title: Continuous care and empathic anaesthesiologist attitude in the preoperative period: impact on patient anxiety and satisfaction.
abstract: BACKGROUND
  Continuous care (one anaesthesiologist per patient) and anaesthesiologist empathy at the preoperative visit could affect patient anxiety and satisfaction. We tested both unproven issues in a population at increased risk of anxiety and dissatisfaction.
  
  
  METHODS
  In this single-blinded single-centre study, 136 women undergoing gynaecologic day-care surgery were sequentially randomized into four groups: (i) preoperative visit by an anaesthesiologist with either an empathic or a neutral attitude, and (ii) receiving either continuous or divided care (preoperative visit and anaesthesia performed by two different anaesthesiologists). Preoperative anxiety and wish for information were rated before and after the preoperative visit. Patient appraisal of the anaesthesiologist's attitude and the quality of care provided was obtained in the operating theatre.
  
  
  RESULTS
  An empathic attitude at the preoperative visit significantly improved the perception of both the anaesthesiologist attitude (P<0.001) and the quality of information delivered (P<0.001), compared with a neutral anaesthesiologist attitude. Empathic attitude tended to decrease patient anxiety. In the operating theatre, patients who had the same anaesthesiologist (continuous care) exhibited greater satisfaction levels regarding anaesthesiologist behaviour and quality of care (P<0.001). Principal component analysis confirmed these findings, revealing that an empathic preoperative visit was linked to a reduction in preoperative patient anxiety.
  
  
  CONCLUSIONS
  The 'one patient, one anaesthesiologist' model, in addition to ensuring sufficient time for open discussion and questions at the preoperative visit, improved patient satisfaction.
authors.affiliation: Pôle d'Anesthésie Réanimation, Centre Hospitalier Universitaire, Université d'Angers, Angers, France.
authors.forename: C
authors.initials: C
authors.lastname: Soltner
authors.forename: J A
authors.initials: JA
authors.lastname: Giquello
authors.forename: C
authors.initials: C
authors.lastname: Monrigal-Martin
authors.forename: L
authors.initials: L
authors.lastname: Beydon
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000523:psychology; D000776:Anesthesiology / Q000458:organization & administration*; D001007:Anxiety / Q000209:etiology / Q000517:prevention & control*; D003266:Continuity of Patient Care / Q000458:organization & administration*; D004645:Empathy; D005260:Female; D005602:France; D013509:Gynecologic Surgical Procedures / Q000523:psychology; D006801:Humans; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011300:Preoperative Care / Q000379:methods*; D016037:Single-Blind Method; D055815:Young Adult