Abstract
OBJECTIVE--To develop a single, short, acceptable, and validated postal questionnaire for assessing patients' experiences of the process and outcome of day surgery. DESIGN--Interviews and review of existing questionnaires; piloting and field testing of draft questionnaires; consistency and validity checks. SETTING--Four hospitals, in Coventry (two), Swindon, and Milton Keynes. PATIENTS--373 patients undergoing day surgery in 1990. MAIN MEASURES--Postoperative symptoms, complications, health and functional status, general satisfaction, and satisfaction with specific aspects of care. RESULTS--Response rates of 50% were obtained on field testing draft questionnaires preoperatively and one week and one month after surgery. 28% of initial non-responders replied on receiving a postal reminder, regardless of whether or not a duplicate questionnaire was sent; a second reminder had little impact. Many patients who expressed overall satisfaction with their care were nevertheless dissatisfied with some specific aspects. Outcome and satisfaction were related to three aspects of case mix; patient's age, sex, and type of operative procedure. The final questionnaire produced as a result of this work included 28 questions with precoded answers plus opportunities to provide qualitative comments. Several factors (only one, shorter questionnaire to complete, fewer categories of nonresponders, and administration locally) suggested that a response rate of at least 65% (with one postal reminder) could be expected. CONCLUSION--A validated questionnaire for day surgery was developed, which will be used to establish a national comparative database.
Full text
PDF




Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Berrill T. H. A year in the life of a surgical day unit. Br Med J. 1972 Nov 11;4(5836):348–349. doi: 10.1136/bmj.4.5836.348. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brash J. H. Outpatient laparoscopic sterilisation. Br Med J. 1976 Jun 5;1(6022):1376–1377. doi: 10.1136/bmj.1.6022.1376. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Carr-Hill R. A. The measurement of patient satisfaction. J Public Health Med. 1992 Sep;14(3):236–249. [PubMed] [Google Scholar]
- Cleary P. D., Greenfield S., McNeil B. J. Assessing quality of life after surgery. Control Clin Trials. 1991 Aug;12(4 Suppl):189S–203S. doi: 10.1016/s0197-2456(05)80023-6. [DOI] [PubMed] [Google Scholar]
- Gabbay J., Francis L. How much day surgery? Delphic predictions. BMJ. 1988 Nov 12;297(6658):1249–1252. doi: 10.1136/bmj.297.6658.1249. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Garraway W. M., Cuthbertson C., Fenwick N., Ruckley C. V., Prescott R. J. Consumer acceptability of day care after operations for hernia or varicose veins. J Epidemiol Community Health. 1978 Sep;32(3):219–221. doi: 10.1136/jech.32.3.219. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hall J. A., Dornan M. C. What patients like about their medical care and how often they are asked: a meta-analysis of the satisfaction literature. Soc Sci Med. 1988;27(9):935–939. doi: 10.1016/0277-9536(88)90284-5. [DOI] [PubMed] [Google Scholar]
- Pineault R., Contandriopoulos A. P., Valois M., Bastian M. L., Lance J. M. Randomized clinical trial of one-day surgery. Patient satisfaction, clinical outcomes, and costs. Med Care. 1985 Feb;23(2):171–182. doi: 10.1097/00005650-198502000-00008. [DOI] [PubMed] [Google Scholar]
- Tarlov A. R., Ware J. E., Jr, Greenfield S., Nelson E. C., Perrin E., Zubkoff M. The Medical Outcomes Study. An application of methods for monitoring the results of medical care. JAMA. 1989 Aug 18;262(7):925–930. doi: 10.1001/jama.262.7.925. [DOI] [PubMed] [Google Scholar]
- Thomas H., Hare M. J. Day case laparoscopic sterilization--time for a rethink? Br J Obstet Gynaecol. 1987 May;94(5):445–448. doi: 10.1111/j.1471-0528.1987.tb03123.x. [DOI] [PubMed] [Google Scholar]
- Towey R. M., Stanford B. J., Ballard R. M., Gilbert J. R. Morbidity of day-case gynaecological surgery. A comparison of thiopentone and Althesin. Br J Anaesth. 1979 May;51(5):453–455. doi: 10.1093/bja/51.5.453. [DOI] [PubMed] [Google Scholar]
- Zigmond A. S., Snaith R. P. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983 Jun;67(6):361–370. doi: 10.1111/j.1600-0447.1983.tb09716.x. [DOI] [PubMed] [Google Scholar]