic?
publisher	The Beryl Institute
publishDate	2019
url	https://doaj.org/article/763de862b4364332a0e090df999d1bcf
work_keys_str_mv	AT marcusgilmartin patientperceptionoftelephonefollowupafterresectionforcolorectalcancerisittimeforanalternativetotheoutpatientclinic AT nicholasleaver patientperceptionoftelephonefollowupafterresectionforcolorectalcancerisittimeforanalternativetotheoutpatientclinic AT georgehall patientperceptionoftelephonefollowupafterresectionforcolorectalcancerisittimeforanalternativetotheoutpatientclinic AT helenafawdry patientperceptionoftelephonefollowupafterresectionforcolorectalcancerisittimeforanalternativetotheoutpatientclinic AT seunglee patientperceptionoftelephonefollowupafterresectionforcolorectalcancerisittimeforanalternativetotheoutpatientclinic AT jamesnicholson patientperceptionoftelephonefollowupafterresectionforcolorectalcancerisittimeforanalternativetotheoutpatientclinic AT ramyakalaiselvan patientperceptionoftelephonefollowupafterresectionforcolorectalcancerisittimeforanalternativetotheoutpatientclinic AT rajrajaganeshan patientperceptionoftelephonefollowupafterresectionforcolorectalcancerisittimeforanalternativetotheoutpatientclinic
_version_	1718428872579481600

Patient perception of telephone follow-up after resection for colorectal cancer: Is it time for an alternative to the out-patient clinic?

Ejemplares similares