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National and Institutional Survey on Cleft and Craniofacial Clinic Formats
Okada H, Alleyne B, Leuchtag RM, Lakin GE
University
2013-02-15
Presenter: Haruko Okada
Affidavit:
Director Name: Hooman Soltanian
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: Craniomaxillofacial
Background:
Craniofacial/cleft teams employ multidisciplinary clinics to optimize care for their patients. Different clinic formats exist and surveys were used to study family preferences and compare them to current national practices.
Method:
An institutional survey was distributed to families of our team clinic patients from November 2012 to February 2013. This survey focused on patient satisfaction, preference of clinic format, and their perception of efficiency. A second, national survey was distributed to 161 American cleft/craniofacial teams approved by the American Cleft Palate–Craniofacial Association. This survey queried clinic formats, provider satisfaction, and experience with other formats.
Results:
39 out of 54 (72.2%) families responded to the institutional survey. Providers moving between rooms while patients remained stationary was positively associated with satisfaction (mean 4.97 out of 5, 5 being most satisfied), shorter perceived clinic time (76.9%), and patient comfort (84.6%).
The national survey had 91 responses out of 161 (56.5%). 54.9% of respondents have providers rotating between exam rooms, and 32.9% have patients moving between rooms. Other formats include entire team moving as a group between rooms (10.99%), and specialties sitting together in one room while patients rotate (8.97%). Respondents were satisfied with current formats (mean 4.24 out of 5, 5 being most satisfied). 21.5% had tried a different format previously.
Conclusion:
The most common cleft/craniofacial clinic format nationally is providers moving between rooms, however all formats have high provider satisfaction. At our institution, there is high family satisfaction rate where providers move between rooms.
