Patient perspectives on postoperative visits after common general operative procedures.

Abstract:

BACKGROUND:Many postoperative concerns after common general operative procedures may be addressed over the phone, thereby saving time and resources for both the patient and surgeon. METHODS:Over a 6-month time period, patients who underwent laparoscopic cholecystectomy, appendectomy for uncomplicated appendicitis, and inguinal or umbilical hernia repair were mailed an anonymous survey. The primary outcome measure was whether or not patients felt their concerns could have been addressed adequately over the phone in place of an office visit. RESULTS:A total of 1,406 surveys were mailed with 339 responses (24%: 174 laparoscopic cholecystectomy, 83 inguinal hernia, 41 appendectomy, and 41 umbilical hernia). One hundred twelve (33%) felt their concerns could have been addressed adequately over the phone without an office visit. Patients who spent less time with their doctor at the appointment favored telephone follow-up (P < .001). Patients undergoing inguinal hernia were less interested in telephone follow-up compared with laparoscopic cholecystectomy (15% vs 41%; P < .001), appendectomy (15% vs 34%; P = .018), and umbilical hernia (15% vs 37%; P = .010). Of 66 patients (20%) with self-reported complications, 44% sought care from a healthcare provider other than their primary surgeon. CONCLUSION:These observations are important for healthcare organizations seeking to maximize surgeon efficiency while improving patient satisfaction.

journal_name

Surgery

journal_title

Surgery

authors

Wright GP,Wolf AM,Ambrosi G,Dull MB,Chung MH

doi

10.1016/j.surg.2013.05.005

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

934-9; discussion 939-40

issue

4

eissn

0039-6060

issn

1532-7361

pii

S0039-6060(13)00250-X

journal_volume

154

pub_type

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