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Optimizing New Urogynecology Consultations: Advanced Practice Providers are Key.

Kristina A Burger1, Joseph B Rigdon2, Terra L Schmitt1

  • 1Atrium Health Wake Forest Baptist Women's Care Urogynecology and Pelvic Surgery (Burger, Schmitt, Myers, Stepp, Kaczmarski and Tarr), Charlotte, North Carolina.

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Summary
This summary is machine-generated.

Advanced practice providers (APPs) achieved 95% concordance with surgeons for operative intervention plans in urogynecology new patient consultations. This demonstrates a feasible outpatient model to improve access to urogynecology care.

Keywords:
advanced practice providerconcordanceoutpatient care modelpatient satisfactionurogynecology

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Area of Science:

  • Urogynecology
  • Advanced Practice Providers
  • Outpatient Care Models

Background:

  • Advanced practice providers (APPs) are integral to urogynecology practice.
  • Limited research exists on APP integration in outpatient urogynecology settings.
  • Evaluating APP roles in new patient consultations is crucial for optimizing care delivery.

Purpose of the Study:

  • To assess the feasibility of an outpatient urogynecology model where APPs serve as new patient consultants.
  • To determine the concordance rate between APP-recommended operative interventions and surgeon-recommended interventions.
  • To evaluate secondary outcomes including wait times and patient satisfaction.

Main Methods:

  • Prospective feasibility study conducted in an urban outpatient urogynecology clinic.
  • 100 women aged 18+ seeking new consultations were included.
  • Primary outcome: concordance for operative intervention between APP and surgeon; secondary outcomes: specific operative approach concordance, consultation wait time, patient satisfaction.

Main Results:

  • 95% concordance was observed between APPs and surgeons for operative intervention recommendations (95% CI = 0.90-1.00).
  • Concordance for specific operative approaches was 97% (95% CI = 0.85-1.00) for 29 of 30 cases.
  • Median wait time for initial consultation was 49 days, with 81% of patients reporting high satisfaction.

Conclusions:

  • The high concordance rate (95%) suggests that an outpatient model with APPs as new patient consultants is feasible in urogynecology.
  • This model offers a practical solution to meet the increasing demand for urogynecology services.
  • The integration of APPs in this role can enhance efficiency and patient satisfaction in urogynecology care.