Assessing Cancer Patient Experience of Care in Outpatient Oncology Practices in the United States
| Autor: | Mark W. Friedberg, Sarah Hudson Scholle, Manasi A. Tirodkar, Lindsey Roth, Aaron Smith-McLallen |
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| Rok vydání: | 2020 |
| Předmět: |
Oncology
Adult Male medicine.medical_specialty media_common.quotation_subject Cancer Care Facilities Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Optimism Patient satisfaction Internal medicine Surveys and Questionnaires Patient experience medicine Humans 030212 general & internal medicine Reliability (statistics) media_common Aged Quality of Health Care Response rate (survey) Aged 80 and over business.industry 030503 health policy & services Multilevel model Public Health Environmental and Occupational Health Reproducibility of Results Professional-Patient Relations Middle Aged Pennsylvania United States Sample size determination Patient Satisfaction Scale (social sciences) Female 0305 other medical science business Decision Making Shared |
| Zdroj: | Medical care. 58(8) |
| ISSN: | 1537-1948 |
| Popis: | Introduction Cancer patients' experience of care is an important component of quality that has not previously been used for comparing performance. We administered a new patient experience survey to cancer patients receiving outpatient chemotherapy treatment. We examined its measures for sensitivity to adjustment for case-mix and response tendency (level of general optimism/pessimism) and reliability for making performance comparisons between practices. Methods We surveyed 2304 cancer patients who received chemotherapy at 23 medical oncology practices in Southeastern Pennsylvania, receiving 715 responses (response rate 31%; 14 practices had 10 or more responses). We aggregated patient responses to calculate practice-level scores on 5 predefined composites: Affective Communication, Shared Decision-Making, Patient Self-Management, Exchanging Information, and Access. We then ranked the practices on each composite before and after adjustment for standard case-mix variables and supplemental adjustment for response tendency (measured via the Life Orientation Test-Revised). We calculated the reliability of practice scores on each composite using hierarchical linear models and calculated minimum sample sizes necessary to achieve reliabilities exceeding 0.7. Results After adjusting responses for case-mix and converting to a 0-100 scale, composite scores ranged from 77 for the Patient Self-Management composite to 92 for the Access composite. Adjustment for response tendency had an impact on practice rankings only for the Shared Decision-Making composite. The number of responses necessary to create reliable practice-level measurements ranged from 17 (Access composite) to 96 (Affective Communication composite). Conclusions Patient experiences at oncology practices can be measured reliably using reasonable sample sizes. Standard case-mix adjustment is adequate for making comparisons on most composites. |
| Databáze: | OpenAIRE |
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