Gupta Anju, Gupta Nishkarsh
Department of Anesthesia and Intensive Care, LHMC and Associated Hospitals, New Delhi, India.
J Anaesthesiol Clin Pharmacol. 2011 Oct;27(4):511-5. doi: 10.4103/0970-9185.86597.
Patient satisfaction with the medical services is an important indicator of quality of healthcare but is seldom given importance in our country. It is difficult to measure patient satisfaction, especially in pre- and perioperative period.
We conducted this audit by means of a questionnaire designed to assess preanesthetic clinic services in a large government hospital. A total of 200 patients were randomly selected to respond to a multiple item questionnaire.
A database was created and analyzed using Microsoft Excel.
95% patients filled the proforma. Most of the patients (60%) were not aware of the purpose of visit to preanesthetic clinic. Majority of them were attended in time by the doctors but most of them (60%) received fitness after 2 to 3 visits. Majority was not explained about the preanesthesia instructions. Most of them were not satisfied by amenities in hospital. Several studies have shown that a thorough preoperative examination can be as effective as an anxiolytic premedication and can increase quality of care. In our study, location of preanesthetic clinic and unable to get fitness in first visit (because of lack of coordination between doctors of various specialties) were the major hindrances.
Measures should be taken to improve the functioning of preanesthesia clinic and patient satisfaction.
患者对医疗服务的满意度是医疗质量的一项重要指标,但在我国却很少受到重视。衡量患者满意度很困难,尤其是在术前和围手术期。
我们通过一份旨在评估一家大型政府医院麻醉前门诊服务的问卷进行了此次审计。总共随机选择了200名患者来回答一份多项问卷。
使用微软Excel创建并分析了一个数据库。
95%的患者填写了表格。大多数患者(60%)不知道前往麻醉前门诊的目的。他们中的大多数人得到了医生的及时诊治,但大多数人(60%)在就诊两到三次后才获得健康评估。大多数人没有得到关于麻醉前指示的解释。他们中的大多数人对医院的便利设施不满意。几项研究表明,全面的术前检查与术前使用抗焦虑药物一样有效,并且可以提高护理质量。在我们的研究中,麻醉前门诊的位置以及首次就诊时无法获得健康评估(由于各专科医生之间缺乏协调)是主要障碍。
应采取措施改善麻醉前门诊的运作和患者满意度。