Ten Years Analysis of Parental Counselling-in-Continuum in Paediatric Surgery: Psychosocial and Medico-legal Outcome.

Autor: Khanna SK; Department of Paediatric Surgery, Command Hospital (Western Command), Chandi Mandir, Haryana, India., Khanna N; Department of Paediatric Surgery, Command Hospital (Western Command), Chandi Mandir, Haryana, India., Sharma A; Department of Surgery, Military Hospital, Shimla, Himachal Pradesh, India., Bayad HC; Department of Otorhinolaryngology (ENT), Military Hospital, Shimla, Himachal Pradesh, India., Kishore K; Department of Paediatric Surgery, Army Hospital Research and Referral, New Delhi, India., Tewari VV; Department of Paediatrics, Command Hospital (Western Command), Chandi Mandir, Haryana, India.
Jazyk: angličtina
Zdroj: African journal of paediatric surgery : AJPS [Afr J Paediatr Surg] 2024 Apr 01; Vol. 21 (2), pp. 90-96. Date of Electronic Publication: 2023 Mar 31.
DOI: 10.4103/ajps.ajps_110_22
Abstrakt: Background: Parents are anxious and apprehensive about the health of their children. A standardised, reproducible and meticulous parental counselling is helpful to both the parents and the treating doctors, as well as markedly reduces instances of scrimmage and medico-legal litigations. The aim of this study is to assess the psychosocial and medico-legal outcomes of parental counselling-in-continuum (PCiC) in paediatric surgery.
Materials and Methods: The study was conducted at two government-run Tertiary Healthcare Centres in North India. The study design involves prospective feedback-based study. It included all the admitted paediatric surgery patients. Periodic multisession PCiC was done for each patient by three paediatric surgery teams from 2011 to 2021. At the time of discharge, feedback was taken to assess the psychosocial outcome of PCiC, and the medico-legal outcome was calculated based on the number of litigations.
Results: A total of 22,353 admissions were done in paediatric wards at these institutes. 1574 cases were managed conservatively and 20,779 patients who underwent surgeries were included in the study. 4758 (22.89%) were emergency procedures and 16,021 (77.11%) were elective procedures. Parents rated the counselling efforts excellent in 18,285 (81.80%), good in 3162 (14.14%), satisfactory in 876 (3.91%) and poor in 30 (0.13%) cases with zero medico-legal litigations and 12 incidents of scrimmage.
Conclusions: PCiC, being a novel concept, should form a centerpiece of paediatric surgical management as it maximally enhances the patient satisfaction level and protects the treating paediatric surgical team from scrimmage and medico-legal litigations.
(Copyright © 2023 Copyright: © 2023 African Journal of Paediatric Surgery.)
Databáze: MEDLINE
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