Early provision of clinical information with an ‘opt in’ approach improves patient experience in tonsillectomy referrals

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Philp, Nichola and Maqsood, Raeesah and Joshyulla-Prasanna, Adithya and van der Meer, Robert Bauke and Douglas, Catriona M and Wood, Margaret and Rymaszewski, Lech (2024) Early provision of clinical information with an ‘opt in’ approach improves patient experience in tonsillectomy referrals. BMJ Open Quality, 13 (2). e002772. ISSN 2399-6641 (https://doi.org/10.1136/bmjoq-2024-002772)

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Abstract

Patients referred by their general practitioner (GP) with a definite diagnosis, for example, recurrent sore throat for consideration of tonsillectomy in adults, may wait for months without receiving any further clinical information from the hospital until their outpatient consultation. Prompt provision of condition-specific information after referral has received little attention despite considerable potential to enhance patients’ understanding, thereby relieving uncertainty and anxiety, and facilitating shared decision-making. This study aimed to report the experience of patients with recurrent tonsillitis who had been sent a booklet outlining the benefits and risks of tonsillectomy immediately after GP referral. Greater Glasgow and Clyde Health Board received 218 referrals of patients aged 16–40 to discuss tonsillectomy between January and August 2022. Every patient was sent a 16-page booklet by post and given the choice to opt in for a consultation. 165 (76%) patients opted in, and 53 (24%) did not. Feedback was obtained from 143 patients (66%) from both groups. 99% found the information booklet easy to understand, 97% would recommend it to a friend with recurrent tonsillitis, 93% felt their questions had been answered and 92% believed it helped them to decide whether to proceed with tonsillectomy. Socioeconomic deprivation did not influence the outcome. In conclusion, most patients found provision of clinical information immediately after vetting of the referral to be beneficial, irrespective of whether they opted in for a consultation. This concept has broad applicability across all specialties, and the principles can be readily adopted and adapted by clinicians and managers in local units.

ORCID iDs

Philp, Nichola, Maqsood, Raeesah, Joshyulla-Prasanna, Adithya, van der Meer, Robert Bauke ORCID logoORCID: https://orcid.org/0000-0002-9442-1628, Douglas, Catriona M, Wood, Margaret and Rymaszewski, Lech;
CORE (COnnecting REpositories)