Evidence map›Paper›PMID 36690495›Full record

ArticleAnnals of family medicine

Primary Care Patients' and Staff's Perceptions of Self-Rooming as Alternative to Waiting Rooms.

Edmond Ramly, Sandra A Kamnetz, C Elizabeth Perry, Mark A Micek, Brian G Arndt, Jennifer E Lochner, Sarah Davis, Elizabeth R Trowbridge, Maureen A Smith

Abstract read
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Edmond RamlyDepartment of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin Ramly@wisc.edu.
Sandra A KamnetzDepartment of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
C Elizabeth PerryDepartment of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Mark A MicekPrimary Care Academics Transforming Healthcare Collaborative, UW Health, Madison, Wisconsin.
Brian G ArndtPrimary Care Academics Transforming Healthcare Collaborative, UW Health, Madison, Wisconsin.
Jennifer E LochnerDepartment of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Sarah DavisPrimary Care Academics Transforming Healthcare Collaborative, UW Health, Madison, Wisconsin.
Elizabeth R TrowbridgeDepartment of Medicine, Division of General Internal Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Maureen A SmithDepartment of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Adapting Guideline Implementation to Local Environments (AGILE) in Primary Care After Telehealth ExpansionK01HS028926 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI RAMLY, EDMOND · 2022 to 2025
$626k
AHRQ HHS K01 HS028926NCATS NIH HHS UL1 TR002373
6 · The paper itself

Abstract

purposeMost patients are escorted to exam rooms (escorted rooming) although patients directing themselves to their exam room (self-rooming) saves patient and staff time while increasing patient satisfaction. This study assesses patient and staff perceptions after pragmatic implementation of self-rooming.

methodsIn October-December 2020, we surveyed patients and staff in 25 primary care clinics after our institution expanded self-rooming from 4 specially built clinics during the COVID-19 pandemic. Semi-structured surveys asked about rooming process used, rooming process preferred, and perceptions of self-rooming compared with escorted rooming.

resultsMost patients (n = 1,561) preferred self-rooming (86%), especially among patients aged <65 years and in family medicine clinics. Few patients felt less welcomed (10.6%), less cared about (6.8%), more isolated (15.6%), more lost/confused (7.6%), or more frustrated (3.2%) with self-rooming compared with escorted rooming. Early-adopter clinics that implemented self-rooming ≤2016 had even lower rates of patients feeling more isolated, lost/confused, or frustrated with self-rooming compared with escorted rooming.Over one-half of staff (n = 241; 180 clinical, 61 nonclinical) preferred self-rooming (59%) and thought most patients liked self-rooming (65.8%), especially among clinical staff and in early adopter clinics (≤2016). Few staff reported worse waiting times for patients (12.4%), medical assistants (MAs) (15.9%), and clinicians (16.4%) or worse crowding in waiting areas (1.7%) and hallways (10.1%). Unlike patient-reported confusion (7.6%), most staff thought self-rooming led to more patient confusion (63.8%), except in early-adopter clinics (44.4%).

conclusionsSelf-rooming is a patient-centered innovation that is also acceptable to staff. We demonstrated that pragmatic implementation is feasible across primary care without expensive technology or specially designed buildings.

Indexed as

COVID-19Waiting RoomsAmbulatory Care FacilitiesHumansPandemicsPrimary Health Careorganizational innovationpatient-centered careprimary careself-rooming

Identifiers

PMID36690495
PMCPMC9870642

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.