Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “HOSPITAL OUTPATIENT CLINICS”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources

Patients' views on how to run hospital outpatient clinics.

To investigate patients' views and expectations when attending outpatient clinics a questionnaire-based study was performed. The questionnaires asked about appointment systems, continuity of care, staff appearance, chaperons and medical students. Patients wanted fixed appointment times, to see the same doctor on successive visits, for the staff to be formally dressed and to have chaperons during examination. The number of medical students should be restricted especially for women patients. Staff should be sensitive to patients' needs.

Ambulatory Care↗

Audit of a new appointments system in a hospital outpatient clinic.

OBJECTIVE: To assess the effect of a new appointments system on patients' waiting time. DESIGN: Replacement of an existing system of regularly spaced appointments at 10 minute intervals with one in which the doctor arranged appointments according to his perception of individual patients' requirements, from December 1988 to June 1989. SETTING: One general medical outpatient clinic. PATIENTS: All (181) [corrected] patients under regular review with fixed appointment times during six months; those arriving for blood testing before the start of the clinic and those requiring ambulance transport were excluded. MAIN OUTCOME MEASURES: Mean waiting time (mean of difference between appointment time and start of consultation), maximum waiting time, number of patients, and total duration of clinics. RESULTS: Mean waiting time was reduced by about 30 minutes (from 39.6 to 9.5 mins) over the six months. There was no change in the number of patients attending (mean 15.8 v 15.4) or the duration of the clinics (mean 187 v 160 mins). CONCLUSION: Efficiency was improved by simple adjustment to the appointments system used in the hospital outpatient clinic.

Appointments and Schedules↗

[A clinical report of 11 years' experience of anesthesia for cesarean section (n = 721)--particularly spinal anesthesia (n = 648)--in a hospital outpatient clinic].

Experience with anesthesia for cesarean sections in a small obstetric and gynecology clinic attached to a general hospital is reported. The course of cases and the particular circumstances are described. During a period of 11 years 721 cesarean sections were performed, 643 (90%) under hyperbaric spinal anesthesia. The remaining operations were performed under general anesthesia. The distribution of elective and emergency cases to the different anesthetic methods is shown. In the early years size G22 needles where most frequently used, while later size G25 was used. The average extent of anesthesia with spinal anesthetic agents was to T 6.2 +/- 1.4. Some indications for intubation anesthesia and special features of spinal anesthetics are listed. The Apgar scores were 8.3 for 1 min and 9.5 for 5 min. In contrast to the patients operated on under general anesthesia, the majority of the patients treated during spinal anesthesia received (prophylactic) hypotensive treatment. There were no severe complications or deaths related to anesthesia. Some important points related to spinal anesthesia for cesarean sections are mentioned. The results show that with attention to detail and observation of correct procedures by qualified anesthetists, the vast majority of cesarean sections can be done very successfully under spinal anesthesia.

Anesthesia, General↗

The effect of age and chronicity on patient recall of public hospital outpatient clinic use.

This paper reports on an investigation of the effect of age and chronicity on the accuracy of recall by allied health patients of their attendance at outpatient clinics at a public hospital over the previous 12 months. Patients consistently under-reported use of outpatient clinics, when compared with hospital records. Age and chronicity were not found to be determinants of the observed differences. Other potential influences on patient recall were identified to assist future testing.

Adolescent↗

Perceptions of influenza and influenza vaccination in patients attending hospital outpatient clinics.

Influenza remains a major cause of morbidity and disruption to health services during winter. Annual vaccination of risk groups is the mainstay of influenza management policy. Despite much national publicity, vaccine uptake remains below desired levels. We investigated the perceptions of influenzal illness and opinions on vaccination in hospital outpatients attending clinics associated with risk and non-risk (i.e. control) morbidities. There were 270 recruited patients in risk groups: 90 each from diabetic, respiratory and cardiac clinics and equal numbers in three age groups (40-49, 50-59, 60-69 years). Equal numbers of controls were recruited from colorectal, fracture and dermatology clinics. The perceptions of influenza and knowledge of the preventive value of vaccination were fairly accurate in both groups. Fewer people in both groups had been vaccinated than had been specifically advised to be vaccinated. Advice for vaccination had been received by fewer people attending the cardiac clinic than the other two risk associated clinics. More use could be made of the health education opportunity afforded by attendance at hospital outpatient clinics.

Adult↗