title: [Descriptive study on the improvement of quality perceived after the introduction of a clinical pathway by patients subjected to bariatric surgery].
abstract: OBJECTIVE
  To evaluate the level of perceived satisfaction in patients undergoing bariatric procedures after implementing a clinical pathway, and to analyse factors related to a high degree of satisfaction.
  
  
  METHODS
  A cohort of patients was invited to fulfil, anonymously and voluntarily, a SERVQHOS survey the day before hospital discharge.
  
  
  RESULTS
  Seventy-one (53 female) out of 103 patients (70%) responded to the questionnaire. A total of 97.3% of patients who completed the survey answered to the questions "as expected" or "above expectations". Most (98.6%) of the patients were "very satisfied" or "satisfied" with the care received, and 97.2% would recommend the hospital to others. Questions better related to overall satisfaction were technology used (P=.008), staff appearance (P=.019), the interest of staff to fulfil a promise (P=.002), and to solve the problems of the patient (P=.021), information provided by the medical staff (P=.039) and waiting time until being seen by the doctor (P=.002). In the multivariate study, only the "personalized care" achieved the category of a predictive variable (r=0.52). Median hospital stay was 3 days, and 76% of patients considered it adequate. The percentage of highest satisfaction was significantly lower in female, singles, unemployed, and those with academic studies.
  
  
  CONCLUSIONS
  Morbid obese patients included in a clinical pathway of bariatric surgery had a good perception with the care received.
authors.affiliation: Sección de Cirugía Gastrointestinal, Hospital Universitario del Mar, Institut de Recerca IMIM-Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Jorge-Cerrudo
authors.forename: J M
authors.initials: JM
authors.lastname: Ramón
authors.forename: A
authors.initials: A
authors.lastname: Goday
authors.forename: S
authors.initials: S
authors.lastname: González
authors.forename: P
authors.initials: P
authors.lastname: Sánchez
authors.forename: D
authors.initials: D
authors.lastname: Benaiges
authors.forename: M
authors.initials: M
authors.lastname: Pera
authors.forename: L
authors.initials: L
authors.lastname: Grande
mesh_terms: D000293:Adolescent; D000328:Adult; D050110:Bariatric Surgery; D015331:Cohort Studies; D019091:Critical Pathways; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000523:psychology / Q000601:surgery; D017060:Patient Satisfaction; D011369:Professional-Patient Relations; D058996:Quality Improvement; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014342:Truth Disclosure; D055815:Young Adult