Can patient satisfaction with decisions predict compliance with surgery?

Parhiscar, Afshin; Rosenfeld, Richard M.

doi:10.1067/mhn.2002.123445

Cited by 24 publications

(8 citation statements)

References 8 publications

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“…This will clarify all the possible worries of patients and provide better involvement of patients in the decision-making and thus better compliance with the scheduled surgery. [ 36 ]…”

Section: Discussionmentioning

confidence: 99%

Elective surgery cancelation on day of surgery: An endless dilemma

et al. 2016

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Background:Cancelation of surgery is a constant agonizing dilemma for nearly all healthcare services that has been intensively investigated to find out its roots, consequences, and possible solutions. The rates of cancelation of surgery vary between centers and more so among surgical specialties with numerous reasons standing behind this phenomenon.Patients and Methods:In the current study, analysis of monthly cancelation rates from January 2009 to December 2012, and assessment of establishing new operating rooms (ORs) using statistical process control charts was conducted. A detailed review of a total of 1813 cases canceled on the day of surgery from January to December 2012, to examine the various reasons of cancelation among surgical specialties.Results:The average cancelation rate was 11.1%, which dropped to 9.0% after launching of new theaters. Four reasons explained about 80% of cancelations; Patients “no show” was the leading cause of cancelation (27%). One-fourth of cancelations (24.3%) were due to the need for further optimization, and the third most prominent cause of cancelation was a lack of OR time (19.5%). Unavailability of staff/equipment/implants accounted for only 0.7% of cancelations. The no show was the most common cause of cancelation among all surgical specialties ranging from 21% for plastic surgery to 32% in ophthalmic surgeries.Conclusion:It was confirmed that there is a unique profile of cancelation of surgery problem for every institute, an extension of infrastructure may not be the only solution. Control charts helped to enhance the general picture and are functional in monitoring and evaluating changes in the cancelation of surgery.

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“…This will clarify all the possible worries of patients and provide better involvement of patients in the decision-making and thus better compliance with the scheduled surgery. [ 36 ]…”

Section: Discussionmentioning

confidence: 99%

Elective surgery cancelation on day of surgery: An endless dilemma

et al. 2016

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“…Involving patients in these ways can increase satisfaction with treatment decisions during the initial consultation, which is a strong predictor of whether a patient will attend the surgery [23]. In the new pathway, patients participated in planning the date of their surgery and received the actual date of the operation before they left the outpatient clinic.…”

Section: Discussionmentioning

confidence: 99%

A new pathway for elective surgery to reduce cancellation rates

Hovlid

Bukve

Haug

et al. 2012

BMC Health Serv Res

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BackgroundThe cancellation of planned surgeries causes prolonged wait times, harm to patients, and is a waste of scarce resources. To reduce high cancellation rates in a Norwegian general hospital, the pathway for elective surgery was redesigned. The changes included earlier clinical assessment of patients, better planning and documentation systems, and increased involvement of patients in the scheduling of surgeries. This study evaluated the outcomes of this new pathway for elective surgery and explored which factors affected the outcomes.MethodsWe collected the number of planned operations, performed operations, and cancellations per month from the hospital’s patient administrative system. We then used Student's t-test to analyze differences in cancellation rates (CRs) before and after interventions and a u-chart to analyze whether the improvements were sustained. We also conducted semi-structured interviews with employees of the hospital to explore the changes in the surgical pathway and the factors that facilitated these changes.ResultsThe mean CR was reduced from 8.5% to 4.9% (95% CI for mean reduction 2.6-4.5, p < 0.001). The reduction in the CR was sustained over a period of 26 months after the interventions. The median number of operations performed per month increased by 17% (p = 0.04). A clear improvement strategy, involvement of frontline clinicians, introduction of an electronic scheduling system, and engagement of middle managers were important factors for the success of the interventions.ConclusionThe redesign of the old clinical pathway contributed to a sustained reduction in cancellations and an increased number of performed operations.

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“…26,27 Further, hospitals with higher levels of patient satisfaction also have higher ratings of quality from health and care workers, 11 therefore, it would seem that increases in levels of patient satisfaction will benefit staff as well as patients. Despite the recent proliferation of patient satisfaction surveys, reports suggest they have not resulted in the anticipated increased action or quality improvement.…”

Section: Discussionmentioning

confidence: 99%

Assessing patient satisfaction: implications for South Australian public hospitals

Hordacre

Taylor

Pirone

et al. 2005

Aust. Health Review

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This paper reports on the results from 2620 South Australians who participated in the 2003 Patient Evaluation of Hospital Services. Patients were found to be generally satisfied with the care, services and amenities provided, with a statewide overall score of 86.3. Satisfaction was lowest in the patients' assessment of their involvement in their own care and treatment. Three demographic factors (younger age, female sex or tertiary education) predicted lower levels of satisfaction in the multivariate analysis, whereas living with others, non-emergency admission or admission to smaller hospitals were found to predict higher satisfaction. Despite administrative and organisational difficulties, and limited current evidence of increased quality or satisfaction, it is considered important to continue satisfaction research with the goal of encouraging the development of action plans for improvement of care, services and amenities.

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Can patient satisfaction with decisions predict compliance with surgery?

Abstract: Patients who are satisfied with their initial decision to undergo surgery are most likely to comply with planned therapy. Conversely, patients who score <4.0 on the SWD scale may benefit from additional preoperative counseling to increase the likelihood of compliance.

Cited by 24 publications

References 8 publications

Elective surgery cancelation on day of surgery: An endless dilemma

Elective surgery cancelation on day of surgery: An endless dilemma

A new pathway for elective surgery to reduce cancellation rates

Assessing patient satisfaction: implications for South Australian public hospitals

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