Institute for Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Human Science and Faculty of Medicine, University of Cologne, Eupener Strasse 19, Koeln, Germany.
Eur J Cancer Care (Engl). 2012 Mar;21(2):205-12. doi: 10.1111/j.1365-2354.2011.01309.x. Epub 2011 Nov 9.
The number of breast cancer patients who are informed about and have contact with patient self-help groups (SHGs) during their hospital stay varies across hospitals. The aim of this study is to investigate which patient and hospital characteristics contribute to these differences. Multilevel regression analysis was applied, using data on hospital characteristics and data from a patient survey, which catalogued the disease and socio-demographic characteristics of newly diagnosed breast cancer patients, and recorded if they were informed about and had contact with SHGs during their hospital stay. Data from 2639 patients from 82 hospitals were analysed. The odds of being informed about SHGs were significantly lower if patients were treated at a teaching hospital. Patients aged 40 to 59 years significantly more often reported that they were informed about SHGs than patients aged 60 to 69 years. Patients with the highest education certificates significantly more often reported that they both were informed about and have had contact with SHGs. These results suggest that in teaching hospitals, information provided to patients about SHGs is reduced. Furthermore, patients are differentially given information about SHGs and have different levels of contact with SHGs, based on their age and education.
在住院期间，告知乳腺癌患者并让其接触患者自助团体 (SHG) 的医院数量存在差异。本研究旨在探讨哪些患者和医院特征导致了这些差异。使用医院特征数据和患者调查数据进行了多层次回归分析，该调查记录了新诊断乳腺癌患者的疾病和社会人口统计学特征，并记录了他们在住院期间是否被告知 SHG 并与 SHG 接触。对来自 82 家医院的 2639 名患者的数据进行了分析。如果患者在教学医院接受治疗，则告知 SHG 的可能性明显降低。40 至 59 岁的患者明显比 60 至 69 岁的患者更经常报告说他们被告知了 SHG。拥有最高教育证书的患者明显更经常报告说他们既被告知了 SHG 又与 SHG 有过接触。这些结果表明，在教学医院，向患者提供有关 SHG 的信息减少了。此外，根据患者的年龄和教育程度，他们获得有关 SHG 的信息存在差异，与 SHG 的接触程度也不同。
