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Implementing guidelines for follow-up after surgery with ventilation tube in the tympanic membrane in Norway: a

Bjarne Austad1, Irene Hetlevik, Vegard Bugten

  • 1General Practice Research Unit, Department of Public Health and General Practice, Norwegian University of Science and Technology (NTNU), Trondheim, Norway and Sjøsiden Medical Centre, 7491, Trondheim, Norway. bjarne.austad@ntnu.no.

BMC Ear, Nose, and Throat Disorders
|January 9, 2013
PubMed

Insights

Implementing new clinical guidelines for ventilation tube (VT) follow-up care successfully directed children to general practitioners (GPs). However, the hospital

Area of Science:

  • Otolaryngology
  • Pediatric Healthcare
  • Implementation Science

Background:

  • Clinical guidelines require effective implementation strategies for successful healthcare transitions.
  • St. Olavs University Hospital revised pediatric ventilation tube (VT) follow-up care, shifting management of healthier children to General Practitioners (GPs).

Purpose of the Study:

  • To evaluate the implementation of revised clinical guidelines for pediatric VT follow-up care.
  • To assess hospital adherence to discharge protocols and patient utilization of GP follow-up services.

Main Methods:

  • Retrospective observational study at St. Olavs University Hospital and Mid-Norway general practices.
  • Included 136 children under 18 who had VT insertion between November 2007 and December 2008.
  • Measured guideline adherence by both the hospital and general practices.

Main Results:

  • The hospital followed guidelines in 68.5% of cases, with a higher-than-recommended proportion of patients planned for GP follow-up (25.8% vs. 12.4%).
  • Nearly all patients (except one) attended GP follow-up appointments.
  • 60% of patients were referred back to specialist care within two years.

Conclusions:

  • Guideline implementation effectively ensured GP consultations for pediatric VT follow-up.
  • Hospital guideline adherence issues may stem from guideline quality.
  • Further research is needed to assess GP follow-up quality post-VT surgery.
Abstract

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