Unisanté, Center for Primary Care and Public Health, Department of Epidemiology and Health Systems, University of Lausanne, Lausanne, Switzerland.
Institute of Higher Education and Research in Healthcare, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland.
Cancer. 2024 Dec 15;130(24):4334-4346. doi: 10.1002/cncr.35506. Epub 2024 Aug 9.
Patient experience surveys gather information on various aspects of care via numerous survey items. Identifying the most critical areas of patient experience to prioritize for quality care improvement can be challenging. The objective of this study was to determine which care experience items are the drivers influencing patients' overall rating of cancer care.
Data from 2750 adult patients with cancer from the second wave of the Swiss Cancer Patient Experiences study were analyzed. This cross-sectional survey was conducted in eight Swiss hospitals from September 2021 to February 2022. Stepwise logistic regression examined the relationship between overall care rating and 29 patient experience items covering different patient-centered care dimensions while adjusting for sociodemographic and health variables.
Overall, patients rated their cancer care experience at 8.9 out of 10. Stepwise regression identified seven drivers contributing to overall care rating. The strongest drivers were "professionals worked well together" (odds ratio [OR], 4.81) and "tests were not repeated" (OR, 2.09) from the coordination and integration dimension, "offered support for symptoms during treatment" (OR, 2.11) from the physical comfort dimension, followed by "hospital staff ensured available home support" (OR, 1.99), "offered to see health professional for concerns" (OR, 1.91), "treatment options were explained" (OR, 1.75), and "involved in treatment decisions as desired" (OR, 1.68).
This study evaluated the care experiences of patients with cancer with a comprehensive tool that identified seven key factors independently associated with overall care rating. By concentrating on these areas, hospitals can not only improve the patient care experience but also efficiently allocate resources to quality improvement initiatives.
患者体验调查通过大量调查项目收集护理各个方面的信息。确定患者体验中需要优先考虑的关键领域以进行高质量护理改进可能具有挑战性。本研究的目的是确定哪些护理体验项目是影响患者对癌症护理总体评价的驱动因素。
对来自瑞士癌症患者体验研究第二波的 2750 名成年癌症患者的数据进行了分析。这项横断面调查于 2021 年 9 月至 2022 年 2 月在瑞士的八家医院进行。逐步逻辑回归分析了整体护理评分与涵盖不同以患者为中心的护理维度的 29 项患者体验项目之间的关系，同时调整了社会人口学和健康变量。
总体而言，患者对癌症护理体验的评分为 10 分制的 8.9 分。逐步回归确定了对整体护理评分有贡献的七个驱动因素。协作和整合维度中“专业人员配合默契”（优势比 [OR]，4.81）和“未重复检查”（OR，2.09）以及物理舒适维度中“在治疗期间提供症状支持”（OR，2.11）是最强的驱动因素，其次是“医院工作人员确保提供家庭支持”（OR，1.99）、“提供与健康专业人员的咨询”（OR，1.91）、“解释治疗方案”（OR，1.75）和“按照患者意愿参与治疗决策”（OR，1.68）。
本研究使用一种全面的工具评估了癌症患者的护理体验，该工具确定了与整体护理评分独立相关的七个关键因素。通过关注这些领域，医院不仅可以改善患者的护理体验，还可以有效地将资源分配到质量改进计划中。
