A Cross-Sectional Study of Determinants Influencing Hospital Selection for Patients Undergoing Elective General Surgery

Rajani  Ranjan

doi:10.51168/sjhrafrica.v5i12.1488

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

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. In order to maximise service delivery and improve patient satisfaction, healthcare providers must have a thorough understanding of these aspects. Finding and analysing the variables influencing hospital preference for patients receiving elective general surgery is the goal of this study.

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 towards 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.

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.

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.

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.

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.

Chetwynd SJ. Satisfactions and dissatisfactions 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.

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.

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.

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

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.

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.

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

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.

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.

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.

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.

Adiyeke E, Adıyeke L. Factors affecting general or regional anesthesia preference in patients with elective surgery. Med SciDiscov. 2020;7:570-574.