Improvement in Patient Compliance for Gynecological Care

Author

Tracee WilliamsFollow

Date of Award

Spring 2024

Document Type

DNP Project

Project Team Faculty Member

Dr. Annie Imboden

Project Team Faculty Member

Dr. Ashley Wittler

Keywords

patient-initiated follow-up, PIFU, gynecology, no-show, attendance, scheduling, socioeconomic status

Abstract

This quality improvement project implemented the patient-initiated follow-up (PIFU) pathway in a gynecology clinic setting. PIFU has potential to lead to decreased no-show appointments and increased patient autonomy in outpatient healthcare practices. Barriers that influence compliance with plans of care include lower socioeconomic status, racial and ethnic minorities, and unmet social needs such as food insecurity, healthcare travel and cost, and child/adult care needs. In addition to higher rates of no-show appointments, individuals facing these barriers have increased comorbidities. Prior to implementing the PIFU model, patients between the ages of 18 and 42 completed a patient satisfaction survey to better understand potential barriers resulting in no-show appointments. Based on their answers, the providers selected specific health conditions that would be appropriate to offer PIFU. 11 patients out of 36 that met the criteria for the intervention were offered the option of PIFU or continuing with fixed follow-up provided by the office. All 11 requested to remain in fixed follow-up but appreciated the option of increased autonomy with PIFU. Limitations included lack of electronic medical records and providers’ lack of confidence that patients would follow through with scheduling autonomously. This PIFU model could be implemented in the future in gynecology, primary care, or other specialty offices to aid in the reduction of no-show appointments.

Recommended Citation

Williams, Tracee, "Improvement in Patient Compliance for Gynecological Care" (2024). Doctor of Nursing Practice Projects. 353.
https://spark.siue.edu/dnpprojects/353

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