[在EORTC IN - PATSAT32试验中，对不同阶段的乳腺癌、结直肠癌和非霍奇金淋巴瘤患者所接受医疗保健质量的患者满意度评估。与墨西哥社会保障研究所的社会人口学特征、合并症及其他程序变量的相关性]

[Evaluation of patient satisfaction with the quality of health care received within the EORTC IN-PATSAT32 trial by patients with breast and colorectal cancer, and non-Hodgkin lymphoma at different stages. Correlation with sociodemographic characteristics, comorbidities and other procedural variables at the Mexican Institute of Social Security].

作者信息

Balderas-Peña Luz-Ma-Adriana, Sat-Muñoz Daniel, Contreras-Hernández Iris, Solano-Murillo Pedro, Hernández-Chávez Guillermo-Allan, Mariscal-Ramírez Ignacio, Lomelí-García Martha, Díaz-Cortés Margarita-Arimatea, Mould-Quevedo Joaquín-Federico, Castro-Cervantes Juan-Manuel, Garcés-Ruiz Oscar-Miguel, Morgan-Villela Gilberto

机构信息

UMAE Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Departamento de Farmacobiología, Universidad de Guadalajara, Jalisco, México.

出版信息

Value Health. 2011 Jul-Aug;14(5 Suppl 1):S96-9. doi: 10.1016/j.jval.2011.05.026.

DOI:10.1016/j.jval.2011.05.026

PMID:21839910

Abstract

INTRODUCTION

In Mexico cancer is a public health burden. Nowadays the health care systems pay special attention to patient's perception and satisfaction of the health care received. Satisfaction with quality of health care has an impact in the adherence to the treatment.

OBJECTIVE

To evaluate the satisfaction with the quality of health care received at the IMSS in a group of cancer patients [non Hodgkin lymphoma (NHL), breast and colorectal cancer]. Socio-demographic features, co-morbid diseases, and attendance processes impact on satisfaction are also evaluated.

RESULTS

476 cancer patients were studied: 314 with breast cancer, 92 with NHL and 70 with colorectal cancer. In women with breast cancer the mean score to nurses' interpersonal skills in non-classified disease group and clinical stage III group were: 73.64 ± 32.53, 90.00 ± 18.25 respectively (p=0.005), nurses' availability in non-classified and clinical stage III group were: 69.71 ± 30.25, 89.21 ± 19.00 respectively (p=0.003). In subjects with NHL the mean scores for doctors' technical skills in clinical stage I and III groups, were: 63.69 ± 37.78, 80.30 ± 18.46 respectively (p=0.017), doctors' information provision scores in subject in clinical stage I and IV were: 49.40 ± 40.75, 79.49 ± 24.63 respectively (p=0.043). In the group of colorectal cancer patients the mean of the score to exchange of information between clinical stage II and clinical stage III group were 50.00 ± 41.83, 84.21 ± 22.37 respectively (p=0.036). Were not observed association between attendance processes features and general satisfaction.

CONCLUSIONS

In Mexico 50% of cancer patients are attended at the IMSS. The continued evaluation of the satisfaction with health care received by the health care service users is important to enhance attention's quality.

摘要

引言

在墨西哥，癌症是一项公共卫生负担。如今，医疗保健系统特别关注患者对所接受医疗服务的认知和满意度。对医疗保健质量的满意度会影响治疗的依从性。

目的

评估一组癌症患者（非霍奇金淋巴瘤、乳腺癌和结直肠癌）对墨西哥社会保障局（IMSS）所提供医疗服务质量的满意度。同时评估社会人口学特征、合并疾病以及就诊流程对满意度的影响。

结果

对476名癌症患者进行了研究：314名乳腺癌患者、92名非霍奇金淋巴瘤患者和70名结直肠癌患者。在乳腺癌女性患者中，未分类疾病组和临床III期组对护士人际沟通技巧的平均评分分别为：73.64±32.53、90.00±18.25（p=0.005），未分类组和临床III期组对护士可及性的平均评分分别为：69.71±30.25、89.21±19.00（p=0.003）。在非霍奇金淋巴瘤患者中，临床I期和III期组对医生技术能力的平均评分分别为：63.69±37.78、80.30±18.46（p=0.017），临床I期和IV期患者对医生信息提供的评分分别为：49.40±40.75、79.49±24.63（p=0.043）。在结直肠癌患者组中，临床II期和III期组之间信息交流的平均评分分别为50.00±41.83、84.21±22.37（p=0.036）。未观察到就诊流程特征与总体满意度之间存在关联。