title: The Bandung neurosurgery patient outcomes project, Indonesia (Part II): Patient pathways and feasibility and acceptability of telephone follow-up.
abstract: BACKGROUND
  Support of neurosurgery patients following discharge from hospital is important. Currently, little is known about patients' in low- and middle-income countries before and after their hospital treatment. This companion paper reports patients' pathways before and after hospital admission and the feasibility of following up this ill-patient population by telephone.
  
  
  METHODS
  Eligible patients were aged ≥18 years admitted to the Neurosurgery Department in Dr. Hasan Sadikin Hospital-a regional referral hospital in Bandung City, Indonesia. Clinical data were collected on admission by clinicians. In-person interviews were undertaken with a clinical research nurse 1 to 2 days pre-discharge, and telephone follow-up interviews at 1, 2, and 3 months post-discharge. Information was also collected on pathways prior to admission and following discharge. The number of contact attempts for each patient interview was documented, as was the overall acceptability of undertaking a telephone interview.
  
  
  RESULTS
  Of 178 patients discharged from hospital, 12 later died. Of the remaining 166 patients, 95% were able to be followed up to 3 months. Two-thirds of patients had been referred from another hospital. Patients came from, and were discharged to, locations throughout the West Java region. At the 1-month interview, 84% participants reported that they had had a follow-up consultation with a health professional-mostly with a neurosurgeon.
  
  
  CONCLUSIONS
  This study has shown that, with a neurosurgery nurse delegated to the role, it is feasible to conduct follow-up telephone interviews with patients after discharge from a neurosurgery ward and that in fact such follow-up was appreciated by patients.
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin Hospital, Bandung, Indonesia.
authors.forename: Agung Budi
authors.initials: AB
authors.lastname: Sutiono
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin Hospital, Bandung, Indonesia.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Faried
authors.affiliation: Centre for International Health, Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
authors.forename: Susan
authors.initials: S
authors.lastname: McAllister
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin Hospital, Bandung, Indonesia.
authors.forename: Amelia
authors.initials: A
authors.lastname: Ganefianty
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin Hospital, Bandung, Indonesia.
authors.forename: Kalih
authors.initials: K
authors.lastname: Sarjono
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin Hospital, Bandung, Indonesia.
authors.forename: Muhammad Zafrullah
authors.initials: MZ
authors.lastname: Arifin
authors.affiliation: Injury Prevention Research Unit, Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
authors.forename: Sarah
authors.initials: S
authors.lastname: Derrett
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019091:Critical Pathways; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007214:Indonesia; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods; D010351:Patient Discharge; D063868:Patient Outcome Assessment; D013689:Telephone; D055815:Young Adult
keywords: Indonesia; health-care pathways; neurosurgery; telephone follow-up