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Effectiveness of a multidisciplinary facial function clinic.

S A Sadiq1, H A Usmani, S R Saeed

  • 1Manchester Royal Eye Hospital, Manchester, UK. a.sadiq@manchester.ac.uk

Eye (London, England)
|July 30, 2011
PubMed
Summary

A multidisciplinary facial function clinic (FFC) effectively integrates multiple specialists, significantly reducing patient travel and visits. This approach saves patients an average of 5.1 visits, 325 miles, and 8 hours of travel time.

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Area of Science:

  • Ophthalmology
  • Otolaryngology
  • Plastic Surgery
  • Physiotherapy

Background:

  • Facial function deficits require coordinated care from multiple specialists.
  • Establishing a dedicated multidisciplinary facial function clinic (FFC) can streamline patient management.
  • Assessing the utility of such a clinic is crucial for optimizing patient outcomes and resource allocation.

Purpose of the Study:

  • To evaluate the effectiveness and utility of a multidisciplinary facial function clinic (FFC).
  • To assess the impact of the FFC on patient travel burden and healthcare utilization.

Main Methods:

  • Retrospective case-note review of 59 consecutive patients attending the FFC from July 2006 to February 2009.
  • Data collected included patient demographics, distance traveled, journey time, and specialist consultations required.
  • Analysis focused on the number of visits, travel savings, and the integration of services within the FFC.

Main Results:

  • The 59 patients (mean age 46) had a mean of 1.8 visits, traveling an average of 31.9 miles each way.
  • Facial nerve weakness (mean House-Brackmann grade IV) required input from ophthalmology (98.3%), otolaryngology (96.6%), plastic surgery (83.0%), and physiotherapy (98.3%).
  • The FFC saved patients an average of 5.1 visits, 325.4 miles, and 8 hours of travel time by co-locating specialists.

Conclusions:

  • The multidisciplinary facial function clinic (FFC) is perceived as an effective service by both clinicians and patients.
  • The integrated approach significantly reduces patient travel burden and optimizes healthcare delivery for facial function disorders.
  • The FFC has proven to be a sustainable and valuable model for managing complex facial conditions.