Deformational plagiocephaly multi-group outpatient clinics reduce referral to visit times and visit length

IF 1.5 4区医学 Q4 CLINICAL NEUROLOGY Neurochirurgie Pub Date : 2024-11-06 DOI:10.1016/j.neuchi.2024.101617

David Shepetovsky , Asaf Olshinka , Amir Kershenovich

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Abstract

Objective

Deformational plagiocephaly (DP) is a well-recognized condition, affecting up to 20% of all babies. Its prevalence lead centers worldwide to create multi-group clinics and incorporate technology to decrease repetitive counselling, save clinic hours and shorten waiting times.

This paper describes the modalities incorporated in our craniofacial clinic since 2016 and their effect on our patient population.

Methods

Data were collected retrospectively between November 2016 and September 2022 and prospectively between April and May of 2024. This period was divided into eight bimesters constituting several different clinic modalities. Data included the number of patients, no-shows, referral to visit times (RVT), visit length (VL), satisfaction rates, and demographics of all patients visiting our clinic and those referred specifically for DP.

Results

A total of 1794 patients, reviewed retrospectively, were included, 202 were referred for DP. Mean RVT was 38.5 days for all patients. For DP patients, mean RVTs were (according to bimesters): 107 days (older triage system), 59 days (newer system, new monthly craniofacial clinic, additional clinic slots), 58 days (cranial orthosis program, first multi-group clinic), 52 days (online lecture), 35 days (end of Covid lockdown), 43 days (pre-recorded presentations), and 47 days (multi-group encounters). RVT decreased to 17 days in the prospective bimester, during which another 117 DP patients were seen. Mean VL averaged 22 min for the first six bimesters and then decreased to 11 and 7 min during the seventh and eighth bimesters respectively.

Conclusion

Multi-group encounters for DP are highly effective in reducing RVTs and VL.

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畸形儿多组门诊减少了从转诊到就诊的时间和就诊时间。

目的：畸形头畸形（DP）是一种公认的疾病，影响高达 20% 的婴儿。畸形头畸形（DP）的发病率很高，促使世界各地的医疗中心纷纷建立多组门诊，并采用技术手段减少重复咨询，节省门诊时间，缩短候诊时间。本文介绍了我院颅颌面诊所自2016年以来采用的模式及其对患者群体的影响：数据收集时间为 2016 年 11 月至 2022 年 9 月的回顾性数据和 2024 年 4 月至 5 月的前瞻性数据。这一时期分为八个双月，构成了几种不同的门诊模式。数据包括患者人数、未到诊人数、转诊至就诊时间（RVT）、就诊时长（VL）、满意率以及所有就诊患者和专为 DP 转诊的患者的人口统计学特征：通过回顾性分析，共纳入了 1794 名患者，其中 202 人被转诊接受 DP 治疗。所有患者的平均 RVT 为 38.5 天。对于 DP 患者，平均 RVT 为（根据双孕期）：107天（较旧的分诊系统）、59天（较新的系统、新的颅颌面每月门诊、额外的门诊时段）、58天（颅骨矫形计划、首次多组门诊）、52天（在线讲座）、35天（Covid封锁结束）、43天（预先录制的演示）和47天（多组会诊）。在未来的两个月中，RVT 下降到 17 天，在此期间又有 117 名 DP 患者就诊。前六个双孕期的平均 VL 为 22 分钟，第七和第八个双孕期分别降至 11 分钟和 7 分钟：结论：DP 的多组会诊在减少 RVT 和 VL 方面非常有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurochirurgie 医学-临床神经学

CiteScore

2.70

自引率

6.20%

发文量

100

审稿时长

29 days

期刊介绍： Neurochirurgie publishes articles on treatment, teaching and research, neurosurgery training and the professional aspects of our discipline, and also the history and progress of neurosurgery. It focuses on pathologies of the head, spine and central and peripheral nervous systems and their vascularization. All aspects of the specialty are dealt with: trauma, tumor, degenerative disease, infection, vascular pathology, and radiosurgery, and pediatrics. Transversal studies are also welcome: neuroanatomy, neurophysiology, neurology, neuropediatrics, psychiatry, neuropsychology, physical medicine and neurologic rehabilitation, neuro-anesthesia, neurologic intensive care, neuroradiology, functional exploration, neuropathology, neuro-ophthalmology, otoneurology, maxillofacial surgery, neuro-endocrinology and spine surgery. Technical and methodological aspects are also taken onboard: diagnostic and therapeutic techniques, methods for assessing results, epidemiology, surgical, interventional and radiological techniques, simulations and pathophysiological hypotheses, and educational tools. The editorial board may refuse submissions that fail to meet the journal''s aims and scope; such studies will not be peer-reviewed, and the editor in chief will promptly inform the corresponding author, so as not to delay submission to a more suitable journal. With a view to attracting an international audience of both readers and writers, Neurochirurgie especially welcomes articles in English, and gives priority to original studies. Other kinds of article - reviews, case reports, technical notes and meta-analyses - are equally published. Every year, a special edition is dedicated to the topic selected by the French Society of Neurosurgery for its annual report.