Key result
Surgical patients reporting postoperative complications after discharge evaluated their overall quality of care lower than patients with no complications (p=0.0105).
Why the study?
It was unknown whether patient-related factors or postoperative complications are associated with patient-evaluated quality of surgical care.
Are patient-related factors and postoperative complications associated with patient-evaluated quality of care in non-cardiac surgery?
Cross-Sectional (n=378)
No
Are patient-related factors and postoperative complications associated with patient-evaluated quality of care in non-cardiac surgery?
Subjective state of health, living alone, and postoperative complications are associated with lower perceived quality of surgical care.
Answers are grounded in this paper and cite their sources.
Patient factors and complications were associated with lower perceived quality; leaves open whether interventions targeting these improve surgical care.
OBJECTIVE: To study if patient-related factors are associated with patient-evaluated quality of care in surgery. To examine if there is an association with postoperative complications and patient-evaluated low quality of care. DESIGN: A correlation cross-sectional study, in addition, a phone call interview at 30 days postoperatively to examine complications. SETTING: The data on patients admitted for non-cardiac general and orthopaedic surgery at a central hospital in Southwestern Finland were collected in two phases during an 8-month period. PARTICIPANTS: 436 consecutive consenting and eligible in-ward non-cardiac general surgery and orthopaedic surgery adult patients. Ambulatory, paediatric and memory disorder patients were excluded. 378 patients completed the questionnaire (Good Nursing Care Scale for Patients (GNCS-P)). METHODS: Perceived quality of care was examined by the GNCS-P questionnaire. Patient-related factors were obtained from electronic patient records and questionnaire. A telephone interview related to postdischarge complications was conducted 30 days after discharge. MAIN OUTCOME MEASURES: Patient evaluation of quality of care at discharge, its association with patient-related factors and patient-reported postdischarge complications. RESULTS: The overall quality was evaluated high or very high by the patients. The lowest overall quality of care rate was assessed by surgical patients living alone (p=0.0088) and patients who evaluated their state of health moderate or poor (p=0.0047). Surgical patients reporting postoperative complications after discharge evaluated lower overall quality of care (p=0.0105) than patients with no complications. CONCLUSION: Patient demographic factors do not seem to influence the perceptions of the quality of care. Instead, subjective state of health and living conditions (living alone) may have an influence on the patient experience of quality of care. The perceived quality of care in healthcare staff technical and communication skills may have an association with reported postoperative complications.
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Saarinen et al. (2020) conducted a cross-sectional in Non-cardiac general and orthopaedic surgery (n=378). Postoperative complications and patient-related factors (living alone, poor health) vs. No complications, not living alone, good health was evaluated on Patient evaluation of quality of care at discharge and its association with patient-related factors and postdischarge complications (p=0.0105). Surgical patients reporting postoperative complications after discharge evaluated their overall quality of care lower than patients with no complications (p=0.0105).
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