This was a randomized-controlled trial conducted at a large academic tertiary referral center. The purpose of the research was to gain information regarding the usefulness of nurse-led telephone preparation visits as a way to reduce workload and increase efficiency during in-person medical consultation, in an era where clinics are becoming overcrowded and resource constraints are on the rise. The aim of this trial was to evaluate whether or not a pre-visit telephone interview would be associated with the reduction in first urogynecology visit duration and improved patient and physician satisfaction. One hundred eight patients scheduled for their very first urogynecological visit were recruited, of which 101 were evaluable, 53 allocated to the intervention group and 48 in the control group. The intervention consisted of a telephone interview which included questions about current complaints and medical history. The patient was asked to complete a voiding diary to bring with her to the visit, as well as prior medical records. Patient satisfaction with the clinic visit was measured using the ZUF-8 questionnaire, and physician satisfaction was evaluated using standardized questions including one about the estimated time economy of the visit. The two groups did not differ demographically. The mean visit duration in the intervention group was 26 min (SD 8.9) versus 30.8 min (SD 11.4) in the control group, with a significant difference of 4 min 50 s (p = 0.02). There was no difference in mean ZUF-8 score between groups, and both groups reported a high proportion of “excellent” quality of consultation (78% intervention, 71.1% control). Additionally, 82.69% of physicians responded that they were satisfied with patient preparation in the intervention group. In summary, the researchers identified a time-saving effect of nearly 5 min per patient in the intervention group, which they extrapolated to correlate with one additional patient seen per half clinic day. This consultation time difference did depend on diagnosis, with urinary incontinence taking the longest, indicating this intervention may be more beneficial for certain groups of patients. Both patients and physicians were satisfied with the intervention. Study of the long-term impact on the costeffectiveness of this intervention is warranted, as preemptive telephone consultation in certain domains of urogynecology may improve efficiency during the initial clinic visit and decrease the overall number of follow-up visits and costs per patient.

中文翻译：

---

关于“在第一次泌尿妇科门诊就诊之前进行护士主导的电话干预的好处：一项随机对照试验”的评论

这是在大型学术三级转诊中心进行的随机对照试验。该研究的目的是获得有关护士主导的电话准备访问的有用性的信息，作为一种在诊所变得人满为患且资源限制日益增加的时代减少面对面医疗咨询的工作量和提高效率的方法. 该试验的目的是评估就诊前电话采访是否与减少首次泌尿妇科就诊时间和提高患者和医生的满意度有关。招募了 108 名计划进行第一次泌尿妇科就诊的患者，其中 101 名可评估，53 名分配到干预组，48 名分配到对照组。干预包括电话采访，其中包括有关当前主诉和病史的问题。患者被要求填写排尿日记，并在就诊时随身携带，以及之前的医疗记录。使用 ZUF-8 问卷测量患者对门诊就诊的满意度，并使用标准化问题评估医生的满意度，其中包括一个关于估计就诊时间经济性的问题。两组在人口统计学上没有差异。干预组的平均就诊时间为 26 分钟（标准差 8.9），而对照组为 30.8 分钟（标准差 11.4），显着差异为 4 分 50 秒（p = 0.02）。两组之间的平均 ZUF-8 评分没有差异，并且两组都报告了高比例的“优秀”咨询质量（78% 的干预，71.1% 的控制）。此外，82.69% 的医生回应他们对干预组的患者准备情况感到满意。总而言之，研究人员发现干预组中每位患者的时间节省近 5 分钟，他们推断这与每半个门诊日增加的一名患者相关。这种咨询时间差异确实取决于诊断，尿失禁花费的时间最长，表明这种干预可能对某些患者群体更有益。患者和医生都对干预感到满意。有必要研究这种干预措施对成本效益的长期影响，