Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Malaysia.
Bentley University, Waltham, MA, USA.
Patient Educ Couns. 2020 Aug;103(8):1601-1605. doi: 10.1016/j.pec.2020.02.033. Epub 2020 Feb 24.
Our primary objective was to identify predictors associated with preferences for patient-centered care among cancer survivors and the association between cancer health literacy and patient-centered care preferences.
Cross sectional analyses of N = 345 adult cancer survivors (5 years post cancer diagnosis) attending follow-ups at University Malaya Medical Centre, Malaysia. Face-to face-interviews were conducted using the 30-item Cancer Health Literacy Test and the Patient-Practitioner Orientation Scale to determine preference for patient-centered care.
Cancer survivors' preference for patient-centered care was associated with a higher cancer health literacy score, higher educational level, being employed, breast cancer diagnosis, and not desiring psychological support [F (14, 327) = 11.25, p < 0.001, R = 0.325].
Findings from this study provide insights into preferences for patient-centered care among cancer survivors during receipt of follow-up care, which remains an understudied phase of cancer care delivery.
Efforts are needed to ensure different preferences for care are taken into account particularly in the setting of variable cancer health literacy.
本研究旨在确定与癌症幸存者对以患者为中心的医疗服务偏好相关的预测因素，以及癌症健康素养与以患者为中心的医疗服务偏好之间的关系。
横断面分析了 345 名在马来西亚大学医学中心接受随访的成年癌症幸存者（癌症诊断后 5 年）。采用 30 项癌症健康素养测试和医患取向量表进行面对面访谈，以确定对以患者为中心的医疗服务的偏好。
癌症幸存者对以患者为中心的医疗服务的偏好与更高的癌症健康素养得分、更高的教育水平、就业状况、乳腺癌诊断以及不期望获得心理支持相关[F(14, 327) = 11.25, p < 0.001, R = 0.325]。
本研究结果为癌症幸存者在接受随访护理期间对以患者为中心的医疗服务的偏好提供了见解，这仍然是癌症护理提供中一个研究不足的阶段。
需要努力确保考虑到不同的护理偏好，特别是在癌症健康素养存在差异的情况下。
