title: Streamlining outpatient urogynaecology: a novel approach.
abstract: With population ageing, service expansion in urogynaecology is a necessity. The aim of this study was to determine the feasibility of a nurse specialist-led triage clinic as a novel way of outpatient care provision. Review of the patient pathway through the service over a 15-month period demonstrated effective patient management with timely order of investigations and treatment initiation, improved continuity of care, a reduction in the volume of medical consultations and high patient satisfaction. In conclusion, specialist nurse clinics provide a sustainable method of service expansion, while simultaneously facilitating service transfer to the community in line with current healthcare policy.
authors.affiliation: Department of Gynaecology, Chelsea and Westminster Hospital, London, UK. ektoras.georgiou04@imperial.ac.uk
authors.forename: E X
authors.initials: EX
authors.lastname: Georgiou
authors.forename: C
authors.initials: C
authors.lastname: Domoney
authors.forename: S
authors.initials: S
authors.lastname: Marsh
authors.forename: M
authors.initials: M
authors.lastname: Stafford
mesh_terms: D000328:Adult; D000368:Aged; D019091:Critical Pathways / Q000458:organization & administration*; D005260:Female; D006176:Gynecology; D006801:Humans; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration*; D017060:Patient Satisfaction; D057184:Practice Patterns, Nurses'; D014218:Triage / Q000379:methods / Q000458:organization & administration*; D014555:Urination Disorders / Q000175:diagnosis / Q000628:therapy; D014572:Urology