Patient Satisfaction With Rapid Access Hysteroscopy Clinics for Postmenopausal Bleeding-A Single Centre Observational...

Area of Science:

• Gynaecology
• Oncology
• Patient Experience Research

Background:

• Endometrial cancer (EC) is the leading gynaecological cancer with increasing incidence.
• Higher EC rates are observed in the Counties Manukau region compared to the rest of New Zealand.
• Hysteroscopy is the gold standard for investigating EC risk factors.

Purpose of the Study:

• To evaluate patient experience and satisfaction with a novel rapid access clinic (RAC) model.
• To assess the acceptability of combining first specialist assessment (FSA) and hysteroscopy in a single visit.
• To analyze patient-reported pain scores associated with the procedure.

Main Methods:

• Postmenopausal patients referred to the RAC were invited to complete a satisfaction survey.
• Survey data were analyzed, focusing on patient satisfaction, procedural comfort, and pain levels.
• The study involved 112 approached patients, with 74 providing consent (66% response rate).

Main Results:

• The RAC facilitated 194 attendances over a 6-month period.
• All surveyed patients reported high satisfaction with their care.
• 57% of patients experienced pain during hysteroscopy that was equal to or less than menstrual period pain.

Conclusions:

• The RAC model is positively received by postmenopausal patients, including those from higher-risk ethnic groups.
• Findings support the continuation and potential replication of this outpatient hysteroscopy service model.
• The RAC service aids in providing accurate patient counseling and managing expectations.