What is the Patient Experience of Surgical Care During the COVID-19 Pandemic? A Mixed-Methods Study at a Single Institution
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
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Background The COVID-19 outbreak has spread worldwide and has resulted in hospital restrictions The perceived impact of these practices on patients undergoing essential surgeries is less understood Methods Adult (≥18 years) patients who underwent medically-necessary surgical procedures spanning multiple surgical specialties from March 23, 2020 to April 24, 2020 during the COVID-19 pandemic were identified as eligible for a phone survey Survey responses were analyzed using a mixed-methods approach involving descriptive statistics and thematic analysis of coded and annotated survey results Results Of the 212 patients who underwent medically-necessary surgical procedures during the COVID-19 pandemic, the majority of these patients were male (61 3%), White (83 5%), married or with a domestic partner (68 9%), and underwent oncologic procedures (69 3%) Of the 46 (21 7%) patients who completed the survey, the majority of these patients indicated that COVID-19 pandemic restrictions had no impact on their inpatient hospital stay and were satisfied with their decision to proceed with surgery Severity of patient condition (44 4%), the risk/benefit discussion with the surgeon (24 4%), and COVID-19 education and testing (19 5%) were the most important factors in proceeding with surgery during the pandemic;34 4% of patients felt their inpatient postoperative course was negatively impacted by the lack of visitors Conclusion Medically-necessary, time-sensitive surgical procedures, as determined by the surgeon, can be performed during a pandemic with good patient satisfaction provided there is an appropriate discussion between the surgeon and patient about the risks and benefits
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