Transforming Endometriosis Management: Insights from a Six-Year Application of the 4P Approach

Objective To systematically evaluate the effectiveness of the 4P management model (Professionalized management, Personalized care, Pluralistic strategies, and Participatory involvement) in the specialty management of endometriosis, and to explore its impact on disease management effectiveness. Methods A retrospective analysis was conducted using data collected from January 2018 to December 2023, encompassing outpatient and inpatient workload statistics, as well as patient satisfaction surveys. A total of 636 patients who attended the endometriosis specialty clinic between January 2020 and December 2021 were selected as the observation group, while 613 patients from the same period served as the control group. The observation group received standard care integrated with the 4P management approach. In contrast, the control group was treated with traditional standard care alone. Key study indicators included patient follow-up adherence, quality of life assessments, and evaluations of negative emotional status. Results The observation group demonstrated notable enhancements in follow-up adherence, a significant reduction in visual analogue scale/scores (VAS) for pain, and a marked decrease in negative emotional disturbances. Additionally, clinical workload, both outpatient and inpatient, saw considerable growth, with outpatient visits increasing from 574 cases to 2,546 cases and inpatient admissions rising from 432 cases to 997 cases. Patient satisfaction also improved substantially, with outpatient satisfaction rates climbing from 93.2–97.8% and inpatient satisfaction rates growing from 91.8–98.6%. Conclusion The implementation of the 4P management model significantly enhanced patient follow-up adherence, improved quality of life and patient satisfaction, and reduced negative emotional disturbances. This comprehensive approach to managing endometriosis highlights its substantial potential in optimizing specialized care, ensuring consistent and high-quality outcomes. The 4P model offers valuable insights and practical strategies for healthcare institutions seeking to implement innovative and patient-centered management practices in the treatment of endometriosis.