Patricia H. Petrozza

The importance of the postoperative anesthetic visit : Do repeated visits improve patient satisfaction or physician recognition ?

This study evaluates whether repeated postoperative visits by the anesthesiologist improve patient ability to recall the anesthesiologists name and the patients perception of and satisfaction with anesthesia services.In a randomized, prospective trial, 144 patients with an anticipated postoperative length of stay of at least three days were enrolled in three groups: Group A patients (n = 48) had one postoperative visit, Group B (n = 48) had two postoperative visits, and Group C (n = 48) had three postoperative visits. All postoperative visits were performed by the attending anesthesiologist on consecutive postoperative days. Patients were contacted two days after their last postoperative visit to complete a study questionnaire. Patients were able to recall the anesthesiologists name significantly less frequently than the surgeons name, and there was no difference in name recall among groups. Recall was not affected by patient age, sex, or ASA physical status; the mode of contact (telephone versus personal visit); the anesthesiologists gender; the presence of preoperative medication; or the identity of the preoperative evaluator. Patients could identify the anesthesiologists gender approximately 85% of the time, regardless of group, and were more likely to identify female anesthesiologists (P = 0.026, odds ratio 3.3). Patient evaluation of hospital, surgical, and anesthesia care was favorable in all groups and did not vary with group. Increasing the number of postoperative visits does not improve patient name recognition of the anesthesiologist or increase patient satisfaction with or perception of anesthesia services. (Anesth Analg 1996;83:793-7)