Health literacy and anesthesia: patients’ knowledge of anesthesiologist roles and information desired in the preoperative visit

Garcia‐Marcinkiewicz, Annery; Long, Timothy R.; Danielson, David R.; Rose, Steven H.

doi:10.1016/j.jclinane.2014.01.013

Cited by 34 publications

(50 citation statements)

References 14 publications

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“…We found that 92.9% of the respondents knew that the anaesthesiologist provides anaesthesia as opposed to other studies where the percentage varied between 25.2% and 86% [3,[11][12][13][14][15][16]. This rather higher rate could be explained by a significant number of respondents with high degrees of education (65.2%), but also by a reduced concern of social desirability bias because some respondents were aware that an anaesthesiologist distributed the polls.…”

Section: Discussioncontrasting

confidence: 77%

“…Concerning the decision regarding fasting time, 58.5% of the respondents in our study think that it is the anaesthesiologist's responsibility, compared to 70.8% in a previous study [16]. Garcia-Marcinkiewicz et al (11) found that only 13% consider that the anaesthesiologist is responsible for transfusions, a much lower figure than 36.2 %, as we found in our study. Concerning intraoperative resuscitation, in our study, 46.2% believe that this is done by the team of the anaesthesiologist and surgeon, while Acosta-Martínez et al [13] found that 37.6% of his respondents considered that the surgeon is the one who does the resuscitation, when necessary.…”

Section: Discussioncontrasting

confidence: 77%

“…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%

“…Opposite to other studies [11][12][13][14][15][16][17] where the questionnaire was administered directly, in this study the form was shared randomly, and it was filled anonymously, by people who had or not previously had contact with the surgical, medical staff.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussioncontrasting

confidence: 77%

Section: Discussioncontrasting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The public perception of the anaesthesiologist in Romania: a survey

Onuţu¹,

Rus

Acalovschi

2017

Rom J Anaesth Int Care

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“…(6) eğitim seviyesi yüksek 502 hastada yaptıkları anket çalışması ile %86 oranında anesteziyoloğun uzmanlaşmış bir doktor olduğunun bilinmesine rağmen, görev ve sorumlulukları hakkında yeterli bilgiye sahip olmadıklarını ortaya koymuşlardır. Eğitsel bir kitapçığın bu bilgilendirmeyi sağlamada yeğlenecek bir yöntem olduğunu belirtmişlerdir.…”

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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Health Literacy Among Surgical Patients: A Systematic Review and Meta‐analysis

et al. 2018

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Health literacy is the extent to which patients are able to understand and act upon health information. This concept is important for surgeons as their patients have to comprehend the nature, risks and benefits of surgical procedures, adhere to perioperative instructions, and make complex care decisions about interventions. Our review aimed to determine the prevalence of limited health literacy of the surgical patient population. A search of MEDLINE and EMBASE was performed from inception until January 14th 2017 for experimental and observational studies reporting surgical patients' health literacy measurement. Overall pooled proportion of surgical patients with limited health literacy was calculated using a random-effects model and methodologic quality was assessed. A total of 40 studies representing 18,895 surgical patients were included in our quantitative synthesis. Pooled estimate of limited health literacy was 31.7% (95%CI 24.7-39.2%, I 99.0%). There was low risk of bias among the majority of the 51 studies included in the qualitative synthesis. Statistical heterogeneity could not be fully accounted for by methodologic quality or patient and surgical characteristics. However, some of the heterogeneity was accounted by measurement tool [combined proportions with the REALM and NVS of 35.6 (95%CI 31.5-39.9, I 73.0%)]. A number of different health literacy measurement tools were used (19 overall). Our review demonstrates a high prevalence of limited health literacy among surgical patients with considerable heterogeneity. Our findings suggest the importance of recognizing and addressing surgical patients with limited health literacy and the need for standardization in measurement tools.

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Health literacy and anesthesia: patients’ knowledge of anesthesiologist roles and information desired in the preoperative visit

Cited by 34 publications

References 14 publications

The public perception of the anaesthesiologist in Romania: a survey

The public perception of the anaesthesiologist in Romania: a survey

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

Health Literacy Among Surgical Patients: A Systematic Review and Meta‐analysis

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