Anesthesia
Conditions
Keywords
anesthesia, patient satisfaction, continuity of care
Brief summary
The doctor-patient relationship, medical competence and patient expectations influence patient satisfaction with anesthesia. Preoperatively all patients are routinely assessed by an anesthesiologist. However, in many centers, the anesthesiologist who performs the preoperative evaluation will not necessarily be the anesthesiologist who provides the intraoperative service. This study evaluated the effect of this practice on patient satisfaction, level of confidence and anxiety among adult patients undergoing elective surgery.
Detailed description
Background: The doctor-patient relationship, medical competence and patient expectations influence patient satisfaction with anesthesia. Preoperatively all patients are routinely assessed by an anesthesiologist. However, in many centers, the anesthesiologist who performs the preoperative evaluation will not necessarily be the anesthesiologist who provides the intraoperative service. This study evaluated the effect of this practice on patient satisfaction, level of confidence and anxiety among adult patients undergoing elective surgery. Methods: 100 patients scheduled for elective surgery under general anesthesia were randomly divided into 2 equal groups: In Group A patients were evaluated and anesthetized by the same anesthesiologist. In Group B the preoperative assessment and actual anesthesia was performed by two different anesthesiologists. On the first postoperative day all patients completed a questionnaire designed to evaluate their sense of preoperative security (confidence) and their overall satisfaction with the anesthetic experience.
Interventions
OTHERPre operative evaluation and anesthesia administration by the same anesthesiologist
Pre operative evaluation and anesthesia administration by the same anesthesiologist (instead of two different anesthesiologists, as routinely performed in our medical center)
Sponsors
Meir Medical Center
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Patients scheduled for elective surgery under general anesthesia * Period- 12.2018-03.2019 * ASA score 1 to3 * Hebrew is the patient mother tongue * The patient was pre-operatively evaluated by an anesthesiologist at least one day before surgery * Duration of surgery is more than 1 hour * The anesthesiologist has more than 2 years experience at work
Exclusion criteria
* The patient suffers from severe cognitive decline or severe psychiatric illness * The patient is unable to answer the questionnaire by himself/herself * The patient received pre-operative sedation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Level of patient satisfaction | Post operative day 1 | Level of patient satisfaction from anesthesia management, as described by patient questionnaire, ranked 1-5 (1- very satisfied, 5- not satisfied at all). |
Countries
Israel
Outcome results
None listed