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Shared medical appointments significantly improved access to care for pediatric urology patients with minor penile issues. This innovative approach reduced wait times by nearly a week and increased monthly patient volume.

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Area of Science:

  • Pediatric Urology
  • Healthcare Management

Background:

  • Physicians face challenges balancing quality care with resource limitations.
  • Shared medical appointments offer a potential solution for improving healthcare access.
  • This study focused on implementing a shared medical appointment for minor penile complaints.

Purpose of the Study:

  • To improve clinic-wide access to care for pediatric patients with minor penile complaints.
  • To assess the impact of a shared medical appointment on access to care metrics.
  • To evaluate clinic productivity and patient volume after implementing the new appointment model.

Main Methods:

  • A shared medical appointment model was implemented in April 2013.
  • An intake form and standardized presentation were developed for efficiency.
  • Outcomes included access to care time, adherence to a 28-day target, appointment volume, and patient complaints.
  • Data were analyzed using the Mann-Whitney U test, controlling for provider availability.

Main Results:

  • Median access to care decreased significantly from 26.6 days to 20 days (p=0.0163).
  • The rate of seeing patients within the 28-day target improved from 44.3% to 81.4% (p=0.0283).
  • Monthly scheduled appointments increased from 128 to 161, though this was not statistically significant (p=0.1172).

Conclusions:

  • Shared medical appointments were successfully implemented, enhancing clinic productivity.
  • The program significantly improved access to care, reducing wait times by approximately one week.
  • The shared appointment model increased the overall monthly volume of patients seen.