Weissflog Gregor, Götze Heide, Klinitzke Grit, Distler Wolfgang, Brähler Elmar, Ernst Jochen
Universität Leipzig, Department für Psychische Gesundheit, Medizinische Psychologie und Medizinische Soziologie.
Z Psychosom Med Psychother. 2011;57(4):343-55. doi: 10.13109/zptm.2011.57.4.343.
We investigated whether patient satisfaction (including its subdimensions) among breast cancer patients depends on the place of the treatment (certified breast cancer centre vs. noncertified clinics). Furthermore, we examined the impact of patient- and disease-related factors on patient satisfaction.
652 breast cancer patients (n = 480 from certified breast cancer centres and n = 172 from noncertified clinics) took part in the study after their hospital stay and completed a questionnaire. Data on patient satisfaction (Hamburger Fragebogen zum Krankenhausaufenthalt, HFK), psychological distress (HADS), as well as sociodemographic and disease-related characteristics were collected.
Regardless of the place of cancer treatment, breast cancer patients reported a high level of satisfaction. There was only one significant difference between the two patient groups in the subdimension "overall judgement" (breast centre: 1.28 vs. noncertified clinic: 1.19; p = 0.017). In the multivariate analysis, the place of treatment had less explanatory power on patient satisfaction than other factors such as psychological distress.
In this study, there were only few differences in patient satisfaction between the two investigated groups of breast cancer patients. This result is discussed in the context of various moderating factors.
我们调查了乳腺癌患者的患者满意度（包括其各个子维度）是否取决于治疗地点（认证乳腺癌中心与非认证诊所）。此外，我们研究了患者相关因素和疾病相关因素对患者满意度的影响。
652名乳腺癌患者（480名来自认证乳腺癌中心，172名来自非认证诊所）在住院后参与了该研究并完成了一份问卷。收集了关于患者满意度（汉堡医院住院调查问卷，HFK）、心理困扰（医院焦虑抑郁量表，HADS）以及社会人口学和疾病相关特征的数据。
无论癌症治疗地点如何，乳腺癌患者均报告了较高的满意度水平。两组患者在“总体评价”子维度上仅存在一个显著差异（乳腺癌中心：1.28 vs非认证诊所：1.19；p = 0.017）。在多变量分析中，治疗地点对患者满意度的解释力低于心理困扰等其他因素。
在本研究中，两组被调查的乳腺癌患者在患者满意度方面仅有少数差异。这一结果在各种调节因素的背景下进行了讨论。
