Are we providing patient-centered care? Preferences about paracentesis and thoracentesis procedures

Procedures performed at the bedside are as safe and less expensive than Interventional Radiology (IR) procedures. Patient preferences regarding location are rarely taken into account. Therefore, in this study we compared patient satisfaction with bedside and IR paracentesis and thoracentesis procedu...

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Autores principales:	Jeffrey Barsuk, Sarah Kozmic, Jordan Scher, Joe Feinglass, Aimee Hoyer, Diane Wayne
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2014
Materias:	patient-centered care patient satisfaction thoracentesis paracentesis Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/17acb5dfdaf544869f3b820a0a1f65ac
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spelling	oai:doaj.org-article:17acb5dfdaf544869f3b820a0a1f65ac2021-11-15T03:52:33ZAre we providing patient-centered care? Preferences about paracentesis and thoracentesis procedures2372-0247https://doaj.org/article/17acb5dfdaf544869f3b820a0a1f65ac2014-11-01T00:00:00Zhttps://pxjournal.org/journal/vol1/iss2/15https://doaj.org/toc/2372-0247Procedures performed at the bedside are as safe and less expensive than Interventional Radiology (IR) procedures. Patient preferences regarding location are rarely taken into account. Therefore, in this study we compared patient satisfaction with bedside and IR paracentesis and thoracentesis procedures, and identified reasons for patient location preferences. We performed a cross-sectional survey of medical inpatients undergoing paracentesis or thoracentesis procedures at a tertiary care academic medical center. The survey had eight domains: overall experience, pain control, expertise, courtesy, bedside manner of the physician, time required, explanation of risks/benefits, comfort and privacy. Patients were also asked about their preference for procedure location. Two hundred and twenty surveys (162 paracentesis and 58 thoracentesis) were completed on 152 patients. Patient satisfaction was similar for bedside and IR procedures across all domains. A location preference was expressed in 151 surveys (68.6%). Thirty-five of 108 responses (32.4%) from patients with a paracentesis expressed a preference for bedside procedures while 73/108 (67.6%) responses expressed a preference for IR. Twenty-eight of 43 responses (65.1%) from patients with a thoracentesis expressed a preference for bedside procedures while 15/43 (34.9%) responses expressed a preference for IR. Comfort was listed as the most common reason for preferring the bedside while specialized equipment and safety were the most common reasons for preferring IR. Patients are equally and highly satisfied with bedside and IR paracentesis and thoracentesis procedures. Because both approaches are safe and effective, clinicians should pursue informed discussions with patients when a choice is available.Jeffrey BarsukSarah KozmicJordan ScherJoe FeinglassAimee HoyerDiane WayneThe Beryl Institutearticlepatient-centered carepatient satisfactionthoracentesisparacentesisMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient-centered care patient satisfaction thoracentesis paracentesis Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient-centered care patient satisfaction thoracentesis paracentesis Medicine (General) R5-920 Public aspects of medicine RA1-1270 Jeffrey Barsuk Sarah Kozmic Jordan Scher Joe Feinglass Aimee Hoyer Diane Wayne Are we providing patient-centered care? Preferences about paracentesis and thoracentesis procedures
description	Procedures performed at the bedside are as safe and less expensive than Interventional Radiology (IR) procedures. Patient preferences regarding location are rarely taken into account. Therefore, in this study we compared patient satisfaction with bedside and IR paracentesis and thoracentesis procedures, and identified reasons for patient location preferences. We performed a cross-sectional survey of medical inpatients undergoing paracentesis or thoracentesis procedures at a tertiary care academic medical center. The survey had eight domains: overall experience, pain control, expertise, courtesy, bedside manner of the physician, time required, explanation of risks/benefits, comfort and privacy. Patients were also asked about their preference for procedure location. Two hundred and twenty surveys (162 paracentesis and 58 thoracentesis) were completed on 152 patients. Patient satisfaction was similar for bedside and IR procedures across all domains. A location preference was expressed in 151 surveys (68.6%). Thirty-five of 108 responses (32.4%) from patients with a paracentesis expressed a preference for bedside procedures while 73/108 (67.6%) responses expressed a preference for IR. Twenty-eight of 43 responses (65.1%) from patients with a thoracentesis expressed a preference for bedside procedures while 15/43 (34.9%) responses expressed a preference for IR. Comfort was listed as the most common reason for preferring the bedside while specialized equipment and safety were the most common reasons for preferring IR. Patients are equally and highly satisfied with bedside and IR paracentesis and thoracentesis procedures. Because both approaches are safe and effective, clinicians should pursue informed discussions with patients when a choice is available.
format	article
author	Jeffrey Barsuk Sarah Kozmic Jordan Scher Joe Feinglass Aimee Hoyer Diane Wayne
author_facet	Jeffrey Barsuk Sarah Kozmic Jordan Scher Joe Feinglass Aimee Hoyer Diane Wayne
author_sort	Jeffrey Barsuk
title	Are we providing patient-centered care? Preferences about paracentesis and thoracentesis procedures
title_short	Are we providing patient-centered care? Preferences about paracentesis and thoracentesis procedures
title_full	Are we providing patient-centered care? Preferences about paracentesis and thoracentesis procedures
title_fullStr	Are we providing patient-centered care? Preferences about paracentesis and thoracentesis procedures
title_full_unstemmed	Are we providing patient-centered care? Preferences about paracentesis and thoracentesis procedures
title_sort	are we providing patient-centered care? preferences about paracentesis and thoracentesis procedures
publisher	The Beryl Institute
publishDate	2014
url	https://doaj.org/article/17acb5dfdaf544869f3b820a0a1f65ac
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Are we providing patient-centered care? Preferences about paracentesis and thoracentesis procedures

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