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Public Perceptions of Resuming Elective Surgery During the COVID-19 Pandemic
BACKGROUND: Many U.S. health systems are grappling with how to safely resume elective surgery amid the COVID-19 pandemic. We used online crowdsourcing to explore public perceptions and concerns toward resuming elective surgery during the pandemic, and to determine factors associated with the preferr...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369592/ https://www.ncbi.nlm.nih.gov/pubmed/32807565 http://dx.doi.org/10.1016/j.arth.2020.07.037 |
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author | Moverman, Michael A. Puzzitiello, Richard N. Pagani, Nicholas R. Barnes, C. Lowry Jawa, Andrew Menendez, Mariano E. |
author_facet | Moverman, Michael A. Puzzitiello, Richard N. Pagani, Nicholas R. Barnes, C. Lowry Jawa, Andrew Menendez, Mariano E. |
author_sort | Moverman, Michael A. |
collection | PubMed |
description | BACKGROUND: Many U.S. health systems are grappling with how to safely resume elective surgery amid the COVID-19 pandemic. We used online crowdsourcing to explore public perceptions and concerns toward resuming elective surgery during the pandemic, and to determine factors associated with the preferred timing of surgery after health systems reopen. METHODS: A 21-question survey was completed by 722 members of the public using Amazon Mechanical Turk. Multivariable logistic regression analysis was performed to determine factors associated with the timing of preferred surgery after health systems reopen. RESULTS: Most (61%) participants were concerned with contracting COVID-19 during the surgical process, primarily during check-in and in waiting room areas, as well as through excessive interactions with staff. Overall, 57% would choose to have their surgery at a hospital over an outpatient surgery center. About 1 in 4 (27%) would feel comfortable undergoing elective surgery in the first month of health systems reopening. After multivariable adjustment, native English speaking (OR, 2.6; 95% CI, 1.04-6.4; P = .042), male sex (OR, 1.9; 95% CI, 1.3-2.7; P < .001), and Veterans Affairs insurance (OR, 4.5; 95% CI, 1.1-18.7; P = .036) were independent predictors of preferring earlier surgery. CONCLUSION: Women and non-native English speakers may be more hesitant to undergo elective surgery amid the COVID-19 pandemic. Despite concerns of contagion, more than half of the public favors a hospital setting over an outpatient surgery center for their elective surgery. Concerted efforts to minimize patient congestion and unnecessary face-to-face interactions may prove most effective in reducing public anxiety and concerns over the safety of resuming elective care. |
format | Online Article Text |
id | pubmed-7369592 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-73695922020-07-20 Public Perceptions of Resuming Elective Surgery During the COVID-19 Pandemic Moverman, Michael A. Puzzitiello, Richard N. Pagani, Nicholas R. Barnes, C. Lowry Jawa, Andrew Menendez, Mariano E. J Arthroplasty Hot Topic BACKGROUND: Many U.S. health systems are grappling with how to safely resume elective surgery amid the COVID-19 pandemic. We used online crowdsourcing to explore public perceptions and concerns toward resuming elective surgery during the pandemic, and to determine factors associated with the preferred timing of surgery after health systems reopen. METHODS: A 21-question survey was completed by 722 members of the public using Amazon Mechanical Turk. Multivariable logistic regression analysis was performed to determine factors associated with the timing of preferred surgery after health systems reopen. RESULTS: Most (61%) participants were concerned with contracting COVID-19 during the surgical process, primarily during check-in and in waiting room areas, as well as through excessive interactions with staff. Overall, 57% would choose to have their surgery at a hospital over an outpatient surgery center. About 1 in 4 (27%) would feel comfortable undergoing elective surgery in the first month of health systems reopening. After multivariable adjustment, native English speaking (OR, 2.6; 95% CI, 1.04-6.4; P = .042), male sex (OR, 1.9; 95% CI, 1.3-2.7; P < .001), and Veterans Affairs insurance (OR, 4.5; 95% CI, 1.1-18.7; P = .036) were independent predictors of preferring earlier surgery. CONCLUSION: Women and non-native English speakers may be more hesitant to undergo elective surgery amid the COVID-19 pandemic. Despite concerns of contagion, more than half of the public favors a hospital setting over an outpatient surgery center for their elective surgery. Concerted efforts to minimize patient congestion and unnecessary face-to-face interactions may prove most effective in reducing public anxiety and concerns over the safety of resuming elective care. Elsevier Inc. 2021-02 2020-07-20 /pmc/articles/PMC7369592/ /pubmed/32807565 http://dx.doi.org/10.1016/j.arth.2020.07.037 Text en © 2020 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Hot Topic Moverman, Michael A. Puzzitiello, Richard N. Pagani, Nicholas R. Barnes, C. Lowry Jawa, Andrew Menendez, Mariano E. Public Perceptions of Resuming Elective Surgery During the COVID-19 Pandemic |
title | Public Perceptions of Resuming Elective Surgery During the COVID-19 Pandemic |
title_full | Public Perceptions of Resuming Elective Surgery During the COVID-19 Pandemic |
title_fullStr | Public Perceptions of Resuming Elective Surgery During the COVID-19 Pandemic |
title_full_unstemmed | Public Perceptions of Resuming Elective Surgery During the COVID-19 Pandemic |
title_short | Public Perceptions of Resuming Elective Surgery During the COVID-19 Pandemic |
title_sort | public perceptions of resuming elective surgery during the covid-19 pandemic |
topic | Hot Topic |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369592/ https://www.ncbi.nlm.nih.gov/pubmed/32807565 http://dx.doi.org/10.1016/j.arth.2020.07.037 |
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