Evidence map›Paper›PMID 41261464›Full record

ArticleMedical care2026

Does Anesthesia Provider Type Affect Veteran Satisfaction With Care?

Kevin N Griffith, Julia Harris, Jeffrey Darna, Richard P Dutton, Hillary J Mull

Abstract read
In one paragraph

Article in Medical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kevin N GriffithVeterans' Wellbeing through Innovation, Systems Science and Experience in Learning Health Systems (VETWISE-LHS), VA Tennessee Valley Healthcare System.ORCID 0000-0002-8304-8602
Julia HarrisDepartment of Social and Behavioral Sciences, University of California, San Francisco, CA.
Jeffrey DarnaDepartment of Anesthesiology, Keck School of Medicine, University of Southern California, Los Angeles, CA.
Richard P DuttonDepartment of Anesthesiology, University of Maryland School of Medicine, Largo, MD.
Hillary J MullCenter for Healthcare Optimization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA.

Funding

American Association of Nurse Anesthesiology 2023-G-1
6 · The paper itself

Abstract

importanceAnesthesia care is delivered by Certified Registered Nurse Anesthetists (CRNAs) working independently, physician anesthesiologists working alone, and anesthesia care teams with CRNAs supervised by physician anesthesiologists. The impact of these models and CRNA supervision on patient satisfaction remains unclear.

objectiveTo identify associations between anesthesia care team credentials, CRNA supervision, and patient satisfaction with care access, provider ratings, and overall satisfaction.

designWe linked survey data on patient satisfaction with administrative data from the Veterans Health Administration (VHA) to gather veteran demographics, staffing, and clinical features of each surgical case.

participantsOur sample included 45,757 veterans who responded to the Survey of Healthcare Experiences of Patients following an invasive surgical procedure performed in a VHA operating room between 2016 and 2023. MAIN MEASURES: Satisfaction was assessed using 4 outpatient survey items: overall VHA satisfaction, provider ratings, whether the provider listened carefully, and whether the provider showed respect. Inpatient measures included hospital ratings, doctors' courtesy and respect, doctors' attentiveness, willingness to recommend the VHA, and preference for VHA over free care elsewhere.

resultsAnesthesia care models and supervision ratios were not significantly associated with veterans' overall satisfaction, provider or hospital ratings, or likelihood of recommending the VHA. Small positive effects of CRNA involvement were observed on provider attentiveness and respect. Satisfaction was high across all provider types, and findings were robust to exclusion of COVID-19 data and lower-complexity cases.

conclusionsVeterans' overall satisfaction with anesthesia care reflects a consistently high standard across models and credentials, with subtle benefits from CRNA involvement in patient-provider communication.

Indexed as

AnesthesiologistsNurse AnesthetistsPatient SatisfactionVeteransAdultAgedFemaleHumansMaleMiddle AgedSurveys and QuestionnairesUnited StatesUnited States Department of Veterans Affairsanesthesiahealth workforcepatient satisfactionscope of practice

Identifiers

PMID41261464
PMCPMC12777590

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.