Loving Bailey A, Ye Hong, Rutka Elizabeth, Robertson John M
Department of Radiation Oncology, Corewell Health William Beaumont University Hospital, Royal Oak, MI, United States.
Front Oncol. 2025 Jan 17;14:1434949. doi: 10.3389/fonc.2024.1434949. eCollection 2024.
Patient satisfaction surveys are pivotal in evaluating healthcare quality and enhancing patient care. Understanding the factors influencing patient engagement with these surveys in radiation oncology can guide improvements in patient-centered care.
This retrospective study analyzed data from radiation oncology patients at a large multi-site single-institution center from May 2021 to January 2024. We assessed the influence of demographic, clinical, and socioeconomic factors on the likelihood of survey participation using univariate (UVA) and multivariable (MVA) logistic regression analyses. Factors included age, gender, race, socioeconomic status (SES) via Area Deprivation Index (ADI), language, marital status, smoking, employment, insurance type, mental health disorders (MHD), comorbidity index (CCI), and cancer type.
In a comprehensive analysis of 11,859 patients, most were female (57.2%), over 65 years old (60.7%), and primarily insured by Medicare (45.9%). MVA showed that higher socioeconomic disadvantage significantly decreased survey participation (ADI third tertile vs. first tertile OR=0.708, p<0.001), with each unit increase in ADI reducing the odds of completion by 1% (p<0.001). Older adults, and patients with head and neck or genitourinary cancers were significantly more likely to participate, while those with higher comorbidities, MHD, or other minority status were less engaged (p<0.001). Telemedicine encounters also significantly increased participation compared to in-person visits (OR=1.149, p=0.006).
Multiple factors including age, race, SES, insurance type, cancer type, health conditions, and modality of healthcare delivery influence patient engagement with satisfaction surveys in radiation oncology. Strategies to enhance patient engagement must consider these diverse influences to ensure comprehensive and inclusive feedback mechanisms in healthcare settings. Tailored interventions to mitigate barriers specific to underrepresented groups are crucial for capturing a broad spectrum of patient experiences and improving the overall quality of patient care.
患者满意度调查对于评估医疗质量和改善患者护理至关重要。了解影响放射肿瘤学患者参与这些调查的因素可以指导以患者为中心的护理改进。
这项回顾性研究分析了2021年5月至2024年1月期间，一家大型多地点单机构中心的放射肿瘤学患者数据。我们使用单变量（UVA）和多变量（MVA）逻辑回归分析，评估了人口统计学、临床和社会经济因素对调查参与可能性的影响。因素包括年龄、性别、种族、通过地区贫困指数（ADI）衡量的社会经济地位（SES）、语言、婚姻状况、吸烟、就业、保险类型、心理健康障碍（MHD）、合并症指数（CCI）和癌症类型。
在对11859名患者的综合分析中，大多数为女性（57.2%），年龄超过65岁（60.7%），主要由医疗保险承保（45.9%）。MVA显示，较高的社会经济劣势显著降低了调查参与率（ADI第三三分位数与第一三分位数相比，OR = 0.708，p < 0.001），ADI每增加一个单位，完成调查的几率就降低1%（p < 0.001）。老年人以及患有头颈癌或泌尿生殖系统癌症的患者参与调查的可能性显著更高，而合并症较多、患有MHD或其他少数群体身份的患者参与度较低（p < 0.001）。与面对面就诊相比，远程医疗会诊也显著提高了参与率（OR = 1.149，p = 0.006）。
年龄、种族、SES、保险类型、癌症类型、健康状况和医疗服务方式等多种因素影响放射肿瘤学患者对满意度调查的参与度。提高患者参与度的策略必须考虑这些不同的影响因素，以确保医疗环境中有全面和包容的反馈机制。针对代表性不足群体的特定障碍进行量身定制的干预措施对于获取广泛的患者体验和提高患者护理的整体质量至关重要。
