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      Communication With Patients Before an Operation: Their Preferences on Method of Communication

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          With the constantly evolving communication technologies, it is essential for all healthcare professionals to try utilising various methods in communicating with patients. This will lead to better healthcare outcomes and patient satisfaction.

          Objective

          The aim of the study was to compare a patient’s preference to various communication methods regarding their appointments and to evaluate if we’re giving our patients an appropriate notice period prior to their operation.

          Methods

          A questionnaire was given to 111 patients who underwent elective orthopaedic procedures.

          Results

          Factors like age and gender affect the choice of communication method. Traditional letters still have a role for an older population aged 65 and over. However, younger patients showed higher preference for other communication methods such as phone calls, texts, and e-mails. Gender also had a role in choosing a preference where male patients chose a range of options whilst female patients preferred phone calls. Most patients stated they received an appropriate notice period, with 88% of patients stating they would like to be notified one-two weeks prior to their operation.

          Conclusion

          More research needs to be conducted into using text messages and e-mails in communicating with elective surgical patients, in addition to implementing newer technologies like mobile phone applications and secure online messaging portals, as this has the potential to reshape the communication process with our patients and lead to better health outcomes and patient satisfaction.

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          Most cited references20

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          Use of Mobile Phone Text Message Reminders in Health Care Services: A Narrative Literature Review

          Kati Kannisto, Marita Koivunen, Maritta Välimäki (2014)
          Background Mobile text messages are a widely recognized communication method in societies, as the global penetration of the technology approaches 100% worldwide. Systematic knowledge is still lacking on how the mobile telephone text messaging (short message service, SMS) has been used in health care services. Objective This study aims to review the literature on the use of mobile phone text message reminders in health care. Methods We conducted a systematic literature review of studies on mobile telephone text message reminders. The data sources used were PubMed (MEDLINE), CINAHL, Proquest Databases/ PsycINFO, EMBASE, Cochrane Library, Scopus, and hand searching since 2003. Studies reporting the use of SMS intended to remind patients in health services were included. Given the heterogeneity in the studies, descriptive characteristics, purpose of the study, response rates, description of the intervention, dose and timing, instruments, outcome measures, and outcome data from the studies were synthesized using a narrative approach. Results From 911 initial citations, 60 studies were included in the review. The studies reported a variety of use for SMS. Mobile telephone text message reminders were used as the only intervention in 73% (44/60) of the studies, and in 27% (16/60) of the remaining studies, SMS was connected to another comprehensive health intervention system. SMS reminders were sent to different patient groups: patients with HIV/AIDS (15%, 9/60) and diabetes (13%, 8/60) being the most common groups. The response rates of the studies varied from 22-100%. Typically, the text message reminders were sent daily. The time before the specific intervention to be rendered varied from 10 minutes (eg, medication taken) to 2 weeks (eg, scheduled appointment). A wide range of different evaluation methods and outcomes were used to assess the impact of SMS varying from existing databases (eg, attendance rate based on medical records), questionnaires, and physiological measures. About three quarters of the studies (77%, 46/60) reported improved outcomes: adherence to medication or to treatment reportedly improved in 40% (24/60) of the studies, appointment attendance in 18% (11/60) of the studies, and non-attendance rates decreased in 18% (11/60) of the studies. Other positive impacts were decreased amount of missed medication doses, more positive attitudes towards medication, and reductions in treatment interruptions. Conclusions We can conclude that although SMS reminders are used with different patient groups in health care, SMS is less systematically studied with randomized controlled trial study design. Although the amount of evidence for SMS application recommendations is still limited, having 77% (46/60) of the studies showing improved outcomes may indicate its use in health care settings. However, more well-conducted SMS studies are still needed.
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            E-mail in patient-provider communication: a systematic review.

            Harry Strothers, George Rust, Yvonne Johnson … (2010)
            To review systematically the role of e-mails in patient-provider communication in terms of e-mail content, and perspectives of providers and patients on e-mail communication in health care. A systematic review of studies on e-mail communication between patients and health providers in regular health care published from 2000 to 2008. A total of 24 studies were included in the review. Among these studies, 21 studies examined e-mail communication between patients and providers, and three studies examined the e-mail communication between parents of patients in pediatric primary care and pediatricians. In the content analyses of e-mail messages, topics well represented were medical information exchange, medical condition or update, medication information, and subspecialty evaluation. A number of personal and institutional features were associated with the likelihood of e-mail use between patients and providers. While benefits of e-mails in enhancing communication were recognized by both patients and providers, concerns about confidentiality and security were also expressed. The e-mail is transforming the relationship between patients and providers. The rigorous exploration of pros and cons of electronic interaction in health care settings will help make e-mail communication a more powerful, mutually beneficial health care provision tool. It is important to develop an electronic communication system for the clinical practice that can address a range of concerns. More efforts need to be made to educate patients and providers to appropriately and effectively use e-mail for communication. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.
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              Cancelled elective operations an observational study from a district general hospital

              P. Sanjay, A. Dodds, A. Woodward … (2007)
              Purpose Cancelled operations are a major drain on health resources 8 per cent of scheduled elective operations are cancelled nationally, within 24 hours of surgery. The aim of this study is to define the extent of this problem in one Trust, and suggest strategies to reduce the cancellation rate. Designmethodologyapproach A prospective survey was conducted over a 12month period to identify cancelled day case and inpatient elective operations. A dedicated nurse practitioner was employed for this purpose, ensuring that the reasons for cancellation and the timing in relation to surgery were identified. The reasons for cancellation were grouped into patientrelated reasons, hospital clinical reasons and hospital nonclinical reasons. Findings In total, 13,455 operations were undertaken during the research period and 1,916 14 per cent cancellations were recorded, of which 615 were day cases and 1,301 inpatients 45 per cent n 867 of cancellations were within 24 hours of surgery 51 per cent of cancellations were due to patientrelated reasons 34 per cent were cancelled for nonclinical reasons and 15 per cent for clinical reasons. The common reasons for cancellation were inconvenient appointment 18.5 per cent, list overrunning 16 per cent, the patients thought that they were unfit for surgery 12.2 per cent and emergencies and trauma 9.4 per cent. Practical implications This study demonstrates that 14 per cent of elective operations are cancelled, nearly half of which are within 24 hours of surgery. The cancellation rates could be significantly improved by directing resources to address patientrelated causes and hospital nonclinical causes. Originalityvalue This paper is of value in that it is demonstrated that most cancellations of elective operations are due to patientrelated causes and several changes are suggested to try and limit the impact of these cancellations on elective operating lists.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Cureus
                Journal ID (iso-abbrev): Cureus
                Journal ID (issn): 2168-8184
                Title: Cureus
                Publisher: Cureus (Palo Alto (CA) )
                ISSN (Electronic): 2168-8184
                Publication date (Electronic, pub): 11 November 2020
                Publication date (Electronic, collection): November 2020
                Volume: 12
                Issue: 11
                Electronic Location Identifier: e11431
                Affiliations
                [1 ] Trauma and Orthopaedics, University Hospitals of Derby and Burton NHS Foundation Trust, Burton-on-Trent, GBR
                Author notes
                Article
                DOI: 10.7759/cureus.11431
                PMC ID: 7732730
                SO-VID: 860ce309-78d6-4863-906a-c6893e60ca36
                Copyright © Copyright © 2020, Al Ghunimat et al.
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                Date accepted : 11 November 2020
                Categories
                Subject: Orthopedics
                Subject: Quality Improvement
                Subject: Trauma

                Keywords: communication in healthcare,patients satisfaction,orthopaedics surgery,better outcomes,technology
                Data availability:
                Keywords: communication in healthcare, patients satisfaction, orthopaedics surgery, better outcomes, technology

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