Preclinic Group Education Sessions Reduce Waiting Times and Costs at Public Pain Medicine Units
Preclinic Group Education Sessions Reduce Waiting Times and Costs at Public Pain Medicine Units
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DOI：
10.1111/j.1526-4637.2010.01001.x
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发表时间：
2011-01-01
期刊：
影响因子：
3.1
通讯作者：
Schug, Stephan A.
中科院分区：
文献类型：
--
作者：
Davies, Stephanie;Quintner, John;Schug, Stephan A.
目的：评估临床前小组教育会议和系统重新设计对三级疼痛医学单位和患者结局的影响。设计：前瞻性队列研究。设置：两家公立医院多学科疼痛医学单位。患者：持续性疼痛患者。干预措施。系统重新设计，从“传统”模式（最初的个人医疗预约）到在个人预约之前提供小组教育会议的模式。根据患者分类表，患者被安排参加自我训练教育疼痛会议（STEPS），一个为期两天的8小时的小组教育计划，然后是可选的患者发起的诊所预约。全球感知印象的变化（GPIC），并利用疼痛管理strategy.Results.Following步骤48%的与会者要求个人门诊预约。一个疼痛单位的等待时间从105.6周减少到16.1周，第二个疼痛单位的等待时间从37.3周减少到15.2周。每名新病人的单位费用从1，805澳元（AUD）降至541澳元（STEPS）。在3个月时，患者对“疼痛治疗”的满意度评分比基线时更高（变化评分= 0.88; P = 0.0003），GPIC改善（变化分数= 0.46; P < 0.0001），每例患者使用积极策略的平均数量增加了4.12结论：STEPS的引入减少了公共疼痛医疗单位的等待时间和费用，增加了主动疼痛管理策略的使用和患者满意度。
Objective.To assess the effects of preclinic group education sessions and system redesign on tertiary pain medicine units and patient outcomes.Design.Prospective cohort study.Setting.Two public hospital multidisciplinary pain medicine units.Patients.People with persistent pain.Interventions.A system redesign from a "traditional" model (initial individual medical appointments) to a model that delivers group education sessions prior to individual appointments. Based on Patient Triage Questionnaires patients were scheduled to attend Self-Training Educative Pain Sessions (STEPS), a two day eight hour group education program, followed by optional patient-initiated clinic appointments.Outcome Measures.Number of patients completing STEPS who subsequently requested individual outpatient clinic appointment(s); wait-times; unit cost per new patient referred; recurrent health care utilization; patient satisfaction; Global Perceived Impression of Change (GPIC); and utilized pain management strategies.Results.Following STEPS 48% of attendees requested individual outpatient appointments. Wait times reduced from 105.6 to 16.1 weeks at one pain unit and 37.3 to 15.2 weeks at the second. Unit cost per new patient appointed reduced from $1,805 Australian Dollars (AUD) to AUD$541 (for STEPS). At 3 months, patients scored their satisfaction with "the treatment received for their pain" more positively than at baseline (change score = 0.88; P = 0.0003), GPIC improved (change score = 0.46; P < 0.0001) and mean number of active strategies utilized increased by 4.12 per patient (P = 0.0004).Conclusions.The introduction of STEPS was associated with reduced wait-times and costs at public pain medicine units and increased both the use of active pain management strategies and patient satisfaction.