Marino Patricia, Touzani Rajae, Seguin Lorène, Moulin Jean Francois, Palomares Myriam, Cappiello Maria-Antonietta, Provansal Magali, Vittot Martine, Dermeche Slimane, Launay Simon, Goncalves Anthony, Bouhnik Anne Deborah, Gravis Gwenaelle
Institut Paoli-Calmettes, SESSTIM, INSERM, IRD, Aix Marseille Université, 13009 Marseille, France.
Department of Medical Oncology, Institut Paoli-Calmettes, 13009 Marseille, France.
Cancers (Basel). 2021 Mar 16;13(6):1337. doi: 10.3390/cancers13061337.
Patient satisfaction is linked to the amount of time spent with the physician. At the same time, long waiting times in hospitals are a major source of patient dissatisfaction. The aim of this study was to determine whether advance approval of outpatient chemotherapy (CT) via phone call can optimize healthcare delivery without compromising patient satisfaction with care. Between 2013 and 2016, 343 patients with breast/gynecological cancer scheduled to undergo CT on day 8 and/or day 15 of the CT cycle were enrolled in a before-after study conducted in a French comprehensive cancer center. In the control group, 168 patients received a face-to-face consultation with an oncologist on the day of CT for approval of the upcoming CT session. In the intervention group, 175 patients received a phone call from a healthcare provider the day before CT, where assessment of toxicity from the previous CT session was recorded and submitted to an oncologist for approval of the upcoming CT session. At the end of the 6th CT cycle, patient satisfaction was evaluated using EORTC IN-PATSAT32. A total of 233 questionnaires were analyzed (response rate: 77.7%). Satisfaction with care was similar between the two groups. No differences in perceived health status were observed, but self-reported time in hospital was lower in the intervention group than in the control group ( = 0.007). Advance approval of outpatient CT via phone call is feasible and particularly relevant in the current context of immunotherapy development.
患者满意度与与医生相处的时间长短有关。与此同时，医院漫长的等待时间是患者不满的主要来源。本研究的目的是确定通过电话提前批准门诊化疗（CT）是否能在不影响患者对医疗服务满意度的情况下优化医疗服务的提供。2013年至2016年期间，343例计划在CT周期第8天和/或第15天接受CT检查的乳腺癌/妇科癌症患者参加了在法国一家综合癌症中心进行的前后对照研究。在对照组中，168例患者在CT当天与肿瘤学家进行面对面咨询，以批准即将进行的CT疗程。在干预组中，175例患者在CT前一天接到医疗服务提供者的电话，记录前一次CT疗程的毒性评估结果并提交给肿瘤学家，以批准即将进行的CT疗程。在第6个CT周期结束时，使用欧洲癌症研究与治疗组织的住院患者满意度问卷（EORTC IN-PATSAT32）对患者满意度进行评估。共分析了233份问卷（回复率：77.7%）。两组患者对医疗服务的满意度相似。在感知健康状况方面未观察到差异，但干预组的自我报告住院时间低于对照组（P = 0.007）。通过电话提前批准门诊CT是可行的，在当前免疫治疗发展的背景下尤其重要。
