E-Posters-The Use of Ancillary Services in a Pelvic Floor Disorders (PFD) Clinic and the Influence of Payment Models

The Use of Ancillary Services in a Pelvic Floor Disorders (PFD) Clinic and the Influence of Payment Models - Gabriela E Halder, MD, MPH

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The study aimed to determine the utilization of co-located ancillary services among women with pelvic floor disorders (PFD) and compare the utilization between a bundled care payment model (BCPM) and a fee-for-service model (FFSM). The medical records of women attending an integrated practice for PFD with services like nutrition, social work, physical therapy, psychiatry, and sub-specialty care were reviewed. The diagnoses of PFD were determined by ICD-10 codes. The study found that nearly half of the patients with PFD utilized at least one co-located ancillary service. The utilization of ancillary services did not differ between the payment models. Factors associated with a higher chance of utilizing any ancillary service included increased age and the diagnosis of fecal incontinence, hematuria, mixed incontinence, painful bladder syndrome, and stress urinary incontinence.<br /><br />In terms of specific services, 49.5% of women attended at least one appointment with an ancillary service provider. The utilization rates for specific services were as follows: 7.5% for nutrition, 32.1% for physical therapy, 0.14% for psychiatry, and 13.7% for social work. The study also provided patient demographics and baseline severity measures for PFD.<br /><br />Overall, the study highlights the importance of co-located ancillary services in optimizing care for women with PFD. The findings suggest that payment models do not significantly impact the utilization of these services. Factors such as age and specific PFD diagnoses were found to be associated with higher uptake of ancillary services. These findings can inform the development of care pathways and the provision of ancillary services in PFD clinics.

Keywords

co-located ancillary services

women

pelvic floor disorders

bundled care payment model

fee-for-service model

utilization

age

diagnosis

specific services

care pathways