Does a postoperative visit increase patient satisfaction with anaesthesia care?

Saal, D.; Heidegger, Thomas; Nuebling, Matthias; Germann, R.

doi:10.1093/bja/aer261

Cited by 46 publications

(60 citation statements)

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“…Unfortunately, only about 60% of patients can correctly identify the doctor who conducted anesthesia [11]. The general level of patient satisfaction with anesthesia is high: from 10811 patients, 96.8% were fully satisfied, 2.3% were partially satisfied, only 0.9% were not satisfied [12].…”

Section: The Results and Discussionmentioning

confidence: 99%

Patient Satisfaction - Indicator Anesthesia Assessment

Корячкин

2017

JACCOA

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Submit Manuscript | http://medcraveonline.com rehabilitation, the impact on outcomes, including the likelihood of a lethal outcome [2]. Nevertheless, some authors believe that these indicators do not fully reflect the quality of anesthesia and are surrogate [3].At the end of the last century, the most important provisions for patients were identified, such as the availability of medical care, understandable and in an accessible way informing the patient and his loved ones, respect for the patient's values, his preferences and needs, reducing fear and anxiety in the perioperative period, physical comfort, qualitative analgesia, constant care with the attraction of a relative and close friends [4].The aim of this review is to examine the patient's satisfaction as a criterion of the quality of anesthesia. Material and MethodsThe publications included in the databases MEDLINE, PUBMED, COCHRANE, materials of such organizations as the American Society of Anesthesiologists, American Society of Regional Anesthesia, European Society of Anaesthesiology, Agency for Healthcare Research and Quality, National Guideline satisfaction of patient Clearinghouse. The Results and DiscussionIn recent years, a fundamentally new aspect has begun to be discussed -the patient's view of the medical care provided, taking into considering his views on both the upcoming therapy methods and their results [5]. In regarding these circumstances, arose the term "patient satisfaction". The patient satisfaction after anesthesia -the result, the ratio of expectations and what the patient actually experienced is a very difficult task, because it depends on cultural, socio-demographic, emotional, etc. factors.At present, the assessment of satisfaction is mainly carried based on of the sociological approach, which consists in examining the patients' opinion about medical care by interview. Most questionnaires include such issues as the quality of information provided to the patient, assessment of contact with staff, psychoemotional state (anxiety, anxiety, fear, etc.), quality of care for the patient etc. Detailed information on methods for assessing satisfaction can be found in the article Barnett et al. [6]. Highquality studies of patient satisfaction with anesthesia are rare [7].Very important is the empathic attitude of an anesthesiologist to a patient who wants to feel safe and needs psychological support [8]. Provision in the preoperative period to the patient of exhaustive information about anesthesia, discussion with the patient of the choice of the method are the most important factors affecting the satisfaction with anesthesia. Moreover, it is shown that patients need more information in case of the proposed regional anesthesia, in comparison with general anesthesia [9]. It is shown that most patients prefer a joint non-paternalistic decision making concerning the choice of the method of anesthesia. Moreover, a conversation with several specialists increases the satisfaction of the patient, whereas one conversation with an anesthesiologist on...

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Section: The Results and Discussionmentioning

confidence: 99%

Patient Satisfaction - Indicator Anesthesia Assessment

Корячкин

2017

JACCOA

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“…Yalnızca preoperatif değil postoperatif dönemde de hasta değerlendirmesinin anesteziyoloji farkında-lığını arttırmada önemli olduğu yapılan çalışmalarla gösterilmiştir (9) . Lee ve ark.…”

Section: Discussionunclassified

Evaluation the awareness of anesthesia and effectiveness of preoperative consultation among the patients in our hospital

Şahinkaya¹,

Akpınar²,

Parlak³

et al. 2018

Terh

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Evaluation of the awareness of anesthesia and effectiveness of preoperative interviews among patients consulted to our hospital Halide Hande ŞAHİNKAYA, Vildan AKPINAR, Mine PARLAK, Nagihan DAMAR, Fulya YILMAZ DURAN, Halil YILDIRIM Bozyaka Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, İzmir, Türkiye ÖZ Amaç: Anestezteziyologlar artık yalnızca ameliyathanelerde değil yoğun bakımlar ve ağrı kliniklerinde de görev yapmaktadırlar. Anesteziyolojinin özel uzmanlık gerektiren bir branş olduğu, hatta anesteziyoloğun bir doktor olduğu ne yazık ki birçok birey tarafından bilinmemektedir. Biz bu anket çalışması ile hastanemize başvuran elektif cerrahi planlanmış hastalarda anestezi uygulamaları ve anesteziyoloğun görevleriyle ilgili farkındalığın tespit edilmesi ve ameliyat öncesi anesteziyoloji poliklinik görüşmelerinin bu farkındalığı arttırma yönünde etkinliğinin değerlendirilmesini amaçladık. Yöntem: On sekiz ile 70 yaş arası elektif cerrahi planlanan ve anesteziyoloji polikliniğine başvuran 300 okur-yazar hasta çalışmaya dahil edildi. Yazılı onamları alındıktan sonra anesteziyolog ile görüşme öncesi ve sonrası toplamda 22 soruluk bir anketi doldurmaları istendi. Anket demografik veriler ve anesteziyoloğun görevlerine ait sorulardan oluşan üç bölüm içermekteydi. Sonuçların istatistiksel analizi için Pearson's ki-kare test ve Fisher's exact test kullanıldı. Bulgular: Anesteziyolog ile görüşme sonrası anestezi ve anestezi doktoru ile ilgili sorulara verilen doğru yanıtlarda artış oldu. Anesteziyoloğun uzmanlaşmış bir doktor olduğunun farkındalık oranı %88'e yükseldi. Eğitim seviyesi arttıkça sorulara doğru yanıt verme oranının da arttığı belirlendi. Tüm bunların istatistiksel olarak anlamlı olduğu bulundu (p<0,05). Sonuç: Anestezi farkındalığını arttırmada poliklinik görüşmelerinin etkinliği ortaya konulmuş ve anesteziyolog ile bire bir görüşmenin çok önemli olduğu sonucuna ulaştırmıştır.Anahtar kelimeler: Farkındalık, anestezi, preoperatif değerlendirme, anesteziyolog ABSTRACT Objective: Anesthesiologists are working not only in operating rooms, but also in intensive care units and pain clinics. Unfortunately, many people don't know the anesthesiology as a specialized department of medicine and even the anesthesiologist as a physician. With this survey, we aimed to determine our patients' awareness about anesthesia practice and role of anesthesiologists and also evaluate the effectiveness of preoperative anesthesiology consultations in improving awareness concerning anesthesia Method: A total of 300 literate patients, aged between 18 and 70, scheduled for elective surgery and referred to anesthesiology polyclinic were included in the study. After patients' written approvals were obtained they were asked to complete a 22-item questionnaire form before and after the anesthesiology consultation. The survey had three parts including questions about demographic data and role of anesthesiologists. Results were analysed using Pearson's chi-square, and Fisher's exact tests. Results: Number of correct answ...

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“…It differs from other studies in which the respondents were patients planned for elective surgery [3,6,[10][11][12][13][14][15][16][17]. We tried to obtain a more objective perspective of people's perception looking to a whole heterogeneous sample of the population, as this would give a better image of our reflection.…”

Section: Discussionmentioning

confidence: 99%

The public perception of the anaesthesiologist in Romania: a survey

Onuţu¹,

Rus

Acalovschi

2017

Rom J Anaesth Int Care

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Background. Previous studies have shown that the public perception of anaesthesiologists' duties regarding perioperative management lacks a good understanding. The aim of this study was to assess the public perception of the anaesthesiologist's role before, during and after surgery, in Romania.Method. The prospective cross-sectional study was undertaken between January 2015 and August 2016. A questionnaire that comprised 23 questions was uploaded on Google at https://docs.google.com/ forms/d/1KxC8jSYydhEu3pn0Hr0LHEsuCEQLSEHQqUo_HzrHuw8/viewform. The link was forwarded on-line randomly (mail, social media). The questions were structured based on current literature. Inclusion criteria were people aged >15 years and not directly related to any medical activity. The answers were anonymously registered, in real time, in an Excel format, used later to process the statistics.Results. 1153 people completed the questionnaire, 61% female and 39% male, 80.8% being from the urban area and 19.2% from the countryside. 62.7% were hospitalized in the past, and 49.8% had undergone at least one surgery. From the questioned group 65.2% had graduated university, and 64.3% were aged between 20 and 40 years. A majority of 1089 respondents (94.6%) knew that the anaesthesiologist was responsible for providing anaesthesia in the operating room. 26.6% considered that the surgeon and the anaesthesiologist played different roles in OR, but 54.4% understood that there is a collaboration between them during surgery. Only 36.2% were aware that the anaesthesiologist replaces blood losses and provides patients hemodynamic stability and proper oxygenation during surgery. 54.6% believe that the surgeon decides upon the postoperative pain management and only 32% know the anaesthesiologist is the physician in charge of intensive care patients. 79.5% of respondents are willing to receive from their anaesthesiologist detailed information, regarding anaesthesia and postoperative care, before surgery, and consider that more publicity should be made regarding this profession.Conclusion. The public perception of the anaesthesiologist's role in Romania is inaccurate in spite of the fact that a large group in our study comprised highly educated people living in urban areas. We consider that further strengthening of the anaesthesiologist/patient relationship and an increased media exposure of our specialty would help to improve its social perception.

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Does a postoperative visit increase patient satisfaction with anaesthesia care?

Abstract: Perception of the anaesthetist and satisfaction with 'Continuity of personal care by anaesthetist' were significantly increased by the introduction of a single postoperative visit by the anaesthetist compared with no visit at all. Overall satisfaction with anaesthesia was unchanged.

Cited by 46 publications

References 14 publications

Patient Satisfaction - Indicator Anesthesia Assessment

Patient Satisfaction - Indicator Anesthesia Assessment

Evaluation the awareness of anesthesia and effectiveness of preoperative consultation among the patients in our hospital

The public perception of the anaesthesiologist in Romania: a survey

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