Paediatric nurse practitioner managed cardiology clinics: patient satisfaction and appointment access.
OBJECTIVE
This article summarizes a comparative study of patient/family satisfaction and appointment wait times in physician managed vs. paediatric nurse practitioner managed cardiology clinics.


BACKGROUND
Appointment wait times exceeded 40 days in the outpatient cardiology department at a children's hospital. To address the gap in available appointments, paediatric nurse practitioner managed cardiology clinics were implemented.


METHODS
A sample of 128 patients who presented concurrently in physician or paediatric nurse practitioner managed cardiology clinics from December 2009 through February 2010 was recruited for participation. The hospital's ambulatory patient satisfaction survey was utilized to measure level of patient satisfaction with care. Survey responses were evaluated using Fisher's exact test. Appointment wait times were compared pre and post implementation of paediatric nurse practitioner managed clinics.


RESULTS
Sixty-five physician families and 63 paediatric nurse practitioner families completed the satisfaction survey. There was no statistically significant difference in patient satisfaction between clinic types. Appointment wait time decreased from 46 to 43 days, which was not statistically significant. Paediatric nurse practitioner clinics included a statistically higher percentage total of urgent appointments compared to that in physician clinics.


CONCLUSIONS
Paediatric nurse practitioner managed cardiology clinics are a strategic solution for improving patient access and facilitating high quality patient care while earning high levels of patient satisfaction. This healthcare delivery model illustrates the potential for expanded utilization of advanced practice nurses.
Department of Cardiology, Children's Hospital Boston, Massachusetts, USA. julianne.evangelista@cardio.chboston.org
Juli-Anne K
JA
Evangelista
Jean Anne
JA
Connor
Christine
C
Pintz
Teresa
T
Saia
Cheryl
C
O'Connell
David R
DR
Fulton
Patricia
P
Hickey
D000293:Adolescent; D000553:Ambulatory Care; D001071:Appointments and Schedules; D002648:Child; D002675:Child, Preschool; D006297:Health Services Accessibility; D006331:Heart Diseases / Q000451:nursing*; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009722:Nurse Practitioners; D017060:Patient Satisfaction; D010820:Physicians; D057184:Practice Patterns, Nurses' / Q000706:statistics & numerical data; D011446:Prospective Studies; D014481:United States; D014850:Waiting Lists; D055815:Young Adult