Improving patient satisfaction and care delivery for female veteran patients with cancer receiving outpatient infusion therapies
| Autor: | Malinda T West, Gagah Tamba, Rajat Thawani, Antonene Drew, Rose Cheng, Nicole V Wilde, Julie N Graff, Rosemarie Mannino |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Journal of Clinical Oncology. 40:279-279 |
| ISSN: | 1527-7755 0732-183X |
| Popis: | 279 Background: Our objective was to explore if differences in patient satisfaction based on gender exist in a Veterans Health Administration (VHA) outpatient chemotherapy infusion unit. Methods: Veterans who received outpatient infusion treatments from 2018 to 2020 were contacted by phone and agreed to partake in an anonymous 25 question online survey. Response differences were analyzed using Fisher’s exact and Welch's t-tests. Results: 69 veterans were contacted. 70% (21/30) of women and 51% (20/39) of male veterans completed the survey. Most women were < 65 years (62%), and 52% treated for breast cancer. 90% of men were > 65 years old, majority treated for prostate cancer (20%) or a hematological cancer (20%). Using our survey, patient satisfaction was 8.71/10 points (± 0.60) in women vs. 9.55 (± 2.24) in men (p = 0.113). 86% of women endorsed hx of sexual abuse or harassment vs 10% of men (p < 0.001). More women vs men felt uncomfortable around other patients and unable to voice uncomfortable experiences to a provider in the infusion unit (p < 0.05). Not statistically significant but potential clinical importance was more women felt uncomfortable around the offending gender (29% vs 0%), more women felt greater emotional support and importance with access to a tx room with the same gender (29% vs 0%), and more women preferred access to a gender specific restroom (30% vs 20%). Conclusions: Gender appears related to how veterans with cancer perceive their ambulatory cancer care. This may be due to the combination of high sexual abuse and/or harassment hx amongst women who are a minority of the total infusion unit population, the majority of whom receive tx for a primarily gender specific breast malignancy. Analysis was limited by the small sample size of women, many with advanced malignancy. Ongoing initiatives based on these survey results are underway and may be applicable to other outpatient cancer center facilities where patient demographic and infusion unit design may be similar.[Table: see text] |
| Databáze: | OpenAIRE |
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