Patient Satisfaction With Perioperative Anesthetic Care

Patient Satisfaction With Perioperative Anesthetic Care: Is Continuity of Care Crucial?

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.

Study Overview

• Status: Completed
• Conditions: Anesthesia
• Intervention / Treatment: Other: Pre operative evaluation and anesthesia administration by the same anesthesiologist

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.

• Study Type: Observational
• Enrollment (Actual): 100

Contacts and Locations

Study Locations

• Israel
  • Kfar Saba, Israel
    • Meir medical center Kfar Saba

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 70 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients scheduled for elective surgery under general anesthesia between 12.2018 and 03.2019

Description

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

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Group A- same anesthesiologist; In Group A patients were evaluated preoperatively and anesthetized by the same anesthesiologist.	Other: Pre 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)
Group B- different anesthesiologist; In Group B the preoperative assessment and actual anesthesia was performed by two different anesthesiologists

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Level of patient satisfaction	Level of patient satisfaction from anesthesia management, as described by patient questionnaire, ranked 1-5 (1- very satisfied, 5- not satisfied at all).	Post operative day 1

Collaborators and Investigators

• Sponsor: Meir Medical Center

Study record dates

Study Major Dates

• Study Start (Actual): December 1, 2018
• Primary Completion (Actual): March 30, 2019
• Study Completion (Actual): March 30, 2019

Study Registration Dates

• First Submitted: January 27, 2021
• First Submitted That Met QC Criteria: February 1, 2021
• First Posted (Actual): February 2, 2021

Study Record Updates

• Last Update Posted (Actual): February 2, 2021
• Last Update Submitted That Met QC Criteria: February 1, 2021
• Last Verified: February 1, 2021

More Information

Terms related to this study

• Keywords: anesthesia; patient satisfaction; continuity of care
• Additional Relevant MeSH Terms: Physiological Effects of Drugs; Central Nervous System Depressants; Anesthetics
• Other Study ID Numbers: 0226-18-MMC

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No