The success of a surgical intervention is evaluated by different indicators: survival, functional after-effects, regression of the clinical signs that led to the intervention, rate of re-operation or re-hospitalization, etc. However, the success of an intervention and, more generally, the quality of care are complex notions that include several aspects: technical, human, narrative, relational, ethical and systemic aspects. Thus, quantitative criteria are very useful and reliable indicators, but they must be integrated into a more global vision. In particular, quality of care is not perceived in the same way by caregivers, patients and their families. The integration of the patient experience in the design and implementation of quality indicators opens new perspectives for reflection and action. For example, patient-tracer questionnaires, which make it possible to evaluate the patient's experience after the fact, have been developed by the High Authority for Health (HAS) and are part of the quality indicators in hospitals. Some studies have adopted a qualitative approach to collect the patient's experience after surgery. However, there is currently no questionnaire based on the patient's experience evaluating the success of a surgical procedure. The objective of this work will be to report meta-narratives based on patients' experiences and in a second step to build a quality questionnaire of the surgical pathway focused on patients' needs.
The success of a surgical intervention is evaluated by different indicators: survival, functional after-effects, regression of the clinical signs that led to the intervention, rate of re-operation or re-hospitalization, etc. However, the success of an intervention and, more generally, the quality of care are complex notions that include several aspects: technical, human, narrative, relational, ethical and systemic aspects. Thus, quantitative criteria are very useful and reliable indicators, but they must be integrated into a more global vision. In particular, quality of care is not perceived in the same way by caregivers, patients and their families. The integration of the patient experience in the design and implementation of quality indicators opens new perspectives for reflection and action. For example, patient-tracer questionnaires, which make it possible to evaluate the patient's experience after the fact, have been developed by the High Authority for Health (HAS) and are now part of the quality indicators in hospitals. Some studies have adopted a qualitative approach to collect the patient's experience after surgery. However, there is currently no questionnaire based on the patient's experience evaluating the success of a surgical procedure. The objective of this work will be to report meta-narratives based on patients' experiences and in a second step to build a quality questionnaire of the surgical pathway focused on patients' needs.