Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4, Canada.
Cancer Strategic Clinical Network, Alberta Health Services, Edmonton, AB T5J 3E4, Canada.
Curr Oncol. 2024 Mar 13;31(3):1483-1503. doi: 10.3390/curroncol31030113.
Over half of all new cancer cases in Alberta are diagnosed among people aged 65+ years, a group that encompasses vast variation. Patient-reported experience measures are routinely collected within Cancer Care Alberta; however, the specific consideration of the needs and concerns of older Albertans with cancer is lacking. In 2021, 2204 adults who had received treatment at a cancer centre in Alberta completed the Ambulatory Oncology Patient Satisfaction Survey (AOPSS). In this study, we explored the age differences in satisfaction across six dimensions of person-centred care and in the proportions of unmet needs across eight types of issues, with specific attention to older adults. Using three age groups (18-39, 40-64, 65+), only the physical comfort dimension showed significantly lower satisfaction among those aged 65+ years. Using five age groups (18-39, 40-64, 65-74, 75-84, 85+), significantly lower levels of satisfaction were found related to 'physical comfort' for those aged 65-74 and 75-84, 'coordination and continuity of care' for those aged 75-84 and 85+, and 'information, communication, and education' for those aged 85+. Therefore, grouping together all older adults aged 65+ years obscured lower levels of satisfaction with some dimensions of person-centred care among those aged 75-84 and 85+ years. Unmet needs generally increased with age for all types of issues, with significant differences across age groups for emotional, financial, social/family, and sexual health issues. The lower levels of satisfaction and higher proportions of unmet needs call for tailored interventions to promote optimal care experiences and outcomes among older adults receiving cancer care in Alberta and their families.
阿尔伯塔省超过一半的新癌症病例发生在 65 岁及以上人群中，这个群体存在着巨大的差异。在阿尔伯塔癌症护理中心，患者报告的体验测量通常是有收集的；然而，对于患有癌症的老年阿尔伯塔人，他们的需求和关注点还没有得到充分考虑。2021 年，在阿尔伯塔省的一个癌症中心接受治疗的 2204 名成年人完成了门诊肿瘤患者满意度调查（AOPSS）。在这项研究中，我们探讨了六个维度的以患者为中心的护理满意度以及八个类型的问题中未满足需求的比例在年龄上的差异，特别关注老年人。使用三个年龄组（18-39 岁、40-64 岁、65 岁及以上），只有身体舒适度维度在 65 岁及以上的人群中表现出明显较低的满意度。使用五个年龄组（18-39 岁、40-64 岁、65-74 岁、75-84 岁、85 岁及以上），在 65-74 岁和 75-84 岁的人群中，“身体舒适度”，在 75-84 岁和 85 岁及以上的人群中，“协调和连续性护理”，以及在 85 岁及以上的人群中，“信息、沟通和教育”这三个维度，满意度明显较低。因此，将所有 65 岁及以上的老年人归为一组，掩盖了 75-84 岁和 85 岁及以上的老年人对某些以患者为中心的护理维度的满意度较低。对于所有类型的问题，未满足的需求通常会随着年龄的增长而增加，在不同的年龄组之间存在显著差异，包括情绪、经济、社会/家庭和性健康问题。较低的满意度和更高的未满足需求比例需要有针对性的干预措施，以促进在阿尔伯塔接受癌症护理的老年人及其家庭获得最佳的护理体验和结果。
