Background: 'Continuity of personal care by anaesthetist', as defined by a single anaesthetist providing preoperative evaluation, performing anaesthesia, and delivering a postoperative visit to the patient, has been shown to be a major factor for patient satisfaction with anaesthesia care. This prospective randomized study investigated whether a single postoperative visit increased the patient's perception of 'Continuity of personal care by anaesthetist' and hence satisfaction.
Methods: In Group 1, the same anaesthetist who conducted anaesthesia visited the patient on the first postoperative day. In Group 2, a nurse anaesthetist who did not participate in anaesthesia delivery made a postoperative visit to the patient. Patients in Group 3 were not visited. Patients received a previously validated questionnaire after discharge from hospital.
Results: The negative patient response created by the perception of not being visited after operation by the attending anaesthetist was 13.5% (95% CI ± 6.9), 69.2% (95% CI ± 10.3), and 77.1% (95% CI ± 9.1) in Groups 1, 2, and 3, respectively, with 1 vs 2 and 1 vs 3 (P < 0.001) being significantly different. The negative patient response for 'Continuity of personal care by anaesthetist' was 40.0% (95% CI ± 5.3), 48.8% (95% CI ± 5.6), and 55.5% (95% CI ± 5.3) in Groups 1, 2, and 3, respectively, with 1 vs 3 (P < 0.001) being significantly different.
Conclusions: Perception of the anaesthetist and satisfaction with 'Continuity of personal care by anaesthetist' were significantly increased by the introduction of a single postoperative visit by the anaesthetist compared with no visit at all. Overall satisfaction with anaesthesia was unchanged.