title: Can the Iowa Satisfaction with Anesthesia Scale be used to measure patient satisfaction with cataract care under topical local anesthesia and monitored sedation at a community hospital?
abstract: Patient satisfaction ratings provide a means to evaluate and monitor quality of health care. We tested the ability of the Iowa Satisfaction with Anesthesia Scale (ISAS) to measure satisfaction with cataract care under topical local anesthesia and monitored sedation given by an anesthesiologist at a community hospital. Three hundred six patients were administered the ISAS along with alternate ratings of quality of care and patient satisfaction. There were no incomplete questionnaires. The ISAS demonstrated reasonable reliability (Cronbach's alpha = 0.68; test-retest = 0.48-0.67). The ISAS had excellent construct validity; ISAS scores were lower in patients who gave lower ratings of quality (4.98 versus 5.64), who had lower satisfaction visual analog scale scores (5.12 versus 5.65), who wanted changes in their care (4.76 versus 5.67), who had suggestions to improve care (5.08 versus 5.63), or who preferred more sedation (4.85 versus 5.66) (P < 0.0001). Our results indicate that the ISAS questionnaire is a feasible, reliable, and valid tool to measure patient satisfaction in patients undergoing cataract surgery under topical anesthesia and monitored sedation.
authors.affiliation: *North Bay General Hospital, North Bay, and Department of Anesthesia, Faculty of Medicine, University of Toronto, Toronto; †Centre for Research in Women's Health, Sunnybrook & Women's College Health Sciences Centre and the Department of Health Policy, Management & Evaluation, University of Toronto, Toronto; and ‡North Shores District Health Council, North Bay, Ontario, Canada.
authors.forename: Donald
authors.initials: D
authors.lastname: Fung
authors.forename: Marsha
authors.initials: M
authors.lastname: Cohen
authors.forename: Susan
authors.initials: S
authors.lastname: Stewart
authors.forename: Andy
authors.initials: A
authors.lastname: Davies
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000758:Anesthesia; D000772:Anesthesia, Local; D002387:Cataract Extraction; D016292:Procedural Sedation; D005260:Female; D006764:Hospitals, Community; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D010147:Pain Measurement; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires