Abstract

BackgroundTo assess the importance of different information pathways for patients undergoing elective ENT surgery (General Practitioner, Specialist consultation, pre assessment clinic and consent process as well as printed information material and non medical sources) and to correlate their relative importance with patient and doctor factorsMethods – PatientsCross – sectional questionnaire survey226 consecutive patients undergoing elective non-oncological otolaryngology procedures at a District General Hospital between May and August 2004ResultsOverall patients were moderately satisfied with the information they received prior to surgery (score 63/100). Although they were generally satisfied with the quality of information they received at their outpatient consultation and at the preadmission clinic, they were less satisfied with the quality of information provided by their GPs and by the quality of self – obtained information. Most importantly, linear regression modeling showed that the overall level of information could be predicted by three factors: The quality of written information received at the hospital, the quality of self-obtained information and the information provided by the specialist at the time of listing for surgery. While patient's education level was correlated with the information process, the age and gender of the patient as well as the grade of the doctor at the outpatients were not associated with his overall levels of satisfaction.ConclusionAlthough the impact of the initial outpatient consultation for patients undergoing elective surgery can not be over emphasized, written information provided at the hospital as well as patient – initiated, parallel information pathways are at least as important: It is our duty to recognize them and use them for the patient's advantage.

Highlights

  • To assess the importance of different information pathways for patients undergoing elective ENT surgery (General Practitioner, Specialist consultation, pre assessment clinic and consent process as well as printed information material and non medical sources) and to correlate their relative importance with patient and doctor factors

  • Conclusion: the impact of the initial outpatient consultation for patients undergoing elective surgery can not be over emphasized, written information provided at the hospital as well as patient – initiated, parallel information pathways are at least as important: It is our duty to recognize them and use them for the patient's advantage

  • Aim of study To assess the importance of different information pathways for patients undergoing elective ENT surgery (GP visit, outpatient consultation, pre assessment clinic and consent process as well as printed information material and non medical sources) and to correlate their relative importance with patient and doctor factors

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Summary

Introduction

To assess the importance of different information pathways for patients undergoing elective ENT surgery (General Practitioner, Specialist consultation, pre assessment clinic and consent process as well as printed information material and non medical sources) and to correlate their relative importance with patient and doctor factors. The acquisition of medical information before undergoing an operation is a complex process: It is increasingly recognised that the patient plays an active role rather than just passively accepts doctors' advice [1,2] and that preoperative information and preparedness with surgery may correlate with a successful surgical outcome [3] Increasingly, non medical sources of information such as the internet, are being utilized by patients [4]. In this era of increased patient expectations the medical profession is (page number not for citation purposes). We set up a survey to evaluate these factors and their interaction and to assess from a patients perspective, the role and quality of each information source

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