BACKGROUND: We have investigated cancer patient satisfaction with care and the extent to which it varies between and within hospitals. DESIGN AND METHODS: A national survey of cancer patients in England with questions in 10 different dimensions for four common cancers: breast, colorectal, lung and prostate (55,674 patients). We compared hospitals across tumour types, and against the national average. RESULTS: Dissatisfaction was greater (p<0.001) in younger, female patients. Breast cancer patients expressed least, and prostate cancer patients expressed greatest dissatisfaction. Breast, colorectal and prostate cancers showed significant (p<0.001) pair-wise correlations for standardised satisfaction scores, particularly for in-hospital care. Summed hospital satisfaction scores showed significant associations across different dimensions of care. CONCLUSIONS: Cancer patient satisfaction is measurably different between hospitals, as well as by tumour type. For many aspects of care there is evidence of systemic hospital-level factors that influence satisfaction as well as factors common to the care pathways experienced by individual patients. Factors amenable to clinical or managerial intervention deserve further investigation.
BACKGROUND: We have investigated cancerpatient satisfaction with care and the extent to which it varies between and within hospitals. DESIGN AND METHODS: A national survey of cancerpatients in England with questions in 10 different dimensions for four common cancers: breast, colorectal, lung and prostate (55,674 patients). We compared hospitals across tumour types, and against the national average. RESULTS: Dissatisfaction was greater (p<0.001) in younger, female patients. Breast cancerpatients expressed least, and prostate cancerpatients expressed greatest dissatisfaction. Breast, colorectal and prostate cancers showed significant (p<0.001) pair-wise correlations for standardised satisfaction scores, particularly for in-hospital care. Summed hospital satisfaction scores showed significant associations across different dimensions of care. CONCLUSIONS:Cancerpatient satisfaction is measurably different between hospitals, as well as by tumour type. For many aspects of care there is evidence of systemic hospital-level factors that influence satisfaction as well as factors common to the care pathways experienced by individual patients. Factors amenable to clinical or managerial intervention deserve further investigation.
Authors: John Z Ayanian; Alan M Zaslavsky; Neeraj K Arora; Katherine L Kahn; Jennifer L Malin; Patricia A Ganz; Michelle van Ryn; Mark C Hornbrook; Catarina I Kiefe; Yulei He; Julie M Urmie; Jane C Weeks; David P Harrington Journal: J Clin Oncol Date: 2010-08-16 Impact factor: 44.544
Authors: Marilyn L Kwan; Emily K Tam; Isaac J Ergas; David H Rehkopf; Janise M Roh; Marion M Lee; Carol P Somkin; Anita L Stewart; Lawrence H Kushi Journal: Breast Cancer Res Treat Date: 2013-05-29 Impact factor: 4.872