{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T21:18:36Z","timestamp":1776892716594,"version":"3.51.2"},"reference-count":7,"publisher":"Wiley","issue":"12a","license":[{"start":{"date-parts":[[2014,12,1]],"date-time":"2014-12-01T00:00:00Z","timestamp":1417392000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2014,12]]},"abstract":"Abstract<\/jats:title>Patient\u2010initiated follow up (PIFU<\/jats:styled-content>) is an initiative that allows patients to initiate hospital follow\u2010up appointments on an \u2018as required\u2019 basis compared with the traditional \u2018physician\u2010initiated\u2019 model. The main principle is to reduce inappropriate regular follow\u2010up appointments. In this systematic review, we attempt to address its efficacy for outpatient secondary level care. Using Preferred Reporting Items for Systematic Reviews and Meta\u2010analyses guidelines, an electronic literature search was performed independently by two authors using pre\u2010defined search terms across EMBASE<\/jats:styled-content>, O<\/jats:styled-content>vid M<\/jats:styled-content>edLine, P<\/jats:styled-content>ubM<\/jats:styled-content>ed, PSYCINFO<\/jats:styled-content> and the C<\/jats:styled-content>ochrane L<\/jats:styled-content>ibrary databases. Articles were included if they specifically evaluated any aspect of PIFU<\/jats:styled-content>. Studies evaluating non\u2010outpatient\u2010based, primary level\u2010based and nurse\u2010led clinic appointments were excluded. A total of 747 articles was reviewed, and six were finally included for the systematic review. Three studies analysed efficacy of PIFU<\/jats:styled-content> with regards to rheumatological disease and found that there was no deleterious clinical effect and a trend towards increased satisfaction and quality of life including lower costs in the PIFU<\/jats:styled-content> group. Two studies looked at PIFU<\/jats:styled-content> and inflammatory bowel disease and identified some clinical benefit and lower costs and equivalent satisfaction and QoL<\/jats:styled-content> with the PIFU<\/jats:styled-content> group. A further study looked at PIFU<\/jats:styled-content> in stage 1 breast cancer and did not find any significant differences in outcomes. There is evidence to suggest that PIFU<\/jats:styled-content> systems result in fewer overall outpatient appointments in secondary care led services while maintaining equivalent if not better patient satisfaction, quality of life and clinical outcomes across a range of chronic conditions.<\/jats:p>","DOI":"10.1111\/imj.12533","type":"journal-article","created":{"date-parts":[[2014,7,16]],"date-time":"2014-07-16T05:02:56Z","timestamp":1405486976000},"page":"1156-1160","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Efficacy of patient\u2010initiated follow\u2010up clinics in secondary care: a systematic review"],"prefix":"10.1111","volume":"44","author":[{"given":"A.","family":"Taneja","sequence":"first","affiliation":[{"name":"Department of Surgery South Auckland Clinical School University of Auckland Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Su'a","sequence":"additional","affiliation":[{"name":"Department of Surgery South Auckland Clinical School University of Auckland Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. G.","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Surgery South Auckland Clinical School University of Auckland Auckland New Zealand"},{"name":"Department of Surgery Middlemore Hospital Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)06105-0"},{"key":"e_1_2_6_3_1","first-page":"e123","article-title":"Preferred reporting items for systematic reviews and meta\u2010analyses: the PRISMA Statement","volume":"3","author":"Moher D","year":"2009","journal-title":"Open Med"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.576"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38265.493773.8F"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/39.9.990"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta7280"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keg130"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fimj.12533","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.12533","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T16:57:04Z","timestamp":1695574624000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.12533"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12]]},"references-count":7,"journal-issue":{"issue":"12a","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1111\/imj.12533"],"URL":"https:\/\/doi.org\/10.1111\/imj.12533","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"value":"1444-0903","type":"print"},{"value":"1445-5994","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12]]},"assertion":[{"value":"2014-03-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-07-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-12-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}