Authors (including presenting author) :
Li WS(1), Chu HM (1), Cheung WM(1), Liu Sally (2), Lai KY (2), Wan Sambo (3), Man CP (3)
Affiliation :
(1) Anesthesia Department, Pamela Youde Nethersole Eastern Hospital
(2) Department of Occupational Therapy, Pamela Youde Nethersole Eastern Hospital
(3) Department of Physiotherapy, Pamela Youde Nethersole Eastern Hospital
Introduction :
Perioperative Medicine Clinic (POMC) was started in PYNEH since July 2020. It was the first one-stop clinic in HA providing concerted multidisciplinary care from anesthetists, surgeons, perioperative nurses, physiotherapists and occupational therapists. Patient satisfaction, early functional assessment and intervention and outcome improvement are our ultimate goal. After one year service, we would like to review the degree of satisfaction of our patients and their carers.
Objectives :
To survey the degree of satisfaction from patients and relatives towards the service provided by POMC. We would also like explore the room for improvement in our services.
Methodology :
All patients and their accompanying persons attending POMC from May to September 2021 were invited to join the survey after consultations. Consent forms were signed for voluntary participation. The survey was anonymous and in the format of google form. A 6-point Likert scale was used for the responses from strongly disagree to strongly agree. The forms were completed under the assistance of the nursing staff in POMC.
Result & Outcome :
90 patients and 58 of their caregivers participated the survey. The response rate was approaching 77%. Over 98% of the respondents were satisfied or very satisfied towards our POMC services. This figure was better than the Patient Experience Survey performed by HA in 2018 for SOPD in which about 89% of patients were satisfied with the service. Despite seeing multiple disciplines in one single consultation, over 95% of our patients felt the total consultation time was appropriate. Vast majority of them appreciated the thorough explanations by our healthcare team including anesthetists (> 97%), allied health colleagues (>96%) and perioperative nurses (>96%). They also gained a sense of involvement in decision making and strongly felt their concerns were addressed. All participants were satisfied with the attitude of the staff. Rapport was built during consultations which was crucial for the subsequent perioperative management and rehabilitation.
A small proportion of participants expressed their stress after consultation and some of them would like to receive services from dietitian and psychologist in POMC. We would look into these issues in planning future service development.
Conclusion: POMC was a new clinical service in PYNEH operating as a one-stop concerted multidisciplinary clinic. It achieved high satisfaction from our patients and their caretakers when compared to conventional outpatient clinic approach. The impact on outcomes is yet to be investigated but the rapport built has been valuable in enhancing perioperative management. Further areas of services were awaiting to explore.
