Assessment of Patients' Satisfaction with Anesthesia Services and its Associated Factors at A Teaching Hospital in South India: A Cross-Sectional Study
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Abstract
Background: Patient satisfaction is one of the main quality indicators of anesthesia services. Various factors can determine patient satisfaction, such as anesthetist-patient interaction, perioperative anesthetic management, and postoperative follow-up. The aim of this study was to assess patient satisfaction with anesthesia services and its associated factors.
Methods: An Institutional based cross-sectional study was conducted from July 2019 to October 2019 at a teaching hospital in South India. Patients who have undergone surgery by either general or regional anaesthesia were included. For postoperative interview, a structured questionnaire was administered. The satisfaction score was considered to be an outcome variable. Age, gender, ASA status, and type of anesthesia were considered to be explanatory variables.
Results: A total of 462 patients were included in the study. The mean age of the study population was 41.84 (±13.48 SD) years. Males were found to have statistically higher mean satisfaction scores as compared to females. The mean satisfaction score among the patients with combined anesthesia (general anesthesia in addition to regional anesthesia) was significantly higher as compared to patients with GA, CNB, and PNB (p<0.05). There was a significant difference in the degree of satisfaction with induction, intraoperative pain relief, and pain relief in the postoperative period among patients with different types of anesthesia (p<0.05). 39.2% of patients were dissatisfied with the self-introduction of anesthetists, and 17.7% were dissatisfied with anesthetist revisit in postoperative period.
Conclusion: Poor self-introduction of anesthetists, absence of postoperative revisit by the anesthetist, and lack of proper planning for postoperative pain relief contributed a major part to the dissatisfaction.
[2] Bauer M, Böhrer H, Aichele G, Bach A, Martin E. Measuring patient satisfaction with anaesthesia: Perioperative questionnaire versus standardised face-to-face interview. Acta Anaesthesiol Scand. 2001; 45(1):65-72.
[3] Hall JA, Dornan MC. What patients like about their medical care and how often they are asked: A meta-analysis of the satisfaction literature. Soc Sci Med. 1988; 27(9):935-939.
[4] Heidegger T, Nuebling M, Germann R, Borg H, Flückiger K, Coi T, et al. Patient satisfaction with anesthesia care: Information alone does not lead to improvement. Can J Anesth. 2004; 51(8):801-805.
[5] Thiedke CC. What Do We Really Know About Patient Satisfaction. Fam Pract Manag. 2007; 14(1):33-36.
[6] Fung D, Cohen MM. Measuring patient satisfaction with anesthesia care: A review of current methodology. Anesth Analg. 1998; 87(5):1089-1098.
[7] Capuzzo M, Alvisi R. Is it Possible to Measure and Improve Patient Satisfaction with Anesthesia? Anesthesiol Clin. 2008; 26(4):613-626.
[8] Gupta A, Gupta N. Patient’s experiences and satisfaction with preanesthesia services: A prospective audit. J Anaesthesiol Clin Pharmacol. 2011; 27(4):511-515.
[9] Wołowicka L, Trojanowska I, Bartkowska-Sniatkowska A, Buchwald E. Patient satisfaction with anesthesia as a measure of quality of anesthesia care. Folia Med Cracov. 2001; 42(4):219-226.
[10] Baroudi D, Nofal W, Ahmad N. Patient satisfaction in anesthesia: A modified Iowa Satisfaction in Anesthesia Scale. Anesth Essays Res. 2010; 4(2):85.
[11] Barnett SF, Alagar RK, Grocott MP, Giannaris S, Dick JR, Moonesinghe S. Patient-satisfaction measures in anesthesia: qualitative systematic review. Anaesthesiol. 2013;119(2):452-478.
[12] Team R. Studio. Deliver the insights that your stakeholders want with RStudio Connect. [Internet]. RStudio; 2015. [Cited 2021 Dec 20]. Available from: http://www.rstudio.com/
[13] Falco D, Rutledge DN, Elisha S. Patient satisfaction with anesthesia care: What do we know? AANA J. 2017; 85(4):286-292.
[14] Varelmann D, Pancaro C, Cappiello EC, Camann WR. Nocebo induced hyperalgesia during local anesthetic injection. Anesth Analg. 2010; 110:868-870.
[15] Pozdnyakova A, Tung A, Dutton R, Wazir A, Glick DB. Factors Affecting Patient Satisfaction With Their Anesthesiologist: An Analysis of 51,676 Surveys From a Large Multihospital Practice. Anesth Analg. 2019; 129(4):951-959.
[16] Capuzzo M, Landi F, Bassani A, Grassi L, Volta CA, Alvisi R. Emotional and interpersonal factors are most important for patient satisfaction with anaesthesia. Acta Anaesthesiol Scand. 2005; 49(6):735-742.
[17] Cohen. G. Age and health status in a patient satisfaction survey. Soc Sci Med. 1996; 42(1):1085-1093.
[18] Jaipaul CK, Rosenthal GE. Are older patients more satisfied with hospital care than younger patients? J Gen Intern Med. 2003;18(1):23-30.
[19] Woods SE, Heidari Z. The influence of gender on patient satisfaction. J Gender-Specific Med. 2003; 6(4):30-35.
[20] Belay Bizuneh Y, Fitiwi Lema G, Yilkal Fentie D, Woldegerima Berhe Y, Enyew Ashagrie H. Assessment of Patient's Satisfaction and Associated Factors regarding Postoperative Pain Management at the University of Gondar Compressive Specialized Hospital, Northwest Ethiopia. Pain Res Manag. 2020; 2020:8834807.
[21] Heidegger T, Saal D, Nübling M. Patient satisfaction with anaesthesia - Part 1: Satisfaction as part of outcome - And what satisfies patients. Anaesthesia. 2013; 68(11):1165-1172.
[22] Mui WC, Chang CM, Cheng KF, Lee TY, Ng KO, Tsao KR, et al. Development and validation of the questionnaire of satisfaction with perioperative anesthetic care for general and regional anesthesia in taiwanese patients. Anesthesiology. 2011; 114(5):1064-1075.
[23] Soltner C, Giquello JA, Monrigal-Martin C, Beydon L. Continuous care and empathic anaesthesiologist attitude in the preoperative period: Impact on patient anxiety and satisfaction. Br J Anaesth. 2011; 106(5):680-686.
[24] Gebremedhn EG, Nagaratnam V. Assessment of patient satisfaction with the preoperative anesthetic evaluation. Patient Relat Outcome Meas. 2014; 5:105-10.
[25] Vyhunthan G, Aeshana de Silva NG. Audit to evaluate preoperative visit to patient by anaesthetist. Sri Lankan J Anaesthesiol. 2012; 20(2):88–91.
[26] Wong J, Shah U, Wong D. Patient satisfaction and positive patient outcomes in ambulatory anesthesia. Ambul Anesth. 2015; 2:29.
[27] Myles PS, Williams DL, Hendrata M, Anderson H, Weeks AM. Patient satisfaction after anaesthesia and surgery: Results of a prospective survey of 10,811 patients. Br J Anaesth. 2000; 84(1):6-10.
[28] Alsaif A, Alqahtani S, Alanazi F, Alrashed F, Almutairi A. Patient satisfaction and experience with anesthesia: A multicenter survey in Saudi population. Saudi J Anaesth. 2018; 12(2):304-310.
[29] Suresh P, Mukherjee A. Patient satisfaction with regional anaesthesia and general anaesthesia in upper limb surgeries: An open label, cross-sectional, prospective, observational clinical comparative study. Indian J Anaesth. 2021; 65(3):191-196.
[30] Saal D, Hiedgger T, Nuebling M GR. Does post operative visit increase patient satisfaction with anaesthesia care? Br J Anaesth. 2011;107(5):703-709.
[31] Gebremedhn EG, Lemma GF. Patient satisfaction with the perioperative surgical services and associated factors at a university referral and teaching hospital, 2014: A cross-sectional study. Pan Afr Med J. 2017;27.
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| Issue | Vol 8 No 4 (2022): Autumn |
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| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/aacc.v8i4.10174 | |
| Keywords | ||
| Patient Satisfaction Perioperative Care Anesthesia. | ||
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