Canadian Journal of Anaesthesia

, Volume 48, Issue 1, pp 12–19 | Cite as

What do outpatients value most in their anesthesia care?

General Anesthesia

Abstract

Purpose: To determine what outpatients ranked highest in their anesthesia care and whether anesthesiologists could predict that ranking.

Methods: A 36 item mail-back questionnaire was administered post-operatively to 45 surgical outpatients and to 15 expert anesthesiologists. Respondents were asked to rank the three highest items from each of four lists of nine items representing pre-operative, intra-operative, pre-discharge and post-discharge outpatient anesthesia care.

Results: Complete responses were obtained from 30 outpatients and all anesthesiologists.

In each phase of their care (pre-operative, intra-operative, pre-discharge and post-discharge), outpatients ranked highest those elements representing information and communication. Physical conditions of care tend to be least valued. Although anesthesiologists were able to predict what patients valued in the pre and post-discharge phases of their anesthesia care (r=0.85 and 0.91), they undervalued the importance to patients of communication and information in pre-operative and intra-operative care (r=−0.09 and .65).

Conclusions: Our results reinforce the value that patients place in adequate communication and provision of information in all phases of outpatient anesthesia care, a value that may be underappreciated by anesthesiologists.

Résumé

Objectif: Déterminer ce que les patients ambulatoires placent au premier rang des soins anesthésiques et vérifier si les anesthésiologistes peuvent prédire ce choix.

Méthode: Un questionnaire, en 36 points, à retourner par la poste, a été présenté après l’opération à 45 patients ambulatoires et à 15 anesthésiologistes experts. Ils devaient choisir les trois éléments les plus importants de chacune des quatre listes de neuf éléments représentant les soins anesthésiques préopératoires, peropératoires, pré-congé et post-congé.

Résultats: Des réponses complètes ont été obtenues de 30 patients ambulatoires et de tous les anesthésiologistes. Pour chaque étape de leurs soins, les patients ont choisi les éléments qui représentent les informations données et la communication. Les conditions physiques des soins ont reçu des valeurs moindres en général. Même si les anesthésiologistes pouvaient prédire ce que les patients valorisaient dans les soins reçus avant et après le départ de l’hôpital (r=0,85 et 0,91), ils ont sous-évalué l’importance de la communication et des informations des étapes préopératoire et peropératoire (r=−0,09 et 0,65).

Conclusion: Nos résultats renforcent la valeur que les patients placent dans une communication et des informations suffisantes à toutes les étapes des soins anesthésiques ambulatoires, une valeur qui a pu être sous-estimée par les anesthésiologistes.

References

  1. 1.
    Allshouse KD. Treating patients as individuals.In: Gerteis M, Edgman-Levitan S, Daley J, Debanco T (Eds.). Through the Patient’s Eyes, 2nd ed. San Franscisco: Jossey-Bass Publishers, 1993: 19–43.Google Scholar
  2. 2.
    Fung D, Cohen MM. Measuring patient satisfaction with anesthesia care: a review of current methodology. Anesth Analg 1998; 87: 1089–98.PubMedCrossRefGoogle Scholar
  3. 3.
    Ware JE, Snyder MK, Wright WR, Davies AR. Defining and measuring patient satisfaction with medical care. Evaluation and Program Planning 1983; 6: 247–63.PubMedCrossRefGoogle Scholar
  4. 4.
    Meterko M, Rubin H, Ware J, Hays R, Berwick D. Patient judgements of hospital quality questionnaire. Medical Care 1990; 28: S1–44.CrossRefGoogle Scholar
  5. 5.
    Fink A, Kosecoff J, Chassin M, Brook RH. Consensus methods: characteristics and guidelines for use. Am J Public Health 1984; 74: 979–83.PubMedCrossRefGoogle Scholar
  6. 6.
    Lehmann HP, Fleisher LA, Lam J, Frink BA, Bass EB. Patient preferences for early discharge after laparoscopic cholecystectomy. Anesth Analg 1999; 88: 1280–5.PubMedCrossRefGoogle Scholar
  7. 7.
    Macario A, Weinger M, Carney S, Kim A Which clinical anesthesia outcomes are important to avoid? The perspective of patients. Anesth Analg 1999; 89: 652–8.PubMedCrossRefGoogle Scholar
  8. 8.
    Whitty PM, Shaw IH, Goodwin DR. Patient satisfaction with general anaesthesia. Too difficult to measure? Anaesthesia 1996; 51: 327–32.PubMedCrossRefGoogle Scholar
  9. 9.
    Wisiak UV, Krölli W, List W. Communication during the pre-operative visit. Eur J Anaesthesiol 1991; 8: 65–8.PubMedGoogle Scholar
  10. 10.
    Avis M. Choice cuts: an exploratory study of patients’ views about participation in decision-making in a day surgery unit. Int J Nurs Stud 1994; 31: 289–98.PubMedCrossRefGoogle Scholar
  11. 11.
    Meredith P. Patient satisfaction with communication in general surgery: problems of measurement and improvement. Soc Sci Med 1993; 5: 591–602.CrossRefGoogle Scholar
  12. 12.
    Greenhow D, Howitt AJ, Kinnersley P. Patient satisfaction with referral to hospital: relationship to expectations, involvement, information-giving in the consultation. Br J Gen Pract 1998; 48: 911–2.PubMedGoogle Scholar
  13. 13.
    Sixma HJ, Spreeuwenberg PMM, van der Pasch MMA. Patient satisfaction with the general practitioner. A two-level analysis. Medical Care 1998; 36: 212–29.PubMedCrossRefGoogle Scholar
  14. 14.
    Marshall SI, Chung F. Discharge criteria and complications after ambulatory surgery. Anesth Analg 1999; 88: 508–17.PubMedCrossRefGoogle Scholar
  15. 15.
    Myles PS, Hunt JO, Nightingale CE, et al. Development and psychometric testing of a quality of recovery score after general anesthesia and surgery in adults. Anesth Analg 1999; 88: 83–90.PubMedCrossRefGoogle Scholar

Copyright information

© Canadian Anesthesiologists 2001

Authors and Affiliations

  1. 1.From the Department of Health Administration, Faculty of MedicineUniversity of TorontoToronto
  2. 2.the Centre for Research in Women’s Health and the Department of AnesthesiaUniversity of TorontoCanada

Personalised recommendations