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Use and Utility of Patient After‐Visit Instructions at a University Rheumatology Outpatient Clinic: Status and Randomized Prospective Pilot Intervention Study.
- Source :
- ACR Open Rheumatology; May2024, Vol. 6 Issue 5, p321-329, 9p
- Publication Year :
- 2024
-
Abstract
- Objective: The aim of this study was to evaluate the use of after‐visit instructions (AVIs) in an academic rheumatology clinic and assess the impact of standardized AVIs (sAVIs) and teach‐back (TB) on comprehension of health information. Methods: A retrospective review of adult patients seen between October 1 and 8, 2021, at the rheumatology clinic collected data on patient demographics, clinical features, and the presence, content, and readability of AVIs. During a subsequent prospective proof‐of‐concept study, routinely scheduled patients seen at the rheumatology clinic were randomized into three groups: control (received standard of care), received sAVIs only, and received sAVIs plus TB. Patients completed a health literacy questionnaire, satisfaction survey, and a one‐ to two‐week postvisit telephone survey to assess AVI comprehension. Results: Out of 316 retrospective patient visits, 82 (25.9%) received AVIs. Among 210 of 316 patients (66.5%) with management changes, 76 (36.1%) received AVI, with 74.2% of the instructions considered concordant with the provider's note. Use of AVIs was higher with management changes, new patient visits, and medical trainee/teaching clinics. AVIs were written at a median 6.8 grade level. A total of 75 patients completed the prospective study: 31 (41.3%) were in the control group, 19 (25.3%) were in the group that received sAVIs only, and 25 (33.3%) were in the group that received AVIs with TB. There were no differences in overall postvisit survey comprehension/retention scores among the three patient groups evaluated. Conclusion: Although a lack of AVI use was identified, implementation of sAVIs did not appear to impact patient retention or comprehension of discharge health information. [ABSTRACT FROM AUTHOR]
- Subjects :
- PATIENT education
HEALTH literacy
PATIENT compliance
ACADEMIC medical centers
OUTPATIENT services in hospitals
RESEARCH funding
T-test (Statistics)
MEDICAL quality control
SATISFACTION
HEALTH
STATISTICAL sampling
PILOT projects
TEACHING aids
QUESTIONNAIRES
INFORMATION resources
EVALUATION of medical care
RANDOMIZED controlled trials
DESCRIPTIVE statistics
CHI-squared test
LONGITUDINAL method
MEDICAL appointments
ELECTRONIC health records
TELEPHONES
RHEUMATOLOGY
COMPARATIVE studies
DATA analysis software
PATIENT satisfaction
HEALTH outcome assessment
PATIENT aftercare
MEDICAL referrals
Subjects
Details
- Language :
- English
- ISSN :
- 25785745
- Volume :
- 6
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- ACR Open Rheumatology
- Publication Type :
- Academic Journal
- Accession number :
- 177191492
- Full Text :
- https://doi.org/10.1002/acr2.11659