Patient Perceptions on Barriers and Facilitators to Accessing Low-acuity Surgery During COVID-19 Pandemic

Autor: Sophia Hernandez, Tasce Bongiovanni, Sandhya B. Kumar, Ogonna N. Nnamani Silva, Elizabeth C. Wick, Christopher Johnson, Laura E. Wong, Hope Schwartz, Jeanette M. Broering, Deborah B. Martins, Sanziana A. Roman, Anya L. Greenberg
Rok vydání: 2020
Předmět:
Patient experience
Male
Infectious Disease Transmission
8.1 Organisation and delivery of services
Surgery Department
Health Services Accessibility
Infectious Disease Transmission
Professional-to-Patient
ZSFG
Zuckerberg San Francisco General
Delayed Procedures
0302 clinical medicine
Surveys and Questionnaires
Pandemic
Medicine
COVID-19
Coronavirus disease 2019
Uncertainty
Fear
Middle Aged
Elective Surgical Procedures
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Female
Medical emergency
Patient Safety
PPE
personal protective equipment
Health and social care services research
Patient Perceptions
Adult
Coronavirus disease 2019 (COVID-19)
Professional-to-Patient
Clinical Sciences
Patient perceptions
Article
Patient Experience
03 medical and health sciences
Patient safety
Hospital
Appointments and Schedules
Patient Education as Topic
Plastic Surgical Procedures
Clinical Research
Humans
UCSF
University of California
San Francisco
Pandemics
Infection Control
Delayed procedures
business.industry
Postponement
Stressor
COVID-19
Timeline
medicine.disease
Good Health and Well Being
Cross-Sectional Studies
Surgery
Generic health relevance
business
Surgery Department
Hospital
Zdroj: Journal of Surgical Research
The Journal of Surgical Research
ISSN: 1095-8673
Popis: Background The onset of the COVID-19 pandemic led to the postponement of low-acuity surgical procedures in an effort to conserve resources and ensure patient safety. This study aimed to characterize patient-reported concerns about undergoing surgical procedures during the pandemic. Methods We administered a cross-sectional survey to patients who had their general and plastic surgical procedures postponed at the onset of the pandemic, asking about barriers to accessing surgical care. Questions addressed dependent care, transportation, employment and insurance status, as well as perceptions of and concerns about COVID-19. Mixed methods and inductive thematic analyses were conducted. Results One hundred thirty-five patients were interviewed. We identified the following patient concerns: contracting COVID-19 in the hospital (46%), being alone during hospitalization (40%), facing financial stressors (29%), organizing transportation (28%), experiencing changes to health insurance coverage (25%), and arranging care for dependents (18%). Nonwhite participants were 5 and 2.5 times more likely to have concerns about childcare and transportation, respectively. Perceptions of decreased hospital safety and the consequences of possible COVID-19 infection led to delay in rescheduling. Education about safety measures and communication about scheduling partially mitigated concerns about COVID-19. However, uncertainty about timeline for rescheduling and resolution of the pandemic contributed to ongoing concerns. Conclusions Providing effective surgical care during this unprecedented time requires both awareness of societal shifts impacting surgical patients and system-level change to address new barriers to care. Eliciting patients’ perspectives, adapting processes to address potential barriers, and effectively educating patients about institutional measures to minimize in-hospital transmission of COVID-19 should be integrated into surgical care.
Databáze: OpenAIRE
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