Kaidar-Person Orit, Swartz Emily Wong, Lefkowitz Michelle, Conigliaro Karen, Fritz Norma, Birne Jessica, Alexander Cynthia, Szomstein Samuel, Rosenthal Raul
Bariatric Institute, Cleveland Clinic, Florida, Weston, Florida 33331, USA.
Surg Obes Relat Dis. 2006 Sep-Oct;2(5):509-12. doi: 10.1016/j.soard.2006.05.010. Epub 2006 Jul 27.
Shared medical appointments (SMAs) are a new model in patient care. This model was designed to improve patients' access to their physicians and improve physician productivity. The aim of this study was to evaluate patient satisfaction with SMAs after bariatric surgery.
The medical records of consecutive patients who were followed up after bariatric surgery were retrospectively reviewed. The type of bariatric surgery and type of medical appointment were recorded, as were the patients' replies to the evaluation questionnaires in the SMA group.
From April 2004 to December 2004, 277 individual visits were conducted; 242 visits for patients who underwent Roux-en-Y gastric bypass and 35 visits for patients who underwent laparoscopic gastric banding. Thirty-three SMAs occurred during that period--28 SMAs for patients who underwent Roux-en-Y gastric bypass and 5 SMAs for patients who underwent laparoscopic gastric banding. Of the patients who initially participated in an SMA, 91% scheduled a subsequent SMA, and 96% indicated that they would recommend SMAs to others. On a scale of 1 to 5 (1, poor and 5, excellent), patients graded their overall experience with SMAs as 4.5. Other parameters in the questionnaire all ranked between 4 and 5. The average waiting period for an appointment before the implementation of SMAs was 57.7 days (range 50-65) for new patients and 50 days (range 20-72) for former patients. After the implementation of SMAs, the average waiting period was 25 days (range 8-42) for new patients (P = 0.0046) and 20.3 days (range 0-42) for former patients (P = 0.06).
The SMA offers the patient prompt access to medical care, enables high-volume follow-up, with high satisfaction rates.
共享医疗预约（SMA）是患者护理中的一种新模式。该模式旨在改善患者看诊医生的机会并提高医生的工作效率。本研究的目的是评估减肥手术后患者对共享医疗预约的满意度。
对减肥手术后接受随访的连续患者的病历进行回顾性审查。记录减肥手术的类型和医疗预约的类型，以及共享医疗预约组患者对评估问卷的答复。
2004年4月至2004年12月，共进行了277次个人就诊；接受Roux-en-Y胃旁路手术的患者就诊242次，接受腹腔镜胃束带手术的患者就诊35次。在此期间进行了33次共享医疗预约——接受Roux-en-Y胃旁路手术的患者有28次共享医疗预约，接受腹腔镜胃束带手术的患者有5次共享医疗预约。最初参加共享医疗预约的患者中，91%安排了后续的共享医疗预约，96%表示会向他人推荐共享医疗预约。在1至5分的评分量表（1分为差，5分为优）上，患者对共享医疗预约的总体体验评分为4.5分。问卷中的其他参数评分均在4至5分之间。实施共享医疗预约前，新患者预约的平均等待期为57.7天（范围50 - 65天），旧患者为50天（范围20 - 72天）。实施共享医疗预约后，新患者的平均等待期为25天（范围8 - 42天）（P = 0.0046），旧患者为20.3天（范围0 - 42天）（P = 0.06）。
共享医疗预约为患者提供了及时获得医疗服务的机会，能够进行大量的随访，且满意度很高。
