{"id":8395,"date":"2025-01-06T16:23:56","date_gmt":"2025-01-06T16:23:56","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=8395"},"modified":"2025-01-06T16:23:57","modified_gmt":"2025-01-06T16:23:57","slug":"evaluation-of-patient-initiated-follow-up-pifu-service-in-a-fracture-clinic-a-comprehensive-service-evaluation-and-patient-satisfaction-audit-2024","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2025\/01\/06\/evaluation-of-patient-initiated-follow-up-pifu-service-in-a-fracture-clinic-a-comprehensive-service-evaluation-and-patient-satisfaction-audit-2024\/","title":{"rendered":"Evaluation of Patient-Initiated Follow-Up (PIFU) Service in a Fracture Clinic: A Comprehensive Service Evaluation and Patient Satisfaction Audit (2024)"},"content":{"rendered":"\n

Type of publication:<\/strong><\/p>\n\n\n\n

Journal article<\/p>\n\n\n\n

Author(s):<\/strong><\/p>\n\n\n\n

*Younis, Zubair; Hamid, Muhammad A; *Khan, Muhammad Murtaza; Sapra, Rahul; *Gurukiran, Gurukiran; *Singh, Rohit.<\/p>\n\n\n\n

Citation:<\/strong><\/p>\n\n\n\n

Cureus. 16(11):e73461, 2024 Nov.<\/p>\n\n\n\n

Abstract:<\/strong><\/p>\n\n\n\n

Background Outpatient clinics are increasingly challenged by high patient volumes and rising \"did not attend\" (DNA) rates, leading to extended wait times and declines in patient satisfaction. Traditional follow-up (FU) models with routinely scheduled appointments contribute to inefficiencies, as stable patients may attend unnecessary visits, thus straining clinic resources. The patient-initiated follow-up (PIFU) model offers an alternative where patients schedule appointments only when necessary. This study evaluates PIFU's efficacy in improving outpatient services and patient satisfaction by reducing routine appointments and prioritizing patient-driven follow-up. Methods This service evaluation and patient satisfaction audit was conducted at the fracture clinic of Royal Shrewsbury Hospital over three months (December 2023-March 2024). Out of 3828 patients seen, 203 were assigned to PIFU based on criteria indicating stable conditions with minimal follow-up requirements. The remaining patients were either scheduled for routine follow-ups or discharged. Data were collected retrospectively from clinic records, and a structured
questionnaire assessed patient satisfaction with the PIFU service. Results Among the 203 patients assigned to PIFU, 183 (90.15%) patients received an informational leaflet, with all respondents finding it easy to understand. However, only 41 (20.2%) of patients utilized the PIFU service, primarily for concerns about pain, healing, or complications. Satisfaction among PIFU users was high, with 163 (80.3%) patients rating the service 5\/5. Non-users mostly cited no perceived need for follow-up. Demographic analysis indicated that patients aged 40-60 were predominant (n=132; 65.02%) among the PIFU cohort. Conclusion The PIFU model demonstrated the potential to alleviate clinic workload by reducing routine follow-ups while maintaining high patient satisfaction. Although utilization rates were low, those who engaged found the service beneficial, suggesting PIFU's value for patients comfortable with self-management. Improved patient education may enhance engagement, supporting the broader implementation of PIFU in outpatient settings. Further research is warranted to explore barriers to patient-initiated follow-up and refine eligibility criteria for optimal outcomes.<\/p>\n\n\n\n

Link to full-text<\/a> [open access - no password required]<\/p>\n","protected":false},"excerpt":{"rendered":"

Type of publication: Journal article Author(s): *Younis, Zubair; Hamid, Muhammad A; *Khan, Muhammad Murtaza; Sapra, Rahul; *Gurukiran, Gurukiran; *Singh, Rohit. Citation: Cureus. 16(11):e73461, 2024 Nov. Abstract: Background Outpatient clinics are increasingly challenged by high patient volumes and rising \"did not…<\/span><\/p>\n

Read more Evaluation of Patient-Initiated Follow-Up (PIFU) Service in a Fracture Clinic: A Comprehensive Service Evaluation and Patient Satisfaction Audit (2024)<\/span> ›<\/span><\/a><\/div>\n

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