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Parental Satisfaction With Autonomous Pediatric Ambulatory Surgery Units
Rodrigo Poves-Álvarez1, Esther Gómez-Sánchez, Beatriz Martínez-Rafael
1Anaesthesiology and Postoperative Intensive Care Department (Drs Poves-Álvarez, Gómez-Sánchez, Martínez-Rafael, Bartolomé, Alvarez-Fuente, Tamayo, and Gómez-Pesquera) and Research Support Unit (Dr Muñoz-Moreno), Clinic University Hospital, Valladolid, Valladolid, Spain; Biomedicine Research Group in Critical Care, Biocritic, Valladolid, Spain (Drs Poves-Álvarez, Gómez-Sánchez, Martínez-Rafael, Bartolomé, Alvarez-Fuente, Tamayo, and Gómez-Pesquera); and Faculty of Medicine, Valladolid University, Valladolid, Spain (Drs Eiros and Tamayo).
Parents reported higher satisfaction when their children underwent ambulatory surgery in specialized autonomous units compared to standard hospital settings. Improved perioperative information significantly boosted parental satisfaction in pediatric outpatient surgery.
Area of Science:
- Pediatric Surgery
- Health Services Research
- Patient Satisfaction
Background:
- Ambulatory surgery offers numerous benefits for healthy children, including cost reduction and reduced infection risk.
- Parental satisfaction is a critical factor in the success of pediatric outpatient surgery processes.
- Comparing satisfaction levels between different ambulatory surgery settings is essential for optimizing care.
Purpose of the Study:
- To compare parental satisfaction in children undergoing ambulatory surgery in an autonomous major ambulatory surgery unit versus a hospital setting.
- To identify factors influencing parental satisfaction in pediatric outpatient surgery.
Main Methods:
- Prospective observational study of 200 children undergoing outpatient surgery.
- Data collection included patient demographics, surgery type, and location.
- Parental satisfaction assessed via a 15-question telephone survey using Likert scales.
Main Results:
- Overall parental satisfaction was significantly higher in the autonomous major ambulatory surgery unit group (3.54 ± 0.57) compared to the hospital setting (3.28 ± 0.64).
- Key factors influencing satisfaction included treatment in major ambulatory surgery units (OR = 2.16), quality of pre-operative information (OR = 2.03), and discharge information (OR = 2.48).
Conclusions:
- Parents are more satisfied with pediatric ambulatory surgery performed in autonomous units than in traditional hospital settings.
- Enhancing perioperative information is crucial for improving parental satisfaction.
- Developing dedicated autonomous ambulatory surgery units is recommended to improve patient and family experience.
