Patient Satisfaction With Perioperative Anesthetic Care

Study Overview
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Brief Summary
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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
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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.

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

Conditions
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Anesthesia

Intervention / Treatment
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* Other: Pre operative evaluation and anesthesia administration by the same anesthesiologist


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Group A- same anesthesiologist<br>In Group A patients were evaluated preoperatively and anesthetized by the same anesthesiologist. | Other: Pre operative evaluation and anesthesia administration by the same anesthesiologist<br>* Pre operative evaluation and anesthesia administration by the same anesthesiologist (instead of two different anesthesiologists, as routinely performed in our medical center)<br>|
| Group B- different anesthesiologist<br>In Group B the preoperative assessment and actual anesthesia was performed by two different anesthesiologists | |

What is the study measuring?
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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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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anesthesia, patient satisfaction, continuity of care