{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:16:53Z","timestamp":1787026613539,"version":"build-2736575974"},"reference-count":45,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T00:00:00Z","timestamp":1712102400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The use of multidisciplinary treatment programs in out-of-hospital healthcare is a new area of research. Little is known about the benefits of this method in the management of discharged patients undergoing cervical spondylosis surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to explore the effect of a contracted-based, multidisciplinary follow-up plan in patients after cervical spondylosis surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This non-blinded non-randomized controlled study was conducted with 88 patients (44 in the intervention group, 44 in the control group). The clinical outcomes, including Neck Disability Index (NDI), pain score (VAS), Self-Efficacy for Managing Chronic Disease 6-item Scale (SECD-6), and 12-Item Short-Form Health Survey (SF-12) score were assessed at the time of discharge, 24\u201372\u2009h, 1\u2009month, and 3\u2009months post-discharge. The complications, patient satisfaction, and economic indicators were assessed at the final follow-up (3\u2009months).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients who received contracted follow-up showed greater improvement in neck dysfunction at 24\u201372\u2009h, 1\u2009month, and 3\u2009months after discharge compared to those who received routine follow-up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). At 1\u2009month after discharge, the intervention group exhibited better self-efficacy (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) and quality of life (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001) than the control group, and these improvements lasted for 3\u2009months. The intervention group reported lower pain scores at 24\u201372\u2009h and 1\u2009month (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.026) compared to the control group. The incidence of complications was significantly lower in the intervention group (11.4%) compared to the control group (40.9%). The total satisfaction score was significant difference between the two groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). Additionally, the intervention group had lower direct medical costs (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001), direct non-medical costs (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.035), and total costs (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04) compared to the control group. However, there was no statistically significant difference in indirect costs between the two groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.59).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A multidisciplinary contract follow-up plan has significant advantages regarding neck disability, self-efficacy, quality of life, postoperative complications, patient satisfaction, and direct costs compared with routine follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2024.1354483","type":"journal-article","created":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T06:47:20Z","timestamp":1712126840000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Assessing multidisciplinary follow-up pattern efficiency and cost in 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