Audencia Business School, Nantes, France.
Department of Patient Education, Institut de Cancérologie de l'Ouest, Angers, France.
Health Serv Manage Res. 2024 Feb;37(1):43-51. doi: 10.1177/09514848231151825. Epub 2023 Jan 11.
This research aims to deepen our understanding of patients' satisfaction with therapeutic patient education (TPE) in oncology. The research model proposed was tested, with structural equation modeling, on 207 French breast-cancer patients who participated in a TPE program. The results confirm that post-TPE empowerment and relational proximity to the TPE team are two major antecedents of patient's satisfaction-and attitude and word-of-mouth toward TPE are two important consequences of this concept of satisfaction. However, the established relationships are moderated by the patients' profiles (i.e., utilitarin believers, passionate followers, or holistic followers) in terms of the perceived value of their own experience of patient education. These results will enable stakeholders to adapt their TPE promotion strategies to the profiles of the patients. The study will also help to demonstrate and highlight the patient benefits of TPE to various stakeholders and thus will favor access to this personalized care practice, which is essential in the management of chronic diseases, but is still limited in oncology.
本研究旨在深入了解患者对肿瘤学治疗性患者教育（TPE）的满意度。通过对 207 名参与 TPE 计划的法国乳腺癌患者进行结构方程建模，对所提出的研究模型进行了检验。结果证实，TPE 后的赋权和与 TPE 团队的关系亲近是患者满意度的两个主要前提条件——而对 TPE 的态度和口碑是这一满意度概念的两个重要后果。然而，这些关系受到患者特征（即实用主义信仰者、热情追随者或整体追随者）的调节，这些特征涉及到患者对自身教育经历的感知价值。这些结果将使利益相关者能够根据患者的特征调整 TPE 推广策略。该研究还将有助于向不同的利益相关者展示和强调 TPE 给患者带来的益处，从而有利于获得这种个性化护理实践，这在慢性病管理中至关重要，但在肿瘤学中仍受到限制。
