Sherlaw-Johnson Christopher, Datta Preeti, McCarthy Mark
UCL Clinical Operational Research Unit, Department of Mathematics, London, United Kingdom.
Eur J Cancer. 2008 Jul;44(11):1559-65. doi: 10.1016/j.ejca.2008.03.023. Epub 2008 Apr 20.
We have investigated cancer patient satisfaction with care and the extent to which it varies between and within hospitals.
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.
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.
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.
我们调查了癌症患者对医疗服务的满意度以及医院之间和医院内部满意度的差异程度。
对英格兰的癌症患者进行全国性调查，针对四种常见癌症（乳腺癌、结直肠癌、肺癌和前列腺癌）设置了10个不同维度的问题（共55674名患者）。我们比较了不同肿瘤类型的医院，并与全国平均水平进行对比。
年轻女性患者的不满程度更高（p<0.001）。乳腺癌患者的不满程度最低，前列腺癌患者的不满程度最高。乳腺癌、结直肠癌和前列腺癌的标准化满意度得分存在显著的两两相关性（p<0.001），尤其是在住院护理方面。医院满意度总分在不同护理维度之间存在显著关联。
医院之间以及不同肿瘤类型患者的癌症患者满意度存在显著差异。对于许多护理方面，有证据表明存在影响满意度的系统性医院层面因素以及个体患者所经历的护理路径中的共同因素。适合临床或管理干预的因素值得进一步研究。
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