Perception about the anesthesiologist-patient relationship assessed during the post-operative of ASA I and II patients at level III and IV institutions (RAP-2 trial) in Cali, Colombia
Abstract
Background: The preoperative visit is often the time to establish the anesthesiologist-patient relationship (APR). Frequently patients remember their surgeon but fail to remember who their anesthesiologist was and his/her key role in perioperative care. Using an opinion survey, the aim of this study was to analyze the current perception of outpatients (ASA I and II) about the APR during the immediate postoperative period.
Design:Descriptive cross-sectional multicenter trial including four healthcare institutions between August 2011 and May 2012.
Methods: 340 surveys were administered to ASA I and II adult subjects scheduled for outpatient surgery, with Aldrette recovery score of 10 prior to discharge.
Results:Only 74.1% of the people acknowledged their anesthesiologist as a specialized physician. 21.2% were unaware of the professional training required to become an anesthesiologist and 99% of the patients said that it was gratifying to have the doctor who did the preoperative evaluation in the OR; however this only occurred in 35% of the cases.
Conclusions:Notwithstanding the high level of outpatient satisfaction with their anesthetic care, some strategies are required to strengthen their perception about the specialty. The APR should not be limited to a preoperative evaluation for the surgical procedure, but should be more comprehensive. There is a need to establish closer links with the community to create awareness about the role of the anesthesiologist and his/her outstanding contribution to the patient's care and safety.
References
2. Wetchler VB. They don't know who we are. American Society of Anesthesiologists Newsletter. 1994;58:2-4.
3. Bauer M, Bohrer H, Aichele G, Bach A, Martin E. Measuring patient satisfaction with anaesthesia: Perioperative questionnaire versus standardized face-to-face interview. Acta Anaesthesiol Scand. 2001;45:65-72.
4. De Oliveira KF, Clivatti J, Munechika M, Falcao LF. What do patients know about the work of anesthesiologists? Rev Bras Anestesiol. 2011;61:720-7.
5. Hool A, Smith AF. Communication between anaesthesiologists and patients: How are we doing it now and how can we improve? Curr Opin Anaesthesiol. 2009;22:431-5.
6. Hariharan S, Merritt-Charles L, Chen D. Patient perception of the role of anesthesiologists: A perspective from the Caribbean. J Clin Anesth. 2006;18:504-9.
7. Pachón M. Relación anestesiólogo-paciente. Rev Colomb Anestesiol. 1991;19:561-78.
8. Fung D, Cohen MM. Measuring patient satisfaction with anesthesia care: A review of current methodology. Anesth Analg. 1998;87:1089-98.
9. Auquier P, Pernoud N, Bruder N, Simeoni MC, Auffray JP, Colavolpe C, et al. Development and validation of a perioperative satisfaction questionnaire. Anesthesiology. 2005;102:1116-23.
10. Caljouw MA, van Beuzekom M, Boer F. Patient's satisfaction with perioperative care: Development, validation, and application of a questionnaire. Br J Anaesth. 2008;100:637-44.
11. Chanthong P, Abrishami A, Wong J, Herrera F, Chung F Systematic review of questionnaires measuring patient satisfaction in ambulatory anesthesia. Anesthesiology. 2009;110:1061-7.
12. Sheffer MB, Greifenstein FE. The emotional responses of patients of surgery and anesthesia. Anesthesiology. 1960;21:502-7.
13. Zvara DA, Nelson JM, Brooker RF, Mathes DD, Petrozza PH, Anderson MT, et al. The importance of the postoperative anesthetic visit: Do repeated visits improve patient satisfaction or physician recognition? Anesth Analg. 1996;83:793-7.
14. Capuzzo M, Gilli G, Paparella L, Gritti G, Gambi D, Bianconi M, et al. Factors predictive of patient satisfaction with anesthesia. Anesth Analg. 2007;105:435-42.
15. Myles PS, Williams DL, Hendrata M, Anderson H, Weeks AM, et al. Patient satisfaction after anaesthesia and surgery: Results of a prospective survey of 10,811 patients. Br J Anaesth. 2000;84:6-10.
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