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Patient expectations for surgery: are they being met?

K R Jones1, R E Burney, B Christy

  • 1School of Nursing, University of Colorado Health Sciences Center, Denver 80262, USA. katherine.jones@uchsc.edu

The Joint Commission Journal on Quality Improvement
|June 7, 2000
PubMed
Summary

Patient expectations for surgery were unmet in 9-27% of cases, particularly after parathyroidectomy. Better preparation for surgery and recovery can reduce unmet expectations.

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Area of Science:

  • Surgical Outcomes Research
  • Patient Experience
  • Health Services Research

Background:

  • Patient expectations significantly influence surgical outcomes and satisfaction.
  • Understanding unmet expectations is crucial for improving patient care and interventions.

Purpose of the Study:

  • To assess patient expectations for elective surgery outcomes.
  • To determine the extent to which expectations were met.
  • To identify reasons for and predictors of unmet expectations.

Main Methods:

  • Longitudinal, prospective study of 445 patients undergoing inguinal hernia repair, parathyroidectomy, or cholecystectomy.
  • Utilized preoperative interviews and mailed surveys 2 months post-surgery.
  • Employed standardized and condition-specific health survey instruments.

Main Results:

  • 9-27% of patients reported unmet expectations, varying by surgical procedure.
  • Reasons for unmet expectations included lack of symptom relief, complications, and process issues.
  • Parathyroidectomy patients had higher rates of unmet expectations; preparation and recovery improved outcomes.

Conclusions:

  • Enhanced patient preparation for surgical procedures and recovery is vital.
  • Targeted interventions are needed, especially for complex conditions like primary hyperparathyroidism.
  • Educational strategies and attention to unstated process measures can reduce unmet expectations.

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