Patient preference for the pre-anesthesia evaluation

Telephone versus in-office assessment

Manuel James Lozada, John T C Nguyen, Amr Abouleish, Donald Prough, Rene Przkora

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Study objective Pre-anesthesia evaluation (PAE) is designed to reduce patient and family anxiety, identify pre-existing health issues, avoid surgical delays, minimize costs, and tailor an anesthetic plan. If PAE requires a clinic visit, patients must take time off work and may incur travel and childcare costs. A telephone-based Preoperative Assessment Clinic can minimize patient inconvenience, while maintaining high-quality patient care and improving efficiency. We assessed patient satisfaction with a telephone PAE and determined whether patients preferred a telephone PAE or a conventional clinic visit. Design Prospective, institutional review board-approved study. Setting University hospital. Patients We conducted an IRB-approved telephone survey of 75 adult, post-operative patients. Interventions Telephone survey. Measurements Patients were asked about their preference for a telephone PAE over an in-person evaluation. Survey questions included assessment of patient satisfaction with their anesthesia evaluation, operation, and anesthetic delivered. Delays and day of surgery cancellations were reviewed. Main results The majority (97%) of patients stated they preferred a telephone PAE. Patient satisfaction was unaffected by driving distance (30 ± 54 mi), ASA physical status or duration of surgery (169 ± 159 min). Even patients who were not satisfied with their anesthetic (N = 5) still preferred the telephone-based PAE. No increase in surgical delays or cancellation was noted. Conclusion The majority of patients in this survey preferred a telephone PAE. Given the large catchment area of our hospital of nine counties, telephone-based interviews add to patient convenience and likely increase compliance with the PAE. Even patients who live in close proximity to our hospital (<5 mi) preferred a telephone assessment. A telephone-based PAE provides high patient satisfaction over a traditional office visit while increasing patient convenience. Larger studies are necessary to ensure that telephone PAEs compare well with in-person examinations.

Original languageEnglish (US)
Pages (from-to)145-148
Number of pages4
JournalJournal of Clinical Anesthesia
Volume31
DOIs
StatePublished - Jun 1 2016

Fingerprint

Patient Preference
Telephone
Anesthesia
Patient Satisfaction
Anesthetics
Research Ethics Committees
Ambulatory Care
County Hospitals
Costs and Cost Analysis
Office Visits
Quality of Health Care
Ambulatory Surgical Procedures
Patient Care
Anxiety

Keywords

  • Patient satisfaction
  • Pre-anesthesia evaluation
  • Surgery cancellation
  • Survey

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Patient preference for the pre-anesthesia evaluation : Telephone versus in-office assessment. / Lozada, Manuel James; Nguyen, John T C; Abouleish, Amr; Prough, Donald; Przkora, Rene.

In: Journal of Clinical Anesthesia, Vol. 31, 01.06.2016, p. 145-148.

Research output: Contribution to journalArticle

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abstract = "Study objective Pre-anesthesia evaluation (PAE) is designed to reduce patient and family anxiety, identify pre-existing health issues, avoid surgical delays, minimize costs, and tailor an anesthetic plan. If PAE requires a clinic visit, patients must take time off work and may incur travel and childcare costs. A telephone-based Preoperative Assessment Clinic can minimize patient inconvenience, while maintaining high-quality patient care and improving efficiency. We assessed patient satisfaction with a telephone PAE and determined whether patients preferred a telephone PAE or a conventional clinic visit. Design Prospective, institutional review board-approved study. Setting University hospital. Patients We conducted an IRB-approved telephone survey of 75 adult, post-operative patients. Interventions Telephone survey. Measurements Patients were asked about their preference for a telephone PAE over an in-person evaluation. Survey questions included assessment of patient satisfaction with their anesthesia evaluation, operation, and anesthetic delivered. Delays and day of surgery cancellations were reviewed. Main results The majority (97{\%}) of patients stated they preferred a telephone PAE. Patient satisfaction was unaffected by driving distance (30 ± 54 mi), ASA physical status or duration of surgery (169 ± 159 min). Even patients who were not satisfied with their anesthetic (N = 5) still preferred the telephone-based PAE. No increase in surgical delays or cancellation was noted. Conclusion The majority of patients in this survey preferred a telephone PAE. Given the large catchment area of our hospital of nine counties, telephone-based interviews add to patient convenience and likely increase compliance with the PAE. Even patients who live in close proximity to our hospital (<5 mi) preferred a telephone assessment. A telephone-based PAE provides high patient satisfaction over a traditional office visit while increasing patient convenience. Larger studies are necessary to ensure that telephone PAEs compare well with in-person examinations.",
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