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RACS ASC 2024

Patient satisfaction with an integrative multi-disciplinary model of patient care

Verbal Presentation

Verbal Presentation

4:56 pm

08 May 2024

Conway 2

RESEARCH PAPERS

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Presentation Description

Institution: Joint Vision Orthopaedic Research Institute - NSW, Australia

Joint Vision Orthopaedic Group has used an integrated, multidisciplinary clinic (MDC) model for over three years. Integrated health care services have been shown to improve patient care, satisfaction, while also enhancing cost effectiveness. Purpose: Describe the set-up of an orthopaedic foot MDC (surgeon, allied health, radiology services) all collocated in a large regional specialist centre. Also, discuss the benefits of the model in terms of clinical decision making, patient-centred care and satisfaction. Methodology: Two-year retrospective descriptive analysis of patient demographics, treatment pathways (surgical vs conservative management) and overall patient satisfaction with the MDC model of care. Results: 5221 new patients attended an MDC between Jan 2021 and Dec 2023. The average conversion rate to surgery for two orthopaedic foot specialists was 34.3%. Almost half of these surgical patients trialed conservative treatment or pre-habilitation prior to surgery (49.4%). Approximately one third of patients (29.3%) were able to be treated conservatively, without surgery. Patient feedback regarding the MDC model was consistently positive. Conclusion: A patient centred MDC model of care in a single location allows for improved tailoring of treatment options (surgical and non surgical). This may result in improved patient satisfaction and overall clinical outcomes (both physical and financial).

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Dr Meghan Dares - , Mr Wynter Dares - , Dr Diane Riddiford-Harland - , Dr Laura Clarke -