Willingness to pay for one-stop anesthesia in pediatric day surgery

Abstract

BackgroundThis study assesses the parents' Willingness To Pay (WTP) for One Stop Anesthesia (OSA). OSA is part of a free screening procedure that determines the timing of the anesthesiological assessment. In OSA-positive patients, the preoperative assessment is carried out on the same day as the surgery. The OSA allows patients who have to undergo surgery in a pediatric day surgery to avoid accessing the pre-admission clinic.MethodThis is a descriptive cohort study. A sample of 106 parents were interviewed directly by means of a questionnaire. The questionnaire builds a hypothetical scenario where the interviewee has a chance to buy the OSA health service with the WTP. The WTP values are distributed in classes and are contingent to the market built in the questionnaire. The Chi Square and Cramer's V tests evaluate the WTP dependence on the parents' place of origin and occupation.ResultsThe approximate average of the WTP classes is €87.21 per family. The Chi Square test relative to the WTP classes and the places of origin is statistically significant (p < 0.05). The Cramer's V test is 0.347 and points to a positive association between the two demographics. The Cramer's V test of the WTP classes and the types of job is 0.339 and indicates a positive association.ConclusionNearly 90% of pediatric patients who were screened for timing the preoperative assessment are true positives to OSA. This allows doing away with the pre-hospitalization, with definite advantages for the families. This screening is a health service that families would be hypothetically willing to pay.

Guidelines on pediatric day surgery of the Italian Societies of Pediatric Surgery (SICP) and Pediatric Anesthesiology (SARNePI)

“…An assessment is advisable shortly before the procedure. V B [ 141 – 145 ] Lab Tests Routine Lab Tests in healthy patients older than > 1 yr. have a low predictive value I A [ 146 – 151 ] Medical Records A parental anamnestic questionnaire is a good tool before any surgical procedure. IV C [ 152 ] Pre-operative Fasting The administration of clear fluids up to two hours before induction is advised.…”

Analysis of the disease constituent ratio and prognosis of patients undergoing ambulatory surgery in oral and maxillofacial medicine: A monocentric retrospective analysis of 427 patients

“…Their ages ranged between 1 and 68 years old and averaged 23.07 ± 11. Among them, 45 were infants (0-6), 43 were children (7)(8)(9)(10)(11)(12), 23 were adolescents (13-17), 302 were adults (18-45), and 14 were elderly individuals (> 45). According to their chief complaints, 43.55% of the patients selected ambulatory surgery voluntarily, while the other 56.45% selected it after receiving medical advice.…”

“…Compared to conventional surgery that requires multiple visits, one-time ambulatory surgery allows for more comfort and convenience. In particular, it proves effective in cost savings and patient satisfaction in pediatric surgery and other related elds [6][7][8][9][10].…”

Analysis of the disease constituent ratio and prognosis of patients undergoing ambulatory surgery in oral and maxillofacial medicine: a monocentric retrospective analysis of 427 patientsAuthors

“…Their ages ranged between 1 and 68 years old and averaged 23.07 ±11. Among them, 45 were infants (0-6), 43 were children (7)(8)(9)(10)(11)(12), 23 were adolescents (13)(14)(15)(16)(17), 302 were adults (18-45), and 14 were elderly individuals (> 45). According to their chief complaints, 43.55% of the patients selected ambulatory surgery voluntarily, while the other 56.45% selected it after receiving medical advice.…”