Abstract
Objective: In relation to the opening of a new facility of our association, a previous health guidance system was reviewed, and a new operation system was introduced. The purpose was to achieve a 100% initial consultation rate for delivering specific health guidance on the same day of the specific health check-ups.
Methods: A new operation system was established where doctors issued health guidance directives during patient consultation. The operating system enabled doctors to classify examinees with specific health guidance while explaining the results of the medical check-ups. Patients who were not covered by a specific health guidance were offered lifestyle improvement guidance aimed at improving lifestyle parameters, such as eating habits, physical activity, smoking cessation, and alcohol reduction. A questionnaire survey was utilized to investigate the satisfaction level of the examinees.
Results: From July 2018 to March 2019, 1,064 people underwent specific health check-ups, and 214 (91.1%) of the 235 examinees received specific health guidance during the initial consultation on the same day. A total of 1,095 people underwent medical check-ups, and 1,003 people were given health guidance (80 specific health guidance and 923 lifestyle improvement guidance). A completion rate of 72.1% for specific health guidance, 56.3% for active support, and 95.8% for motivational support was observed. From the questionnaire survey, we noticed that examinee satisfaction and motivation to improve lifestyle was high, except for those who were recommended lifestyle improvement guidance as they were not expecting any health guidance in the pre-examination questionnaire.
Conclusion: The new operation system improved the rate of delivering specific health guidance during initial consultation.
