title: Patient preference and satisfaction with their involvement in the selection of an anesthetic method for surgery.
abstract: This prospective study aimed to evaluate the satisfaction of patients who participated in the decision-making process for selecting an anesthesia method for surgery; the patients' preferred role (active, collaborative or passive) in the decision-making; and the patients' preferred choice of anesthetic method. The study included 257 patients scheduled for simple elective surgeries involving the upper or lower extremities. During the preanesthetic visit, patients were informed regarding two methods of anesthesia for their surgeries, and participated in selecting one option. Of the 257 patients, 69.6% preferred a collaborative role, 18.3% and 12.1% preferred an active and a passive role, respectively. Among patients requiring surgery on an upper extremity and on a lower extremity, 64.3% and 51.3% expressed a preference for general anesthesia over regional anesthesia, respectively. After surgery, the majority of our patients were satisfied (93.4%) and felt respected (97.7%). Furthermore, the patients expressed a change in preference for assuming an active role (49.4%) and a collaborative role (43.6%) in the decision-making process for their future anesthesia needs. This study may help to promote patient centered care in a department of anesthesiology.
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Korea.
authors.forename: Sung Mi
authors.identifier: 0000-0002-3141-544X
authors.initials: SM
authors.lastname: Hwang
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Korea.
authors.forename: Jae Jun
authors.identifier: 0000-0002-5418-500X
authors.initials: JJ
authors.lastname: Lee
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Korea.
authors.forename: Ji Su
authors.identifier: 0000-0001-9534-919X
authors.initials: JS
authors.lastname: Jang
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Korea.
authors.forename: Gi Ho
authors.identifier: 0000-0001-6413-9667
authors.initials: GH
authors.lastname: Gim
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Korea.
authors.forename: Min Chul
authors.identifier: 0000-0002-3217-2179
authors.initials: MC
authors.lastname: Kim
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Korea.
authors.forename: So Young
authors.identifier: 0000-0003-0598-4574
authors.initials: SY
authors.lastname: Lim
mesh_terms: D000328:Adult; D000368:Aged; D000768:Anesthesia, General; D003657:Decision Making; D005121:Extremities / Q000601:surgery; D005260:Female; D006761:Hospitals; D006801:Humans; D008297:Male; D008875:Middle Aged; D005791:Patient Care; D057240:Patient Preference; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011446:Prospective Studies
keywords: Anesthesia; Decision Making; Patient Participation; Patient-Centered Care