Using expert patients to co-facilitate an introductory information session: does informed patient choice enhance engagement with pulmonary rehabilitation?
Engelsk titel: Using expert patients to co-facilitate an introductory information session: does informed patient choice enhance engagement with pulmonary rehabilitation?
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Författare:
Knowles, Anne C.
;
Mason, Louise A.
;
McNarry, Susan
;
Peters, Andy D.
Email: anne.knowles@nhslothian.scot.nhs.uk
Språk: Eng
Antal referenser: 14
Dokumenttyp:
Artikel
UI-nummer: 18020103
Sammanfattning
Objective: As the pulmonary rehabilitation service has developed, demand on resources has increased.
Patient ‘opt-in’ sessions aimed at reducing initial patient assessment Did Not Attend (DNA) rate were
introduced. It was also hoped that facilitating informed patient choice would increase programme
completion rates.
Method: For a period of one year ‘opt-in’ sessions – 30 minute education sessions co-facilitated by
‘expert patients’ explaining the specifics of pulmonary rehabilitation – were introduced. Expert patients
are patients who have successfully completed the programme, have shown evidence of fully engaging
with self-management and associated maintenance behaviours, and encourage others based on their
own lived experiences. Assessment appointment attendance and group completion data were collected
and compared for two patient cohorts over a period of 1 year prior to, and post, instigation of
the opt-in sessions.
Results: Initial assessment appointment DNA rate decreased from 22.4% (original service) to 10.6%
(enhanced service) with a net clinical time saving of 66 h. Programme completion rate increased from
50.2% (original service) to 77.0% (enhanced service).
Conclusion: The evidence here shows that this simple intervention is associated with improved service
efficiency without requiring additional resources. Opt-in sessions could be adopted by other services
promoting self-management of long-term conditions.