A CROSS-SECTIONAL STUDY OF DETERMINANTS INFLUENCING HOSPITAL SELECTION FOR PATIENTS UNDERGOING ELECTIVE GENERAL SURGERY.

Authors

  • Rajani Ranjan Assistant Professor, Department of Surgery, Lord Buddha Koshi Medical College & Hospital, Baijnathpur, Saharsa, Bihar, India

DOI:

https://doi.org/10.51168/sjhrafrica.v5i12.1488

Keywords:

Elective surgery, Hospital choice, Patient satisfaction, Healthcare quality, General Surgery, Patient decision, Factor Analysis, Patients’ Preference, Surgeon’s reputation

Abstract

Background

For many patients, the decision to have elective surgery can be extremely difficult. A variety of things may influence their choice of hospital. To maximize service delivery and improve patient satisfaction, healthcare providers must have a thorough understanding of these aspects. This study aims to find and analyze the variables influencing hospital preference for patients receiving elective general surgery.

Materials and Methods

200 individuals who were scheduled for elective general surgery took part in this study. Demographics, hospital-related characteristics, factors related to surgeon, hospital accreditation, infrastructure and academia were all evaluated using a standardised questionnaire.

Results

The surgeon's competence (93%), attitude toward patients (90%), and cost-effectiveness (86%) were the most important variables influencing hospital choice. Additionally, significant were knowing the hospital well (73%) and prior repute of the hospital (76%). Patient choices were affected by the hospital's infrastructure (70%) and accreditation (56%).

Conclusion

The three most important factors influencing hospital choice for elective procedures are cost effectiveness, surgeon skill, and patient experience. Hospital amenities and reputation are also very important. By being aware of these elements, hospital managers can increase patient satisfaction and draw in new patients.

Recommendation

High clinical care standards, cost, and improving patient experience through better facilities and communication should be the key priorities of hospital management. It is also crucial to make an effort to establish and preserve a favourable reputation for the institution.

References

Fleming CA, Khan Z, Andrews EJ, Fulton GJ, Redmond HP, Corrigan MA. "Is General Surgery Still Relevant to the Subspecialised Trainee?" A 10-Year Comparison of General Versus Specialty Surgical Practice. World journal of surgery. 2015 Feb 1;39(2):297-302. https://doi.org/10.1007/s00268-014-2890-7

Webber EM, Ronson AR, Gorman LJ, Taber SA, Harris KA. The Future of General Surgery: Evolving to Meet a Changing Practice. Journal of surgical education. 2016 May 1;73(3):496-503.https://doi.org/10.1016/j.jsurg.2015.12.002

Modi CS, Veillette CJH, Gandhi R, Perruccio AV, Rampersaud YR. Factors That Influence the Choice to Undergo Surgery for Shoulder and Elbow Conditions. Clinical Orthopaedics and Related Research. 2014;472(3):883-891. DOI:10.1007/s11999-013-3357-0. https://doi.org/10.1007/s11999-013-3357-0

Elective surgery. (n.d.) McGraw-Hill Concise Dictionary of Modern Medicine. (2002). Retrieved July 25, 2017, from http://medicaldictionary.thefreedictionary.com/elective+surgery

Al-Doghaither AH, Abdelrahman BM, Saeed AW, Magzoub ME. Factors influencing patient choice of hospitals in Riyadh, Saudi Arabia. The Journal of the Royal Society for the Promotion of Health. 2003 Jun;123(2):105-9. https://doi.org/10.1177/146642400312300215

Chetwynd SJ. Satisfaction and dissatisfaction with public and private hospitals. N Z Med J 1988;101:563-6

Mosadeghrad AM. Factors influencing healthcare service quality. International Journal of Health Policy and Management. 2014;3(2):77-89. DOI:10.15171/ijhpm.2014.65. https://doi.org/10.15171/ijhpm.2014.65

Pushkar Dubey, Dr Sudhir Kumar Sharma. Factors Affecting choice of hospital services in Bilaspur City. International Monthly Refereed Journal of Research In Management & Technology. ISSN - 2320-0073.

Marang-van de Mheen PJ, Dijs-Elsinga J, Otten W, et al. The importance of experienced adverse outcomes on patients' future choice of a hospital for surgery QualSaf Health Care 2010;19:e16. https://doi.org/10.1136/qshc.2008.031690

Groot, I. B. de, Otten, W., Dijs-Elsinga, J., Smeets, H. J., Kievit, J., Mheen, P. J. M. de, & Group, for the C.-2 S. (2012). Choosing between Hospitals: The Influence of the Experiences of Other Patients. Medical Decision Making, 32(6), 764-778. https://doi.org/10.1177/0272989X12443416

Bahadori, M, Teymourzadeh E, Ravangard R, Nasiri A, Raadabadi M, Khalil Alimohammadzadeh K. Factors contributing towards patient's choice of a hospital clinic from the patients' and managers' perspective. Electron Physician 8(5): 2378-2387. https://doi.org/10.19082/2378

Aydin MA, Gokcen HB. Factors considered by patients in provider selection for elective specialty surgery: a questionnaire-based survey. International Journal of Surgery. 2019 Sep 1;69:43-8 https://doi.org/10.1016/j.ijsu.2019.07.007

Alokozai A, Crijns TJ, Janssen SJ, Van Der Gronde B, Ring D, Sox-Harris A, Kamal RN. Cost in hand surgery: the patient perspective. The Journal of Hand Surgery. 2019 Nov 1;44(11):992-e1. https://doi.org/10.1016/j.jhsa.2019.01.009

Shinkunas LA, Klipowicz CJ, Carlisle EM. Shared decision making in surgery: a scoping review of patient and surgeon preferences. BMC medical informatics and decision making. 2020 Dec;20:1-4. https://doi.org/10.1186/s12911-020-01211-0

Altaf A, Mortada H, Shawosh M, Nassif M, Alattas A, Abumohssin A, et al. Factors affecting hospital choice for patients undergoing elective general surgery: A cross-sectional study. Int J Surg Med. 2019 https://doi.org/10.5455/ijsm.patient-elective-general-surgery

Braunschmid T, Graf A, Eigenbauer E, Schak G, Sahora K, Baron DM. Prevalence and long-term implications of preoperative anemia in patients undergoing elective general surgery - a retrospective cohort study at a university hospital. Int J Surg. 2023. https://doi.org/10.1097/JS9.0000000000000866

Bühn S, Holstiege J, Pieper D. Are patients willing to accept longer travel times to decrease their risk associated with surgical procedures? A systematic review. BMC Public Health. 2020;20:8333-5. https://doi.org/10.1186/s12889-020-8333-5

Cain BT, Horns J, Huang LC, McCrum M. Socioeconomic disadvantage is associated with greater mortality after high-risk emergency general surgery. J Trauma Acute Care Surg. 2022;92:691-700. https://doi.org/10.1097/TA.0000000000003517

Alsalamah RA, Aljohani EA, Aljasser RI, Alsaud J, Alsherbi R, Albalawi IA, et al. Patient Perceptions and Preferences When Choosing a Surgeon: A CrossSectional Study, Qassim Region, Saudi Arabia. Cureus. 2023;15. https://doi.org/10.7759/cureus.39577

Adiyeke E, Adıyeke L. Factors affecting general or regional anesthesia preference in patients with elective surgery. Med SciDiscov. 2020;7:570-574. https://doi.org/10.36472/msd.v7i7.403

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Published

2024-12-31

How to Cite

Ranjan, R. . (2024). A CROSS-SECTIONAL STUDY OF DETERMINANTS INFLUENCING HOSPITAL SELECTION FOR PATIENTS UNDERGOING ELECTIVE GENERAL SURGERY. Student’s Journal of Health Research Africa, 5(12), 7. https://doi.org/10.51168/sjhrafrica.v5i12.1488

Issue

Section

Section of Anesthesia and Surgery Research