Plastic surgery (Oakville, Ont.) · 2018
Multidisciplinary Cleft Palate Program at BC Children's Hospital: Are We Meeting the Standards of Care?
СтатьяНазвание и аннотация: Перевод в очереди
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Dahiya Anita, Courtemanche Rebecca, Courtemanche Douglas J
Аннотация
OBJECTIVE: To characterize current Cleft Palate Program (CPP) practices and evaluate the timeliness of appointments with respect to patient age and diagnosis based on American Cleft Palate-Craniofacial Association (ACPA) population guidelines and CPP patient-specific recommendations.
DESIGN: A retrospective review of CPP patient appointments from November 6, 2012, to March 31, 2015, was done. Data were analyzed using descriptive and inferential statistics.
SETTING: The study was conducted using data from the CPP at BC Children's Hospital.
PATIENTS: A total of 1214 appointments were considered in the analysis, including syndromic and nonsyndromic patients of 0 to 27 years of age.
MAIN OUTCOME MEASURES: Percentage of patients meeting follow-up targets by ACPA standards and CPP team recommendations.
RESULTS: Our results showed patients 5 years and younger or nonsyndromic were more likely to be seen on time (P < .001). No relationship between the timeliness of an appointment and specific patient diagnoses or distance to clinic was found. With the exception of nursing (97% of appointments were on time), all disciplines had less than 45% of appointments on time with 51% of appointments meeting ACPA guidelines for timeliness and 32% of all appointments meeting CPP recommendations.
CONCLUSION: Timely care for the cleft/craniofacial patient populations represents a challenge for the CPP. Although half of patients may meet the general ACPA guidelines, only 32% of patients are meeting the CPP patient-specific recommendations. To provide better patient care, future adjustments are needed, which may include improved resource allotment and program support.
DESIGN: A retrospective review of CPP patient appointments from November 6, 2012, to March 31, 2015, was done. Data were analyzed using descriptive and inferential statistics.
SETTING: The study was conducted using data from the CPP at BC Children's Hospital.
PATIENTS: A total of 1214 appointments were considered in the analysis, including syndromic and nonsyndromic patients of 0 to 27 years of age.
MAIN OUTCOME MEASURES: Percentage of patients meeting follow-up targets by ACPA standards and CPP team recommendations.
RESULTS: Our results showed patients 5 years and younger or nonsyndromic were more likely to be seen on time (P < .001). No relationship between the timeliness of an appointment and specific patient diagnoses or distance to clinic was found. With the exception of nursing (97% of appointments were on time), all disciplines had less than 45% of appointments on time with 51% of appointments meeting ACPA guidelines for timeliness and 32% of all appointments meeting CPP recommendations.
CONCLUSION: Timely care for the cleft/craniofacial patient populations represents a challenge for the CPP. Although half of patients may meet the general ACPA guidelines, only 32% of patients are meeting the CPP patient-specific recommendations. To provide better patient care, future adjustments are needed, which may include improved resource allotment and program support.