Knowledge and perceptions of the roles of anesthesiologists as providers of healthcare services: toward better-educated patients.

Autor: Zahran A; Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine., Besharieh F; Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine., Hamdan Y; Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine., Alsadder T; Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine. talsadder@najah.edu.; An-Najah National University Hospital, Nablus, Palestine. talsadder@najah.edu., Jaber M; Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine. m.jaber@najah.edu.; An-Najah National University Hospital, Nablus, Palestine. m.jaber@najah.edu., Shawahna R; Department of Physiology, Pharmacology, and Toxicology, Faculty of Medicine and Health Sciences, An-Najah National University, New Campus, Building: 19, Office: 1340, P.O. Box 7, Nablus, Palestine. ramzi_shawahna@hotmail.com.; Clinical Research Center, An-Najah National University Hospital, Nablus, 44839, Palestine. ramzi_shawahna@hotmail.com.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2024 Dec 18; Vol. 24 (1), pp. 1568. Date of Electronic Publication: 2024 Dec 18.
DOI: 10.1186/s12913-024-12048-y
Abstrakt: Background: In modern healthcare systems, the scope of practice for anesthesiologists is expanding within and beyond the traditional perioperative care continuum. This study was conducted to assess the knowledge and perceptions of perioperative patients of the roles of anesthesiologists as providers of healthcare services in different Palestinian hospitals. The study also assessed associations between the patients' different demographic and clinical variables and their knowledge and perceptions about the roles of anesthesiologists.
Method: This study was conducted using a cross-sectional design and a questionnaire among perioperative patients admitted for elective surgeries in five major public and private hospitals in the Nablus, Tulkarm, Jenin, and Salfit governorates of the West Bank of Palestine. The data were collected between September 2023 and December 2023.
Results: Of the 500 patients invited, 411 patients completed the questionnaire, giving a response rate of 82.2%. The overall knowledge score of the patients about the roles of anesthesiologists was 59.4% (18.8%). The majority of the patients lacked awareness about the roles of anesthesiologists outside the operating room. There was a low positive correlation between the self-rated general health and overall knowledge score (Pearson's r = 0.17, p-value < 0.001). Similarly, knowledge scores were significantly higher for the patients who had a university education (p-value =  < 0.001) and had a degree in one of the medical/health fields (p-value =  < 0.001). On the other hand, the patients who lived in refugee camps (p-value = 0.048), had a blue-collar job (p-value = 0.005), and were scheduled to receive orthopedic surgeries (p-value = 0.035) had significantly lower knowledge scores.
Conclusion: The findings of this study showed that perioperative patients in Palestine had inadequate knowledge about anesthesia and the roles of anesthesiologists, especially outside the operating room. Efforts should be made to improve the knowledge and perception of perioperative patients about anesthesia and the roles of anesthesiologists as providers of healthcare services. These efforts should be tailored to target uneducated patients, who have blue-collar jobs, live in refugee camps, and are scheduled to receive orthopedic surgeries.
Competing Interests: Declarations. Ethics approval and consent to participate: This study was conducted in adherence to the international guidelines and regulations followed in scientific research involving human subjects. Ethical approval was issued by the Institutional Review Board (IRB) of An-Najah National University (approval #: Med. July. 2023/29). In addition, the Office of Health Education of the Palestinian Ministry of Health approved the study in public hospitals. Moreover, additional approvals were obtained from the administrators of the private hospitals. All patients provided written informed consent before they took part in the study. The privacy of the patients and the confidentiality of the data were preserved throughout the study. Consent to publication: Not applicable. Competing interests: The authors declare no competing interests.
(© 2024. The Author(s).)
Databáze: MEDLINE