Heart Function Clinic, Catawba Valley Cardiology, Hickory, NC, USA.
Heart Lung. 2013 Nov-Dec;42(6):456-61. doi: 10.1016/j.hrtlng.2013.08.006. Epub 2013 Sep 24.
To examine patient and staff satisfaction, billing charges, and programmatic feasibility of shared medical appointments (SMA) in a nurse practitioner-managed heart failure (HF) clinic in a community cardiology practice.
Twenty patients were scheduled among four SMAs for this pilot study. All aspects of a usual clinic appointment were utilized during the SMA, but an additional 20-minute teaching session was presented. All patients completed a satisfaction questionnaire. The office staff completed satisfaction questionnaires about the SMA. Billing charges, cancellations and missed appointments without cancellation for SMAs were compared to usual clinic appointment days.
Satisfaction was high among patients and office staff. Rates for no-shows were similar for SMAs versus usual appointments (15% versus 5.5%), but there were fewer cancellations among SMAs (0% versus 28%). This may be a reflection of the personalized appointment reminder calls that were made to the patients scheduled for SMAs. Billing charges were not significantly different for SMAs versus usual appointments.
SMAs are a feasible option in a community cardiology practice.
在社区心脏病学实践中，以执业护士管理的心力衰竭（HF）诊所为例，研究共享医疗预约（SMA）在患者和员工满意度、计费费用以及项目可行性方面的情况。
在该试点研究中，安排了 20 名患者参加 4 次 SMA。在 SMA 期间，患者将接受常规诊所预约的所有方面，但会增加 20 分钟的教学环节。所有患者都完成了满意度调查问卷。办公室工作人员完成了 SMA 满意度调查问卷。与常规门诊预约日相比，SMA 的计费费用、取消和未取消的缺诊率进行了比较。
患者和办公室工作人员的满意度均很高。SMA 和常规预约的未到诊率相似（15% 对 5.5%），但 SMA 的取消率较低（0% 对 28%）。这可能反映了针对 SMA 预约患者进行的个性化预约提醒电话。SMA 的计费费用与常规预约没有显著差异。
SMA 是社区心脏病学实践中的可行选择。
