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Parental Satisfaction with Pediatric Day-Care Surgery and its Determinants in a Tertiary Care Hospital
Cenita James Sam1, Pavai A Arunachalam1, Sivamani Manivasagan2
1Department of Pediatric Surgery, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.
Insights
Parental satisfaction with pediatric day-care surgery is generally high, particularly regarding medical and operating room care. However, pain management significantly impacts overall satisfaction, suggesting its inclusion in future assessments.
Area of Science:
- Pediatric Surgery
- Healthcare Quality Assessment
- Patient Satisfaction Studies
Background:
- Pediatric day-care surgery offers a convenient alternative to inpatient procedures.
- Assessing parental satisfaction is crucial for evaluating the quality of pediatric surgical care.
- Understanding determinants of satisfaction can guide service improvements.
Purpose of the Study:
- To evaluate parental satisfaction levels with pediatric day-care surgery.
- To identify key factors influencing parental satisfaction in this setting.
Main Methods:
- A descriptive study was conducted in an Indian tertiary care hospital from June 2013 to March 2015.
- The Core Questionnaire for the Assessment of Patient Satisfaction for General Day Care (COPS-D) was utilized.
- Data included satisfaction scores across eight domains, overall satisfaction, and socio-demographic information from 121 parents.
Main Results:
- High mean satisfaction scores were observed across all eight COPS-D domains, with medical care (4.89) and operating room (4.76) scoring highest.
- Overall satisfaction was good in 88% of cases.
- Lower satisfaction was noted in the information and discharge domains for parents of older children, and when significant pain was experienced.
Conclusions:
- Parental perception of pediatric day-care surgery quality is positive.
- Pain management is a critical factor affecting overall satisfaction.
- Future satisfaction assessments should incorporate surgical variables like pain.
Objective:
The objective is to assess the level of parental satisfaction of pediatric day-care surgery and its different determinants.
Materials And Methods:
This is a descriptive study performed in a tertiary care hospital in India among parents of pediatric day-care surgery patients from June 2013 to March 2015. The core questionnaire for the assessment of patient satisfaction for general day care (COPS-D) was used. Variables related to surgery, overall satisfaction, one open-ended question, and socio-demographic data were also collected. Calculated sample size was 121.
Results:
The mean and standard deviation of parental satisfaction were estimated in eight domains of day care (COPS-D) using Likert scale 1-5. Preadmission visit had a mean of 4.63 (0.52), day of surgery 4.65 (0.58), operating room 4.76 (0.51), nursing care 4.46 (0.79), medical care 4.89 (0.48), information 4.51 (0.68), autonomy 4.64 (0.56), and discharge 4.50 (0.72). In elder children, there was less satisfaction on the information and discharge domains. Overall satisfaction was good in 88% of patients and was less than satisfactory when they had significant pain.
Conclusion:
Perception of quality of pediatric day-care surgery was assessed with a questionnaire and was found to be good. Variables related to surgery such as pain may be included in the questionnaire for assessing satisfaction in the day-care surgery.
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