Preclinic Group Education Sessions Reduce Waiting Times and Costs at Public Pain Medicine Units
MetadataShow full item record
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.
Showing items related by title, author, creator and subject.
The role of functional, radiological and self-reported measures in predicting clinical outcome in spondylotic cervical radiculopathyAgarwal, Shabnam (2011)BackgroundCervical radiculopathy (CR) results in significant disability and pain and is commonly treated conservatively with satisfactory clinical outcomes. However, a considerable number of patients require surgery to ...
Exploring different models of stroke unit care and outcome : the Stroke Rehabilitation Outcome (SRO) studyDennis, Diane (2013)Introduction: Stroke is a significant cardiovascular event requiring sub-acute rehabilitation, best provided in a stroke unit (SU). These units include dedicated neurological SUs usually catering only for patients with ...
The effect of physiotherapy on the prevention and treatment of ventilator-associated pneumonia for intensive care patients with acquired brain injuryPatman, Shane Michael (2005)Background: Ventilator-associated pneumonia is a major cause of morbidity and mortality for patients in an intensive care unit. Once present, ventilator-associated pneumonia is known to increase the duration of mechanical ...