Application of proposals for the ambulatory and short-stay major surgery improvement of care

• Main Authors: Javier Cruz Rodríguez, Abraham Dimas Reyes Pérez, Joaquín Zurbano Fernández, María del Carmen Rodríguez Fernández, María Margarita Ríos Cabrera, Jaime Cándido Monteagudo Ramírez
• Format: Article
• Language: Spanish
• Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2021-02-01
• Series: Medisur
• Subjects: atención ambulatoria; procedimientos quirúrgicos ambulatorios; calidad de la atención de salud; satisfacción del paciente; atención médica secundaria; atención primaria de salud.
• Online Access: http://medisur.sld.cu/index.php/medisur/article/view/4575

<p><strong>Background:</strong> difficulties have been evidenced in the coordination between the primary and secondary health levels in the process of caring for patients in major outpatient surgery and short-stay surgery. In answer to this situation, healthcare proposals (a theoretical-healthcare model, a manual for procedural organization and a clinical history model) were designed in previous research stages.<br /><strong>Objective:</strong> to evaluate the satisfaction and quality perceived by patients and relatives with the application of a care model, a procedure manual and a clinical history model for major outpatient surgery and short-stay surgery improvement of care.<br /><strong>Methods:</strong> from January the 4th, 2016 to December the 28th, 2017, a quasi-experimental study was carried out to evaluate the satisfaction and quality perceived by patients with no experience in major outpatient or short-stay surgery and a companion relative in each case. A design was applied with an experimental group and a control group only with post-test for patients and relatives. The experimental groups consisted of 50 patients and 50 relatives respectively and the control groups of 67 patients and 67 relatives. Satisfaction and perceived quality were evaluated using ascending scales from 1 to 5 points.<br /><strong>Results:</strong> more favorable levels of satisfaction and perception of quality were obtained in patients and relatives of the experimental groups.<br /><strong>Conclusions:</strong> the application of the healthcare proposals contributed to the achievement of high levels of satisfaction and perceived quality in the users.</p>