Xiaohong Ning1, Anirudh Krishnan2, Xiaoyuan Li3, Zhikai Liu4, Jie Li5, Xiaoyan Dai6, Semra Ozdemir2,7, Chetna Malhotra2,7, Eric A Finkelstein2,7, Irene Teo8,9,10. 1. Department of Geriatrics, Peking Union Medical College Hospital, Beijing, China. 2. Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore. 3. Oncology Department, Peking Union Medical College Hospital, Beijing, China. 4. Radiology Department, Peking Union Medical College Hospital, Beijing, China. 5. Information Technology Department, Peking Union Medical College Hospital, Beijing, China. 6. International Medical Service Department, Peking Union Medical College Hospital, Beijing, China. 7. Programme in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore. 8. Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore. irene.teo@duke-nus.edu.sg. 9. Programme in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore. irene.teo@duke-nus.edu.sg. 10. Department of Psychosocial Oncology, National Cancer Centre Singapore, Singapore, Singapore. irene.teo@duke-nus.edu.sg.
Abstract
PURPOSE: Patient-perceived quality of care has become an increasingly important index within the healthcare setting. We examined patient-reported overall quality of care and patient experiences in three specific domains of care (physician communication, nursing care, and care coordination) in a sample of Chinese patients with advanced cancer. METHODS: A cross-sectional study was conducted with stage IV cancer patients (N = 202) who were recruited from a public, tertiary hospital in Beijing. Study participants completed surveys administered by a research assistant. Multivariable regression analysis was conducted to examine the extent to which patient demographic factors (age, gender, socioeconomic status), disease/treatment factors, and domain-specific care were associated with overall quality of care. RESULTS: A majority of patients reported overall quality of care scores that we were either excellent (23%) or very good (41%). Patients reported highest ratings in the domain of nursing care (M = 87.57, SD = 31.05), followed by physician communication (M = 68.93, SD = 32.30), and care coordination (M = 66.79, SD = 25.17). Better perceived physician communication (b = 0.17, p < 0.01), care coordination (b = 0.26, p < 0.01), and higher socioeconomic status (b = 11.30, p < 0.05) were associated with higher overall quality of care. CONCLUSIONS: A majority of patients with advanced cancer in this Chinese hospital reported positive overall quality of care. Physician communication and care coordination are potential areas to focus on to improve patient-reported overall quality of care. Understanding perceptions of care quality will allow opportunities to improve delivery of healthcare.
PURPOSE:Patient-perceived quality of care has become an increasingly important index within the healthcare setting. We examined patient-reported overall quality of care and patient experiences in three specific domains of care (physician communication, nursing care, and care coordination) in a sample of Chinese patients with advanced cancer. METHODS: A cross-sectional study was conducted with stage IV cancerpatients (N = 202) who were recruited from a public, tertiary hospital in Beijing. Study participants completed surveys administered by a research assistant. Multivariable regression analysis was conducted to examine the extent to which patient demographic factors (age, gender, socioeconomic status), disease/treatment factors, and domain-specific care were associated with overall quality of care. RESULTS: A majority of patients reported overall quality of care scores that we were either excellent (23%) or very good (41%). Patients reported highest ratings in the domain of nursing care (M = 87.57, SD = 31.05), followed by physician communication (M = 68.93, SD = 32.30), and care coordination (M = 66.79, SD = 25.17). Better perceived physician communication (b = 0.17, p < 0.01), care coordination (b = 0.26, p < 0.01), and higher socioeconomic status (b = 11.30, p < 0.05) were associated with higher overall quality of care. CONCLUSIONS: A majority of patients with advanced cancer in this Chinese hospital reported positive overall quality of care. Physician communication and care coordination are potential areas to focus on to improve patient-reported overall quality of care. Understanding perceptions of care quality will allow opportunities to improve delivery of healthcare.
Entities:
Keywords:
Advanced cancer; Care coordination; Nursing care; Patient experiences; Physician communication; Quality of care
Authors: Kathryn E Weaver; Noreen M Aziz; Neeraj K Arora; Laura P Forsythe; Ann S Hamilton; Ingrid Oakley-Girvan; Gretchen Keel; Keith M Bellizzi; Julia H Rowland Journal: J Oncol Pract Date: 2014-04-01 Impact factor: 3.840