A longitudinal analysis of patient satisfaction with care and quality of life in ambulatory oncology based on the OUT-PATSAT35 questionnaire

BMC Cancer

Mariette Mercier⁴  Jean-François Bosset¹  Alain Monnier³  Anne Brédart²  Amélie Anota⁵  Thanh Vân France Nguyen⁵ 

[1]Radiotherapy Department, Besançon University Hospital, Besançon 25030, France

[2]Psycho-Oncology Unit, Institut Curie, Paris cedex 75 231, France

[3]Radiotherapy Department, Montbéliard Hospital, Montbéliard 25200, France

[4]Health-Related Quality of Life in Oncology Platform, Cancéropole Grand Est, Strasbourg University Hospital Haute Pierre, Strasbourg 67098, France

[5]Radiotherapy Department, Gustave Roussy Cancer Center, 114 Rue Edouard Vaillant, 94805 Cedex Villejuif, France

关键词: Ambulatory oncology;    Quality of life;    Determinants of satisfaction;    Patient satisfaction;   

Others  :  859114
DOI  :  10.1186/1471-2407-14-42

 received in 2013-06-30, accepted in 2014-01-13,  发布年份 2014

【 摘 要 】

Background

In the oncology setting, there has been increasing interest in evaluating treatment outcomes in terms of quality of life and patient satisfaction. The aim of our study was to investigate the determinants of patient satisfaction, especially the relationship between quality of life and satisfaction with care and their changes over time, in curative treatment of cancer outpatients.

Methods

Patients undergoing ambulatory chemotherapy or radiotherapy in two centers in France were invited to complete the OUT-PATSAT35, at the beginning of treatment, at the end of treatment, and three months after treatment. This questionnaire evaluates patients’ perception of doctors and nurses, as well as other aspects of care organization and services. Additionally, for each patient, socio-demographic and clinical characteristics, and self-reported quality of life data (EORTC QLQ-C30) were collected.

Results

Of the 691 patients initially included, 561 answered the assessment at all three time points. By cross-sectional analysis, at the end of the treatment, patients who experienced a deterioration of their global health reported less satisfaction on most scales (p ≤ 0.001). Three months after treatment, the same patients had lower satisfaction scores only in the evaluation of doctors (p ≤ 0.002). Furthermore, longitudinal analysis showed a significant relationship between a deterioration in global health and a decrease in satisfaction with their doctor and, conversely, between an improvement in global health and an increase in satisfaction on the overall satisfaction scale. Global health at baseline was largely and significantly associated with all satisfaction scores measured at the following assessment time points (p < 0.0001). Younger age (<55 years), radiotherapy (versus chemotherapy) and head and neck cancer (versus other localizations) were clinical factors significantly associated with less satisfaction on most scales evaluating doctors.

Conclusions

Pre-treatment self-evaluated global health was found to be the major determinant of patient satisfaction with care. The subsequent deterioration of global health, during and after treatment, emphasized the decrease in satisfaction scores, mainly in the evaluation of doctors. Early initiatives aimed at improving the delivery of care in patients with poor health status should lead to improved perception of the quality of care received.

【 授权许可】

   
2014 Nguyen et al.; licensee BioMed Central Ltd.

【 图 表 】

【 参考文献 】

• [1]Avery KN, Metcalfe C, Nicklin J, Barham CP, Alderson D, Donovan JL, Blazeby JM: Satisfaction with care: an independent outcome measure in surgical oncology. Ann Surg Oncol 2006, 13:817-822.
• [2]Bergenmar M, Nylen U, Lidbrink E, Bergh J, Brandberg Y: Improvements in patient satisfaction at an outpatient clinic for patients with breast cancer. Acta Oncol 2006, 45:550-558.
• [3]Defossez G, Mathoulin-Pelissier S, Ingrand I, Gasquet I, Sifer-Riviere L, Ingrand P, Salamon R, Migeot V: Satisfaction with care among patients with non-metastatic breast cancer: development and first steps of validation of the REPERES-60 questionnaire. BMC Cancer 2007, 7:129. BioMed Central Full Text
• [4]Mathiesen TP, Willaing I, Freil M, Jorgensen T, Andreasen AH, Ladelund S, Harling H: How do patients with colorectal cancer perceive treatment and care compared with the treating health care professionals? Med Care 2007, 45:394-400.
• [5]von Gruenigen VE, Hutchins JR, Reidy AM, Gibbons HE, Daly BJ, Eldermire EM, Fusco NL: Gynecologic oncology patients’ satisfaction and symptom severity during palliative chemotherapy. Health Qual Life Outcomes 2006, 4:84. BioMed Central Full Text
• [6]Sherlaw-Johnson C, Datta P, McCarthy M: Hospital differences in patient satisfaction with care for breast, colorectal, lung and prostate cancers. Eur J Cancer 2008, 44:1559-1565.
• [7]Sandoval GA, Brown AD, Sullivan T, Green E: Factors that influence cancer patients’ overall perceptions of the quality of care. Int J Qual Health Care 2006, 18:266-274.
• [8]Lis CG, Rodeghier M, Gupta D: Distribution and determinants of patient satisfaction in oncology: a review of the literature. Patient Prefer Adherence 2009, 3:287-304.
• [9]Kleeberg UR, Tews JT, Ruprecht T, Hoing M, Kuhlmann A, Runge C: Patient satisfaction and quality of life in cancer outpatients: results of the PASQOC study. Support Care Cancer 2005, 13:303-310.
• [10]Loblaw DA, Bezjak A, Singh PM, Gotowiec A, Joubert D, Mah K, Devins GM: Psychometric refinement of an outpatient, visit-specific satisfaction with doctor questionnaire. Psychooncology 2004, 13:223-234.
• [11]Talamini R, Boz G, Franceschi S, Franchin G, Trovo MG: Evaluation of hospital care in a radiotherapy department in north-eastern Italy. Eur J Cancer 1991, 27:1253-1258.
• [12]Zissiadis Y, Provis A, Harper E, Kearney E, McDonald L, Dhaliwal S: Patient satisfaction in radiation oncology. Australas Radiol 2006, 50:455-462.
• [13]Oberst MT: Methodology in behavioral and psychosocial cancer research. Patients’ perceptions of care. Measurement of quality and satisfaction. Cancer 1984, 53:2366-2375.
• [14]Wiggers JH, Donovan KO, Redman S, Sanson-Fisher RW: Cancer patient satisfaction with care. Cancer 1990, 66:610-616.
• [15]Bleich SN, Ozaltin E, Murray CK: How does satisfaction with the health-care system relate to patient experience? Bull World Health Organ 2009, 87:271-278.
• [16]Hall JA, Milburn MA, Epstein AM: A causal model of health status and satisfaction with medical care. Med Care 1993, 31:84-94.
• [17]Hall JA, Milburn MA, Roter DL, Daltroy LH: Why are sicker patients less satisfied with their medical care? Tests of two explanatory models. Health Psychol 1998, 17:70-75.
• [18]Lis CG, Rodeghier M, Grutsch JF, Gupta D: Distribution and determinants of patient satisfaction in oncology with a focus on health related quality of life. BMC Health Serv Res 2009, 9:190. BioMed Central Full Text
• [19]Wensing M, Grol R, Asberg J, van Montfort P, van Weel C, Felling A: Does the health status of chronically ill patients predict their judgements of the quality of general practice care? Qual Life Res 1997, 6:293-299.
• [20]Westaway MS, Rheeder P, Van Zyl DG, Seager JR: Interpersonal and organizational dimensions of patient satisfaction: the moderating effects of health status. Int J Qual Health Care 2003, 15:337-344.
• [21]Nguyen TV, Bosset JF, Monnier A, Fournier J, Perrin V, Baumann C, Bredart A, Mercier M: Determinants of patient satisfaction in ambulatory oncology: a cross sectional study based on the OUT-PATSAT35 questionnaire. BMC Cancer 2011, 11:526. BioMed Central Full Text
• [22]Bredart A, Coens C, Aaronson N, Chie WC, Efficace F, Conroy T, Blazeby JM, Hammerlid E, Costantini M, Joly F, et al.: Determinants of patient satisfaction in oncology settings from European and Asian countries: preliminary results based on the EORTC IN-PATSAT32 questionnaire. Eur J Cancer 2007, 43:323-330.
• [23]Poinsot R, Altmeyer A, Conroy T, Savignoni A, Asselain B, Leonard I, Marx E, Cosquer M, Sevellec M, Gledhill J, et al.: Multisite validation study of questionnaire assessing out-patient satisfaction with care questionnaire in ambulatory chemotherapy or radiotherapy treatment. Bull Cancer 2006, 93:315-327.
• [24]Arraras JI, Rico M, Vila M, Chicata V, Asin G, Martinez M, Hernandez B, Arias F, Martinez E: The EORTC cancer outpatient satisfaction with care questionnaire in ambulatory radiotherapy: EORTC OUT-PATSAT35 RT. Validation study for Spanish patients. Psychooncology 2010, 19:657-664.
• [25]Arraras JI, Illarramendi JJ, Viudez A, Lecumberri MJ, de la Cruz S, Hernandez B, Zarandona U, Bredart A, Martinez M, Salgado E, et al.: The cancer outpatient satisfaction with care questionnaire for chemotherapy, OUT-PATSAT35 CT: a validation study for Spanish patients. Support Care Cancer 2012, 20:3269-3278.
• [26]Osoba D, Rodrigues G, Myles J, Zee B, Pater J: Interpreting the significance of changes in health-related quality-of-life scores. J Clin Oncol 1998, 16:139-144.
• [27]Sitzia J, Wood N: Patient satisfaction: a review of issues and concepts. Soc Sci Med 1997, 45:1829-1843.
• [28]Williams B, Coyle J, Healy D: The meaning of patient satisfaction: an explanation of high reported levels. Soc Sci Med 1998, 47:1351-1359.
• [29]Feyer P, Kleeberg UR, Steingraber M, Gunther W, Behrens M: Frequency of side effects in outpatient cancer care and their influence on patient satisfaction–a prospective survey using the PASQOC questionnaire. Support Care Cancer 2008, 16:567-575.
• [30]Stiegelis HE, Ranchor AV, Sanderman R: Psychological functioning in cancer patients treated with radiotherapy. Patient Educ Couns 2004, 52:131-141.
• [31]Montgomery C, Lydon A, Lloyd K: Psychological distress among cancer patients and informed consent. J Psychosom Res 1999, 46:241-245.
• [32]Llewellyn CD, McGurk M, Weinman J: Are psycho-social and behavioural factors related to health related-quality of life in patients with head and neck cancer? A systematic review. Oral Oncol 2005, 41:440-454.
• [33]Sitzia J, Wood N: Response rate in patient satisfaction research: an analysis of 210 published studies. Int J Qual Health Care 1998, 10:311-317.
• [34]Ong LM, de Haes JC, Hoos AM, Lammes FB: Doctor-patient communication: a review of the literature. Soc Sci Med 1995, 40:903-918.
• [35]Ford S, Fallowfield L, Lewis S: Doctor-patient interactions in oncology. Soc Sci Med 1996, 42:1511-1519.
• [36]Bredart A, Bouleuc C, Dolbeault S: Doctor-patient communication and satisfaction with care in oncology. Curr Opin Oncol 2005, 17:351-354.
• [37]Butow P, Devine R, Boyer M, Pendlebury S, Jackson M, Tattersall MH: Cancer consultation preparation package: changing patients but not physicians is not enough. J Clin Oncol 2004, 22:4401-4409.
• [38]Walker MS, Podbilewicz-Schuller Y: Video preparation for breast cancer treatment planning: results of a randomized clinical trial. Psychooncology 2005, 14:408-420.
• [39]Moore PM, Rivera Mercado S, Grez Artigues M, Lawrie TA: Communication skills training for healthcare professionals working with people who have cancer. Cochrane Database Syst Rev 2013, 3:CD003751.
• [40]Gysels M, Richardson A, Higginson IJ: Communication training for health professionals who care for patients with cancer: a systematic review of effectiveness. Support Care Cancer 2004, 12:692-700.
• [41]Detmar SB, Muller MJ, Schornagel JH, Wever LD, Aaronson NK: Health-related quality-of-life assessments and patient-physician communication: a randomized controlled trial. JAMA 2002, 288:3027-3034.
• [42]Hilarius DL, Kloeg PH, Gundy CM, Aaronson NK: Use of health-related quality-of-life assessments in daily clinical oncology nursing practice: a community hospital-based intervention study. Cancer 2008, 113:628-637.
• [43]Velikova G, Booth L, Smith AB, Brown PM, Lynch P, Brown JM, Selby PJ: Measuring quality of life in routine oncology practice improves communication and patient well-being: a randomized controlled trial. J Clin Oncol 2004, 22:714-724.
• [44]Patrick DL, Ferketich SL, Frame PS, Harris JJ, Hendricks CB, Levin B, Link MP, Lustig C, McLaughlin J, Reid LD, et al.: National institutes of health state-of-the-science conference statement: symptom management in cancer: pain, depression, and fatigue, july 15–17. J Natl Cancer Inst Monogr 2002, 2004:9-16.