An innovative outpatient monitor service for gynecological patients in the United Kingdom: Case study evaluation of clinical effectiveness, economic outcomes, patient safety, and service improvement

Background Failure to attend appointments places a huge strain on health care systems around the world, resulting in poorer for patients, waste of staff time and increased waiting times. This study looked at impact an Outpatient-Monitor-Service (OMS) clinical, economic, patient safety service improvement outcomes gynaecology patients compared with as usual (with no access OMS). Methods We conducted retrospective match-pair controlled London-based hospital. The cohort included adult women who received either (i) gynecological, (ii) hysteroscopy or (iii) vulval procedures. A cost-consequences analysis intervention (who OMS) control (historical cases did not receive OMS. Main outcome measures were clinical-effectiveness, NHS-cost, safety, improvement. Results had positive impacts spanning areas showed cost saving results healthcare terms reduced follow-up consultations did-not-attend occurrences. Conclusions OMS offered by Message Dynamics appears be successful digital technology monitor gynecological patients' conditions inform clinical decision making via remote channels, which is particularly relevant coronavirus disease pandemic.