Section of Dermatology, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
Section of Dermatology, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
J Am Acad Dermatol. 2015 Feb;72(2):340-4. doi: 10.1016/j.jaad.2014.10.022. Epub 2014 Nov 21.
Shared medical appointments (SMAs) allow patients with similar diagnoses to be simultaneously educated and cared for by 1 provider. SMAs appear well suited for Mohs micrographic surgery because all patients receive similar information about skin cancer pathophysiology, prognosis, prevention, treatment, reconstructive options, and wound care.
We sought to create a SMA for the preoperative consultation visit of Mohs micrographic surgery and to evaluate patient satisfaction with this model.
A pilot SMA was implemented. Patient satisfaction was assessed via a 13-question survey over a 6-month period.
In all, 149 patients were seen in our SMAs. The survey response rate was 65.8%. Respondents answered Likert scale questions with a mean value of 4.29 ± 0.09 (on a 1-5 scale, where 5 is the best). Patients found the SMA model useful (84.7%) and would attend another SMA in the future (80.6%).
Limitations include the sample size of the study, relatively homogenous patient population, possible response bias, and a potential selection bias (as all participants in the SMA chose this type of appointment rather than a conventional one).
SMA can be successfully used for the Mohs preoperative consultation visit with high patient satisfaction.
共享医疗预约（SMAs）允许具有相似诊断的患者由 1 名医生同时接受教育和护理。SMAs 似乎非常适合 Mohs 显微外科手术，因为所有患者都能获得关于皮肤癌病理生理学、预后、预防、治疗、重建选择和伤口护理的相似信息。
我们旨在为 Mohs 显微外科手术的术前咨询创建一个 SMA，并评估患者对此模型的满意度。
实施了一个试点 SMA。在 6 个月的时间里，通过 13 个问题的调查来评估患者的满意度。
共有 149 名患者参加了我们的 SMA。调查的回复率为 65.8%。受访者用均值 4.29 ± 0.09（1-5 分制，其中 5 分为最佳）回答了李克特量表问题。患者认为 SMA 模型很有用（84.7%），并表示将来会参加另一个 SMA（80.6%）。
研究的局限性包括样本量、相对同质的患者群体、可能存在的回应偏差以及潜在的选择偏差（因为 SMA 中的所有参与者都选择了这种预约方式，而不是传统的预约方式）。
SMA 可成功用于 Mohs 术前咨询，患者满意度高。
