# Patient-Reported Experiences in Vascular Surgery: A Qualitative Analysis of Care Quality

## TL;DR

This study explores vascular surgery patients' experiences to identify factors affecting their satisfaction and treatment adherence, emphasizing the need for better communication and care continuity.

## Contribution

The study provides novel insights into patient-reported experiences in vascular surgery, highlighting communication and systemic issues affecting care quality.

## Key findings

- Six key themes were identified, including communication, decision-making, and psychological support.
- Patients with lower health literacy or during waiting periods experienced communication disparities.
- Inconsistencies in discharge planning and lack of formal psychological support were reported across all units.

## Abstract

The complexity of treatment pathways and the chronic nature of diseases in vascular surgery necessitate a patient-centred approach to improve care quality and health outcomes.

To explore vascular patients’ experiences, identifying key factors influencing their satisfaction and adherence to treatment.

Qualitative design using thematic analysis

Seventeen semi-structured interviews were conducted with vascular patients (10 males and 7 females) from 3 vascular units in Wales. Proportional random sampling was used for participant selection based on recent vascular care, age, sex, and clinical backgrounds. Interviews were conducted in person, recorded, and transcribed verbatim. Thematic analysis was employed to identify key themes. NVivo 10 software facilitated data management.

Six themes were identified: (i) communication and information delivery, (ii) patient involvement in decision-making, (iii) pain management, (iv) psychological and emotional support, (v) healthcare environment and systemic processes and (vi) continuity of care and post-discharge experience. While patients generally appreciated the professionalism of the healthcare staff, notable disparities emerged in communication, particularly for patients with lower health literacy or during waiting periods. Inconsistencies in discharge planning and follow-up care highlighted systemic inequities. Across all units, patients reported a lack of formal psychological support. Involvement in decision-making varied, with some patients feeling adequately included, while others experienced exclusion and anxiety.

These findings reveal key areas for improvement, with communication serving as a foundational element that enhances patient involvement in decision-making, psychological support, and continuity of care. Addressing these interconnected areas, with a focus on effective communication and health equity, may help close care gaps and improve outcomes for all vascular patients.