title: Patient satisfaction with preoperative assessment in a preoperative assessment testing clinic.
abstract: Preoperative Assessment Testing Clinics (PATCs) coordinate preoperative surgical, anesthesia, nursing, and laboratory care. Although such clinics have been noted to lead to efficiencies in perioperative care, patient experience and satisfaction with PATCs has not been evaluated. We distributed a one-page questionnaire consisting of satisfaction with clinical and nonclinical providers to patients presenting to our PATC over three different time periods. Eighteen different questions had five Likert scale options that ranged from excellent (5) to poor (1). We achieved a 71.4% collection rate. The average for the subscale that indicated overall satisfaction was 4.48 +/- 0.67 and the average for the total instrument was 4.46 +/- 0.55. Although the highest scores were given for subscales describing the anesthesia, nurse, and lab, only the anesthesia subscale improved with time (P = 0.007). The subscale that involved information and communication had the highest correlation with the overall satisfaction subscale (r = 0.76; P < 0.0001). The satisfaction with the total duration of the clinic visit (3.71 +/- 1.26) was significantly less (P < 0.0001) than the satisfaction to the other items. The authors conclude that the practitioner and functional aspects of the preoperative visit have a significant impact on patient satisfaction, with information and communication versus the total amount of time spent being the most positive and negative components, respectively.
  
  
  CONCLUSIONS
  Patient satisfaction can serve as an important indicator of the quality of preoperative care delivered in Preoperative Assessment Testing Clinics (PATC). Information and communication, both from clinical and nonclinical service providers, remain the most important positive components, and the total duration of the clinic visit represents the most negative component, of patient satisfaction in a PATC.
authors.affiliation: Departments of *Anesthesiology, Perioperative and Pain Medicine, †Medicine, and ‡Surgery, and the §Center for Clinical Excellence, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
authors.forename: David L
authors.initials: DL
authors.lastname: Hepner
authors.forename: Angela M
authors.initials: AM
authors.lastname: Bader
authors.forename: Shelley
authors.initials: S
authors.lastname: Hurwitz
authors.forename: Michael
authors.initials: M
authors.lastname: Gustafson
authors.forename: Lawrence C
authors.initials: LC
authors.lastname: Tsen
mesh_terms: D000758:Anesthesia; D003625:Data Collection; D006801:Humans; D007755:Laboratories, Hospital; D009723:Nurse-Patient Relations; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011300:Preoperative Care; D011785:Quality Assurance, Health Care; D011795:Surveys and Questionnaires