Sydney Catalyst Translational Cancer Research Centre, University of Sydney, Sydney, Australia.
Surgical Outcomes Research Centre, Sydney Local Health District, Camperdown, New South Wales, Australia.
Support Care Cancer. 2019 Feb;27(2):485-493. doi: 10.1007/s00520-018-4338-3. Epub 2018 Jul 6.
Improving the coordination of care for people with lung cancer is a health priority. This study aimed to tailor an existing care coordination survey for a lung cancer population, investigate coordination experiences for patients who had received hospital-based treatment and identify any factors that may be associated with poor care coordination.
We conducted a cross-sectional survey of lung patients within two tertiary hospitals in Sydney, Australia. The Cancer Care Coordination Questionnaire for Patients (CCCQ-P) is a psychometrically valid and reliable survey originally developed for colorectal cancer. We pilot tested a survey adaptation with lung cancer patients, support group members and medical specialists (n = 49). A revised survey was mailed to eligible patients via their medical specialist.
Fifty-three of 118 eligible participants (45%) completed the CCCQ-P; most had early-stage disease and were about 70 years old. Overall, participants reported positive experiences of care coordination (mean total score 78.1), with high scores on communication and navigation subscales. The most problematic areas related to administrative aspects of care coordination and communication and information provision. Two patient groups (those residing in regional and rural areas, or no experience with the health system prior to diagnosis) reported significantly lower scores on the navigation subscale.
This study found that lung cancer patients' experience of care coordination was positive, but highlighted the need for strategies to assist patients living in rural areas, and those with no experience of the health care system. The CCCQ-P survey instrument can be used in future lung cancer studies.
提高肺癌患者的护理协调水平是一项优先卫生事项。本研究旨在调整一项现有的肺癌患者护理协调调查，调查接受过医院治疗的患者的协调经验，并确定可能与护理协调不良相关的任何因素。
我们在澳大利亚悉尼的两家三级医院对肺癌患者进行了横断面调查。《癌症护理协调患者问卷》（CCCQ-P）是一种经过心理测量验证的可靠调查，最初是为结直肠癌患者开发的。我们对肺癌患者、支持小组成员和医学专家（n=49）进行了一项 CCCQ-P 调查适应性试点测试。经过修订的调查问卷通过患者的医疗专家邮寄给符合条件的患者。
118 名符合条件的参与者中有 53 名（45%）完成了 CCCQ-P；大多数患者处于早期疾病阶段，年龄约为 70 岁。总体而言，患者报告了积极的护理协调体验（平均总分 78.1），沟通和导航子量表得分较高。最成问题的领域与护理协调的行政方面以及沟通和信息提供有关。两个患者群体（居住在偏远地区或在诊断前没有任何医疗系统经验的患者）在导航子量表上的得分明显较低。
本研究发现，肺癌患者的护理协调体验是积极的，但强调需要制定策略来帮助居住在农村地区的患者和那些没有医疗保健系统经验的患者。CCCQ-P 调查工具可用于未来的肺癌研究。
