Park Ju Yeon, Park Soon Ji, Ri Hyun-Su, Choi Eun-Ji, Choi Yun Mi, Yoon Ji-Uk
Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital.
Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Yangsan-si, Gyeongnam, Republic of Korea.
Medicine (Baltimore). 2019 Oct;98(43):e17634. doi: 10.1097/MD.0000000000017634.
The benefits of an anesthesia pre-operative evaluation clinic (APEC) based on outpatients are well described in previous literatures. In the majority of hospitals in South Korea, preoperative anesthetic evaluation for surgical patients is limited to hospitalized patients on the day before surgery. Thus, we would like to share our institutional experience of implementing an APEC based on outpatients and report on the attitudes and satisfaction of the medical staff (surgeons).A 2-page survey was distributed to all specialists and resident physicians involved in surgery at a single university hospital during a 3-month period. A 5-point Likert scale of agreement and an open-ended question examined perceptions of APEC. A total of 123 questionnaires were distributed and 67 surveys were collected over a 3-month period with a 54.5% collection rate. The surgeons' perceptions of APEC are summarized in . It is difficult to state the tendency of surgeons' perception of the clinic, including workload, patient satisfaction, patient safety, necessity, cost-effectiveness, and efficiency through this survey. However, many surgeons chose to comment on suggestions to improve the quality of the APEC through the open-ended question.The surgeons' attitude and satisfaction to anesthetic services including APEC are an important component of achieving quality improvement. Although it is difficult to state the tendency of surgeons' perception of the clinic, including workload, patient satisfaction, patient safety, necessity, cost-effectiveness, and efficiency through this survey, continuous assessment and feedback may improve efficiency of the APEC and affect patient perception as well.
基于门诊患者的麻醉术前评估诊所（APEC）的益处已在先前的文献中得到充分描述。在韩国的大多数医院，外科手术患者的术前麻醉评估仅限于手术前一天的住院患者。因此，我们想分享我们基于门诊患者实施APEC的机构经验，并报告医务人员（外科医生）的态度和满意度。在三个月的时间里，向一所大学医院所有参与手术的专科医生和住院医生发放了一份两页的调查问卷。采用5点李克特同意量表和一个开放式问题来调查对APEC的看法。在三个月的时间里，共发放了123份问卷，收集到67份调查问卷，回收率为54.5%。外科医生对APEC的看法总结如下。通过这项调查，很难说明外科医生对该诊所的看法倾向，包括工作量、患者满意度、患者安全、必要性、成本效益和效率。然而，许多外科医生通过开放式问题选择对改善APEC质量的建议发表意见。外科医生对包括APEC在内的麻醉服务的态度和满意度是实现质量改进的重要组成部分。尽管通过这项调查很难说明外科医生对该诊所的看法倾向，包括工作量、患者满意度、患者安全、必要性、成本效益和效率，但持续评估和反馈可能会提高APEC的效率，并影响患者的看法。
