Improving appointment availability in the allergy department during the high-demand season

Abstract

Rationale A seasonal increase of allergic rhinitis in our HMO patient population created a shortage of physician appointments in the Allergy Department. Multidisciplinary group appointments were piloted in an effort to improve access and service to this group of patients. Methods Group appointments with a maximum of ten patients were provided twice monthly in May and June and conducted by an allergist, R.N., and L.V.N. Patients were screened with eligibility criteria to exclude co-morbidities. Following a review of the patients' computerized medical records, each received a brief initial physician consultation, skin testing, spirometry (as indicated), and patient education. Education included verbal, videotaped, and written information about allergic rhinitis symptoms, triggers, treatment options, and environmental control. Skin test results were discussed and appropriate allergy medications prescribed. Patients were then surveyed about the effectiveness of the appointment. Results Appointment availability in an HMO setting was improved with group appointments, where multiple members were provided with comprehensive allergy care in the time usually allotted for an individual patient. 90% of patient surveys indicated a high level of satisfaction with group appointments. Conclusions During a high-demand season, group appointments can be an effective alternative in providing improved access and high patient satisfaction for patients with allergic rhinitis and no co-morbidities.