Abstract
Objectives: An Otolaryngology—Head and Neck Surgery clinic is an integral part of any modern tertiary center outpatient department. The objective of this article is to present our experience in developing a local electronic Makkah Otolaryngology—Head and Neck DATABASE (MO-HND) and provide a roadmap for the development of Otolaryngology—Head and Neck Surgery clinics in other tertiary centers. Methods: This is a prospective audit of all patients attending our clinic over 3 months period (July to September 2014). The data were recorded using our MO-HND. Results: A total of 1178 patients were included. The mean age was 27.7 ± 6.7 years. Participants included 586 males (49.7%) and 592 females (50.3%). There were 1139 (96.6%) Saudi and 39 (3.4%) non-Saudi patients. The specialist clinic undertook most of the workload (66%). The majority of surgery bookings (94%) were carried out through a consultant clinic. Of all participants, 80% were diagnosed with general ENT conditions, 21% underwent a procedure in the clinic, and 29% required further investigations. The surgical conversion rate was 16.3%. Conclusion: Electronic DATABASES have become important tools for improving medical services. Primary and secondary level medical centers and hospitals should increase their role in alleviating pressure from tertiary and quaternary level hospitals. In turn, a model concentrated on subspecialty clinics and services should be developed.
Highlights
An Otolaryngology—Head and Neck Surgery clinic is an integral part of any modern tertiary center outpatient department
The purpose of this report is to present our experience in the development of our local electronic Makkah Otolaryngology—Head and Neck DATABASE (MO-HND) and provide a roadmap for the Otolaryngology—Head and Neck Surgery clinic in tertiary centers
A total of 1178 patients who met our inclusion criteria and presented to the Otolaryngology—Head and Neck Surgery clinic were included in this study
Summary
The distribution of services and activities within such clinics is very much center-dependent. The idea of developing an electronic DATABASE for ENT clinics was initiated by Neumann in 1967 [6]. This idea has evolved along with the development of the medical field and computer systems. There was scant specific literature in the field of otolaryngology specific DATABASES; but they all encouraged further development and pointed to many health related issues that could be improved using such DATABASES (e.g., services planning, clinics allocations, operating time allocation, equipment’s needed, man power planning) [1]-[6]. The purpose of this report is to present our experience in the development of our local electronic Makkah Otolaryngology—Head and Neck DATABASE (MO-HND) and provide a roadmap for the Otolaryngology—Head and Neck Surgery clinic in tertiary centers
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