Patient satisfaction with preoperative assessment in a preoperative assessment testing clinic

被引:85
作者
Hepner, DL
Bader, AM
Hurwitz, S
Gustafson, M
Tsen, LC
机构
[1] Brigham & Womens Hosp, Dept Anesthesiol & Perioperat & Pain Med, Boston, MA 02115 USA
[2] Harvard Univ, Sch Med, Brigham & Womens Hosp, Ctr Clin Excellence, Boston, MA USA
[3] Harvard Univ, Sch Med, Brigham & Womens Hosp, Dept Surg, Boston, MA USA
[4] Harvard Univ, Sch Med, Brigham & Womens Hosp, Dept Med, Boston, MA USA
[5] Harvard Univ, Sch Med, Brigham & Womens Hosp, Dept Anesthesiol Perioperat & Pain Med, Boston, MA USA
关键词
D O I
10.1213/01.ANE.0000103265.48380.89
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Preoperative Assessment Testing Clinics (PATCs) coordinate preoperative surgical, anesthesia, nursing, and laboratory care. Although such clinics have been noted to lead to efficiencies in perioperative care, patient experience and satisfaction with PATCs has not been evaluated. We distributed a one-page questionnaire consisting of satisfaction with clinical and nonclinical providers to patients presenting to our PATC over three different time periods. Eighteen different questions had five Likert scale options that ranged from excellent (5) to poor (1). We achieved a 71.4% collection rate. The average for the subscale that indicated overall satisfaction was 4.48 +/- 0.67 and the average for the total instrument was 4.46 +/- 0.55. Although the highest scores were given for subscales describing the anesthesia, nurse, and lab, only the anesthesia subscale improved with time (P = 0.007). The subscale that involved information and communication had the highest correlation with the overall satisfaction subscale (r = 0.76; P < 0.0001). The satisfaction with the total duration of the clinic visit(3.71 +/- 1.26) was significantly less (P < 0.0001) than the satisfaction to the other items. The authors conclude that the practitioner and functional aspects of the preoperative visit have a significant impact on patient satisfaction, with information and communication versus the total amount of time spent being the most positive and negative components, respectively.
引用
收藏
页码:1099 / 1105
页数:7
相关论文
共 35 条
[21]   INFORMATION AS A FUNDAMENTAL ATTRIBUTE AMONG OUTPATIENTS ATTENDING THE NUCLEAR-MEDICINE SERVICE OF A UNIVERSITY HOSPITAL [J].
LLEDO, R ;
HERVER, P ;
GARCIA, A ;
GUELL, J ;
SETOAIN, J ;
ASENJO, MA .
NUCLEAR MEDICINE COMMUNICATIONS, 1995, 16 (02) :76-83
[22]   RECOLLECTIONS OF GENERAL-ANESTHESIA - A SURVEY OF ANESTHESIOLOGICAL PRACTICE [J].
MOERMAN, N ;
VANDAM, FSAM ;
OOSTING, J .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1992, 36 (08) :767-771
[23]   Consumer involvement - a vital piece of the quality quilt: the California Healthcare Foundation's strategy for engaging California consumers [J].
Monroe, A .
QUALITY & SAFETY IN HEALTH CARE, 2002, 11 (02) :181-185
[24]  
Pasternak LR, 2002, ANESTHESIOLOGY, V96, P485
[25]   Reporting comparative results from hospital patient surveys [J].
Rogers, G ;
Smith, DP .
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, 1999, 11 (03) :251-259
[26]   The voice of the customer: Is anyone listening? [J].
Scott, G ;
Scott, G .
JOURNAL OF HEALTHCARE MANAGEMENT, 2001, 46 (04) :221-223
[27]   Customer satisfaction: Six strategies for continuous improvement [J].
Scott, G .
JOURNAL OF HEALTHCARE MANAGEMENT, 2001, 46 (02) :82-85
[28]   Patients, nurses, and physicians have differing views of quality of critical care [J].
Shannon, SE ;
Mitchell, PH ;
Cain, KC .
JOURNAL OF NURSING SCHOLARSHIP, 2002, 34 (02) :173-179
[29]   Rapid process redesign in a university-based emergency department: Decreasing waiting time intervals and improving patient satisfaction [J].
Spaite, DW ;
Bartholomeaux, F ;
Guisto, J ;
Lindberg, E ;
Hull, B ;
Eyherabide, A ;
Lanyon, S ;
Criss, EA ;
Valenzuela, TD ;
Conroy, C .
ANNALS OF EMERGENCY MEDICINE, 2002, 39 (02) :168-177
[30]  
Thom DH, 2001, J FAM PRACTICE, V50, P323