Case scheduling preferences of one Surgeon's cataract surgery patients.
BACKGROUND
The increase in the number of operating rooms nationwide in the United States may reflect preferences of patients for scheduling of outpatient surgery. Yet, little is known of the importance that patients place on scheduling convenience and flexibility.


METHODS
Fifty cataract surgery patients seen by a surgeon at his main office during a 6-mo period responded to a marketing survey. All the patients had Medicare insurance and supplemental insurance permitting surgery at any facility. A telephone questionnaire included four vignettes describing different choices in the scheduling of cataract surgery. Respondents were asked how far they would be willing to travel for one option instead of another. For example, "Your surgery will be on Thursday in three weeks at 2 pm. You can drink water until 9 am. You arrive at 10 am, because your surgery might start early. If you travel farther, you would arrive at 8 am for 9 am surgery."


RESULTS
The median (50th percentile) additional travel time was 60 min (lower 95% confidence bound >or=52 min) for each of four options: to receive care on a day chosen by the patient instead of assigned by the physician, to receive care at a single site instead of both the surgeon's office and a surgery center at a different location, to combine the examination and the surgery into a single visit instead of two visits, and to have surgery in the morning instead of the afternoon.


CONCLUSIONS
The patients of this ophthalmologist placed a high value on convenience and flexibility in scheduling their surgery. In general, this would be achievable only if many operating rooms were available each morning.
Dexter
Franklin
F
Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, IA 52242, USA. Franklin-Dexter@UIowa.edu
Birchansky
Lee
L
Bernstein
James M
JM
Wachtel
Ruth E
RE
D000368:Aged; D000556:Ambulatory Surgical Procedures; D001007:Anxiety / Q000209:etiology / Q000523:psychology; D001071:Appointments and Schedules; D002386:Cataract / Q000503:physiopathology / Q000523:psychology; D002387:Cataract Extraction / Q000523:psychology* / Q000706:statistics & numerical data*; D003625:Data Collection; D005260:Female; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D014187:Transportation of Patients