BACKGROUND: In February 2006, a hernia clinic was established at the Queen Elizabeth II Health Sciences Centre in Halifax, Nova Scotia. It was based on a group model of care and was established to increase effective use of resources to reduce waiting times. We conducted a survey of patients referred to the hernia clinic to determine compliance. METHODS: We developed and mailed a questionnaire to all patients who had surgery after assessment at the hernia clinic. Data were analyzed for the entire study group and for 2 subgroups: patients in group I had the same surgeon for assessment and surgery, whereas patients in group II had a different surgeon for assessment and surgery. Differences between subgroups were assessed using the 2-tailed Fisher exact test. Waiting times were recorded. RESULTS: In all, 94 patients responded to the survey. Of these, 67% had the same surgeon for assessment and surgery, and 31% had a different surgeon; 2% were not sure. Two-thirds were comfortable having their surgery performed by a surgeon whom they met the day of surgery. Most patients had confidence in the competence of any surgeon and considered service to be better and faster in a specialized centre. Most felt that a group of surgeons providing hernia care uses resources more effectively. The waiting times from referral to initial consult decreased from 208 (standard deviation [SD] 139) days in 2007 to 59 (SD 70) days in 2009. CONCLUSION: Patient compliance with a group model of care for hernia surgery is high.
BACKGROUND: In February 2006, a hernia clinic was established at the Queen Elizabeth II Health Sciences Centre in Halifax, Nova Scotia. It was based on a group model of care and was established to increase effective use of resources to reduce waiting times. We conducted a survey of patients referred to the hernia clinic to determine compliance. METHODS: We developed and mailed a questionnaire to all patients who had surgery after assessment at the hernia clinic. Data were analyzed for the entire study group and for 2 subgroups: patients in group I had the same surgeon for assessment and surgery, whereas patients in group II had a different surgeon for assessment and surgery. Differences between subgroups were assessed using the 2-tailed Fisher exact test. Waiting times were recorded. RESULTS: In all, 94 patients responded to the survey. Of these, 67% had the same surgeon for assessment and surgery, and 31% had a different surgeon; 2% were not sure. Two-thirds were comfortable having their surgery performed by a surgeon whom they met the day of surgery. Most patients had confidence in the competence of any surgeon and considered service to be better and faster in a specialized centre. Most felt that a group of surgeons providing hernia care uses resources more effectively. The waiting times from referral to initial consult decreased from 208 (standard deviation [SD] 139) days in 2007 to 59 (SD 70) days in 2009. CONCLUSION:Patient compliance with a group model of care for hernia surgery is high.
Authors: Zaheed Damani; Barbara Conner-Spady; Tina Nash; Henry Tom Stelfox; Tom W Noseworthy; Deborah A Marshall Journal: BMJ Open Date: 2017-02-24 Impact factor: 2.692
Authors: Terry Zwiep; San Hilalion Ahn; Jamie Brehaut; Fady Balaa; Daniel I McIsaac; Susan Rich; Tom Wallace; Husein Moloo Journal: BMJ Open Date: 2021-01-08 Impact factor: 2.692
Authors: Claire E Barber; Jatin N Patel; Linda Woodhouse; Christopher Smith; Stephen Weiss; Joanne Homik; Sharon LeClercq; Dianne Mosher; Tanya Christiansen; Jane Squire Howden; Tracy Wasylak; James Greenwood-Lee; Andrea Emrick; Esther Suter; Barb Kathol; Dmitry Khodyakov; Sean Grant; Denise Campbell-Scherer; Leah Phillips; Jennifer Hendricks; Deborah A Marshall Journal: Arthritis Res Ther Date: 2015-11-14 Impact factor: 5.156