ArticleFrontline gastroenterology2019
Dietitian first gastroenterology clinic: an initiative to reduce wait lists and wait times for gastroenterology outpatients in a tertiary hospital service.
Article in Frontline gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic Review of Patient Preferences and Experiences Regarding Dietetic Outpatient Care.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Pooled it
- Development and Acceptability of a Dietitian Delivered Patient Educational Video for Managing Irritable Bowel Syndrome.American journal of lifestyle medicine · 2026Article
- Intestinal Ultrasound Adds Diagnostic Value and Safety to a Dietitian-Led Clinic for Disorders of Gut-Brain Interaction.JGH open : an open access journal of gastroenterology and hepatology · 2026Article
- Using Best-Worst Scaling Survey to Investigate the Relative Importance of Attributes Associated with Public Hospital Outpatient Appointments.The patient · 2025Article
- Article
- Evaluating diagnostic and management agreement between physiotherapists and ear, nose and throat specialist in a primary contact physiotherapy-led vestibular clinic: A prospective blinded inter-rater agreement pilot study.BMC health services research · 2024Article
- Treating disorders of brain-gut interaction with multidisciplinary integrated care. Moving towards a new standard of care.JGH open : an open access journal of gastroenterology and hepatology · 2024Review
- Irritable bowel syndrome and mental health comorbidity - approach to multidisciplinary management.Nature reviews. Gastroenterology & hepatology · 2023Review
- Artificial intelligence in medical referrals triage based on Clinical Prioritization Criteria.Frontiers in digital health · 2023Article
- The effect of different service models on quality of care in the assessment of autism spectrum disorder in children: study protocol for a multi-centre randomised controlled trial.BMC pediatrics · 2022Article
- Elimination of Dietary Triggers Is Successful in Treating Symptoms of Gastroesophageal Reflux Disease.Digestive diseases and sciences · 2021Article
- Health service usage and re-referral rates: comparison of a dietitian-first clinic with a medical specialist-first model of care in a cohort of gastroenterology patients.Frontline gastroenterology · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe demand for outpatient gastroenterology medical specialist consultations is above what can be met within budgetary and staffing constraints. This study describes the establishment of a dietitian first gastroenterology clinic to address this issue, the patient journey and its impact on wait lists and wait times in a tertiary gastroenterology service.
designA dietitian first gastroenterology clinic model was developed and a mixed-methods approach used to evaluate the impact of the service over a 21-month period.
settingGold Coast University Hospital, Queensland, Australia (a public tertiary hospital). PATIENTS: 658 patients were triaged to the clinic between June 2016 and March 2018.
interventionA dietitian first gastroenterology clinic for low-risk gastroenterology patients.
main outcome measuresWe examined demographic, referral, wait list, wait time and service activity data, patient satisfaction and patient journey.
resultsAt the time of audit, 399 new (67.9% female) and 307 review patients had been seen. Wait times for eligible patients reduced from 280 to 66 days and the percentage of those in breach of their recommended wait times reduced from 95% to zero. The average time from referral to discharge was 117.8 days with an average of 2.4 occasions of service. 277 patients (69.4%) had been discharged to the care of their general practitioner and 43 patients (10.7%) had an expedited specialist medical review. Patient surveys indicated a high level of satisfaction.
conclusionA dietitian first gastroenterology model of care helps improve patient flow, reduces wait times and may be useful elsewhere to address outpatient gastroenterology service pressures.
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