Determinants of patient satisfaction with cancer care delivered by the Danish healthcare system
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Determinants of patient satisfaction with cancer care delivered by the Danish healthcare system. / Heerdegen, Anne Christine Stender; Petersen, Gitte Stentebjerg; Jervelund, Signe Smith.
In: Cancer, Vol. 123, No. 15, 01.08.2017, p. 2918–2926.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Determinants of patient satisfaction with cancer care delivered by the Danish healthcare system
AU - Heerdegen, Anne Christine Stender
AU - Petersen, Gitte Stentebjerg
AU - Jervelund, Signe Smith
N1 - © 2017 American Cancer Society.
PY - 2017/8/1
Y1 - 2017/8/1
N2 - BACKGROUND: Patient-reported quality of care, which is often measured by patients' overall rating of care, is gaining more attention within the field of oncology. The aim of this study was to examine factors that determine adult cancer patients' overall rating of prediagnosis care (PDC) and care provided during treatment (CDT).METHODS: Data were collected from 2 recurrent nationwide surveys among adult cancer patients in Denmark in 2010 and 2012. Analyses regarding PDC were based on the 2010 study population (n = 3681), and CDT analyses were based on the 2012 follow-up population (n = 2315). Multivariable logistic regression models were applied.RESULTS: Overall, 55.1% of patients reported excellent PDC and 61.9% reported excellent CDT. The odds of rating PDC and CDT as excellent differed significantly according to sex, age, and cancer diagnosis. Furthermore, the extent of supportive relatives, comorbidity, self-reported health, and region of treatment significantly determined ratings of CDT. Patients who reported negative experiences related to waiting time, information, coordination, and continuity of care during PDC and CDT, respectively, were significantly less likely overall to rate their care as excellent. The final regression models for PDC and CDT explained 38.2% and 30.6%, respectively, of the variance in the overall rating.CONCLUSION: Learning how patient characteristics influence the overall rating of care can enable health care providers to accommodate vulnerable patient groups. Identification of health care aspects that are independently associated with the overall rating of care may enable targeted efforts when planning and prioritizing initiatives aimed at improving the patient-experienced quality of care.
AB - BACKGROUND: Patient-reported quality of care, which is often measured by patients' overall rating of care, is gaining more attention within the field of oncology. The aim of this study was to examine factors that determine adult cancer patients' overall rating of prediagnosis care (PDC) and care provided during treatment (CDT).METHODS: Data were collected from 2 recurrent nationwide surveys among adult cancer patients in Denmark in 2010 and 2012. Analyses regarding PDC were based on the 2010 study population (n = 3681), and CDT analyses were based on the 2012 follow-up population (n = 2315). Multivariable logistic regression models were applied.RESULTS: Overall, 55.1% of patients reported excellent PDC and 61.9% reported excellent CDT. The odds of rating PDC and CDT as excellent differed significantly according to sex, age, and cancer diagnosis. Furthermore, the extent of supportive relatives, comorbidity, self-reported health, and region of treatment significantly determined ratings of CDT. Patients who reported negative experiences related to waiting time, information, coordination, and continuity of care during PDC and CDT, respectively, were significantly less likely overall to rate their care as excellent. The final regression models for PDC and CDT explained 38.2% and 30.6%, respectively, of the variance in the overall rating.CONCLUSION: Learning how patient characteristics influence the overall rating of care can enable health care providers to accommodate vulnerable patient groups. Identification of health care aspects that are independently associated with the overall rating of care may enable targeted efforts when planning and prioritizing initiatives aimed at improving the patient-experienced quality of care.
KW - Journal Article
KW - cancer
KW - Kræft
KW - determinanter
KW - tilfredshed
KW - sundhedstjenester
KW - kvalitet
KW - Kvalitetsmåling
KW - ventetid
KW - information
KW - Patientinddragelse
KW - patientoplevelser
KW - sammenhængende patientforløb
KW - koordination
U2 - 10.1002/cncr.30673
DO - 10.1002/cncr.30673
M3 - Journal article
C2 - 28464268
VL - 123
SP - 2918
EP - 2926
JO - Cancer
JF - Cancer
SN - 0008-543X
IS - 15
ER -
ID: 177296943