These last two constructs are very difficult to quantify but critical for comparative analysis. The Committee on Pain Management believes that outcomes data offer a unique opportunity for determining efficacy and developing uniform evaluation and treatment protocols so important to evidenced-based medical practice. The last area that needs attention is evaluation of patient satisfaction. Many experts believe that the ultimate validator of the quality of care is monitoring patient satisfaction. Patient satisfaction is often quantified by exit surveys that examine the patient's perception of the communication skills, affective behavior, technical skills, competence and general satisfaction.
Patient satisfaction is probably the most important indicator of a successful pain practice.
The Committee on Pain Management believes that every anesthesiologist who practices pain medicine should consider developing a strategy for monitoring patient outcome. References are available on request from the author. Hugh C. Gilbert, M.D., is Assistant Clinical Professor of Anesthesiology, Northwestern University Medical School, Chicago, Illinois. All rights reserved.