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Patient values regarding overlapping surgery: Identification of distinct patient subgroups.
Langerman, Alexander; Arambula, Alexandra; Bonnet, Kemberlee; Schlundt, David G; Brelsford, Kathleen M.
Afiliación
  • Langerman A; Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, Tennessee, U.S.A.
  • Arambula A; Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, U.S.A.
  • Bonnet K; Department of Psychology, Vanderbilt University, Nashville, Tennessee, U.S.A.
  • Schlundt DG; Department of Otolaryngology, Kansas University Medical Center, Kansas City, Kansas, U.S.A.
  • Brelsford KM; Department of Otolaryngology, Kansas University Medical Center, Kansas City, Kansas, U.S.A.
Laryngoscope ; 130(12): 2779-2784, 2020 12.
Article en En | MEDLINE | ID: mdl-31747057
OBJECTIVES/HYPOTHESIS: To explore patient values associated with their comfort level with surgical trainees and attending surgeon absence from the operating room. STUDY DESIGN: Qualitative interviews with general medical patients. METHODS: We analyzed data from qualitative interviews with patients that included a quantitative rating on a visual analog scale (VAS) of comfort consenting to three surgical scenarios, including overlapping surgery, to identify subgroups of patients based on comfort level. After identifying subgroups, we compared qualitative responses from participants who were generally comfortable with overlapping surgery to those who were uncomfortable to identify themes associated with these perceptions. RESULTS: We identified three subgroups of patients based on the patterns of VAS responses. Participants who were comfortable with overlapping surgery expressed trust in the surgeon and delegation process. Those who were most uncomfortable expressed a strong desire to know who was operating on them, and a desire for control over their surgical process. Subjects uncomfortable with overlapping surgery were also generally not sensitive to tradeoffs (cost, timing). CONCLUSIONS: We identified distinct subgroups of patients based on their comfort level with trainee independence and primary attending availability. By examining the predominant values in these subgroups, we identified potential explanations for patient discomfort with attending absence. Strategies to enhance patients' knowledge about the process of surgery and a sense of control over their own care may improve comfort with trainee participation and overlapping surgery. LEVEL OF EVIDENCE: 6 Laryngoscope, 2019.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Otorrinolaringológicas / Actitud Frente a la Salud / Aceptación de la Atención de Salud / Otorrinolaringólogos Tipo de estudio: Diagnostic_studies / Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Laryngoscope Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Otorrinolaringológicas / Actitud Frente a la Salud / Aceptación de la Atención de Salud / Otorrinolaringólogos Tipo de estudio: Diagnostic_studies / Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Laryngoscope Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos