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Rethinking the Abnormal Uterine Bleeding Consult: Creating a Patient-Centered, See-and-Treat Model of Care.

Erica F Robinson1, Vrunda B Desai1, Scott Chudnoff1

  • 1Department of Obstetrics and Gynecology, Prisma Health Upstate, University of South Carolina Greenville, Greenville, South Carolina; the Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, Connecticut; and the Department of Obstetrics & Gynecology and Women's Health, Maimonides Health, New York, New York.

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Summary

The COVID-19 pandemic prompted a new, patient-centered approach to evaluating abnormal uterine bleeding (AUB). This streamlined model uses telehealth and in-office visits for faster, more efficient patient care.

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Area of Science:

  • Gynecology
  • Healthcare Management

Background:

  • Abnormal uterine bleeding (AUB) evaluation traditionally involves multiple visits and settings, leading to care delays.
  • In-office uterine assessment is evidence-based but adoption is limited by cost and learning curves.

Purpose of the Study:

  • To propose a redesigned, patient-centered clinical care model for evaluating AUB.
  • To adapt and streamline AUB evaluation in response to the COVID-19 pandemic.

Main Methods:

  • Implemented a reimagined pathway involving telehealth/initial visits for history, labs, and results review.
  • Planned outpatient procedures in office or operating room settings.

Main Results:

  • Clinics nationally have adopted this pathway out of necessity due to the pandemic.
  • The new model enhances patient experience, healthcare efficiency, and physician engagement.

Conclusions:

  • The proposed patient-focused evaluation strategy for AUB offers a more streamlined and efficient approach.
  • Permanent nationwide adoption of this redesigned pathway is recommended for AUB management.