Gastroenterologist and primary care perspectives on a post-endoscopy discharge policy: impact on clinic wait times, provider satisfaction and provider workload.

ABSTRACT:

Background

To reduce unnecessary ambulatory gastroenterology (GI) visits and increase access to GI care, San Francisco Health Network gastroenterologists and primary care providers implemented guidelines in 2013 that discharged certain patients back to primary care after endoscopy with formal written recommendations. This study assesses the longer-term impact of this policy on GI clinic access, workflow, and provider satisfaction.

Methods

An email-based survey assessed gastroenterologist and primary care provider (PCP) opinions about the discharge process. Administrative data and chart review were used to assess clinic access, intervention fidelity, and re-referral rates.

Results

102/299 (34%) of PCPs and 5/7 (71%) of gastroenterologists responded to the survey. 74% o

SUBMITTER: Selvig D 

PROVIDER: S-EPMC5763538 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature