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Factors predicting patient satisfaction in women with advanced breast cancer: a prospective study
BACKGROUND: The present study (1) examined patient satisfaction with care over the first year following the diagnosis of advanced breast cancer and (2) tested if unmet health system and information needs, physical symptom distress, and psychological distress predicted patient satisfaction. METHODS:...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5803988/ https://www.ncbi.nlm.nih.gov/pubmed/29415669 http://dx.doi.org/10.1186/s12885-018-4085-3 |
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author | Lam, Wendy W. T. Kwong, Ava Suen, Dacita Tsang, Janice Soong, Inda Yau, Tze Kok Yeo, Winnie Suen, Joyce Ho, Wing Ming Wong, Ka Yan Sze, Wing Kin Ng, Alice W. Y. Fielding, Richard |
author_facet | Lam, Wendy W. T. Kwong, Ava Suen, Dacita Tsang, Janice Soong, Inda Yau, Tze Kok Yeo, Winnie Suen, Joyce Ho, Wing Ming Wong, Ka Yan Sze, Wing Kin Ng, Alice W. Y. Fielding, Richard |
author_sort | Lam, Wendy W. T. |
collection | PubMed |
description | BACKGROUND: The present study (1) examined patient satisfaction with care over the first year following the diagnosis of advanced breast cancer and (2) tested if unmet health system and information needs, physical symptom distress, and psychological distress predicted patient satisfaction. METHODS: Prospective study of 213 Chinese women with advanced breast cancer assessed while awaiting or receiving initial chemotherapy (baseline), then again at 1.5-, 3-, 6-, and 12-months post-baseline. Health system and information unmet (HSI) needs, psychological distress, physical symptom distress, and patient satisfaction were assessed at baseline; patient satisfaction was reassessed at each follow-up assessment. Latent growth curve analysis assessed changes in patient satisfaction over the 12 months follow-up; hierarchical multiple regression analysis tested if baseline health system information needs, physical symptom distress, anxiety and depression predicted patient satisfaction at one-year post-baseline. RESULTS: The level of patient satisfaction was high and did not change significantly over time. Only HSI needs (β = − 0.27, p < 0.005) significantly associated with baseline patient satisfaction. Patient satisfaction at one-year post-baseline was predicted by HSI needs (β = − 0.26, p < 0.005), Anxiety (β = 0.23, p < 0.05) and Depression (β = − 0.28, p < 0.005), adjusting for the effect of baseline patient satisfaction (β = 0.22, p < 0.005). CONCLUSIONS: Unmet health information needs and greater depressive symptoms at initial treatment phased predicted subsequent poorer patient satisfaction. This highlights a need to reinforce the importance of patient-centered care model in managing advanced breast cancer. |
format | Online Article Text |
id | pubmed-5803988 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-58039882018-02-14 Factors predicting patient satisfaction in women with advanced breast cancer: a prospective study Lam, Wendy W. T. Kwong, Ava Suen, Dacita Tsang, Janice Soong, Inda Yau, Tze Kok Yeo, Winnie Suen, Joyce Ho, Wing Ming Wong, Ka Yan Sze, Wing Kin Ng, Alice W. Y. Fielding, Richard BMC Cancer Research Article BACKGROUND: The present study (1) examined patient satisfaction with care over the first year following the diagnosis of advanced breast cancer and (2) tested if unmet health system and information needs, physical symptom distress, and psychological distress predicted patient satisfaction. METHODS: Prospective study of 213 Chinese women with advanced breast cancer assessed while awaiting or receiving initial chemotherapy (baseline), then again at 1.5-, 3-, 6-, and 12-months post-baseline. Health system and information unmet (HSI) needs, psychological distress, physical symptom distress, and patient satisfaction were assessed at baseline; patient satisfaction was reassessed at each follow-up assessment. Latent growth curve analysis assessed changes in patient satisfaction over the 12 months follow-up; hierarchical multiple regression analysis tested if baseline health system information needs, physical symptom distress, anxiety and depression predicted patient satisfaction at one-year post-baseline. RESULTS: The level of patient satisfaction was high and did not change significantly over time. Only HSI needs (β = − 0.27, p < 0.005) significantly associated with baseline patient satisfaction. Patient satisfaction at one-year post-baseline was predicted by HSI needs (β = − 0.26, p < 0.005), Anxiety (β = 0.23, p < 0.05) and Depression (β = − 0.28, p < 0.005), adjusting for the effect of baseline patient satisfaction (β = 0.22, p < 0.005). CONCLUSIONS: Unmet health information needs and greater depressive symptoms at initial treatment phased predicted subsequent poorer patient satisfaction. This highlights a need to reinforce the importance of patient-centered care model in managing advanced breast cancer. BioMed Central 2018-02-07 /pmc/articles/PMC5803988/ /pubmed/29415669 http://dx.doi.org/10.1186/s12885-018-4085-3 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Lam, Wendy W. T. Kwong, Ava Suen, Dacita Tsang, Janice Soong, Inda Yau, Tze Kok Yeo, Winnie Suen, Joyce Ho, Wing Ming Wong, Ka Yan Sze, Wing Kin Ng, Alice W. Y. Fielding, Richard Factors predicting patient satisfaction in women with advanced breast cancer: a prospective study |
title | Factors predicting patient satisfaction in women with advanced breast cancer: a prospective study |
title_full | Factors predicting patient satisfaction in women with advanced breast cancer: a prospective study |
title_fullStr | Factors predicting patient satisfaction in women with advanced breast cancer: a prospective study |
title_full_unstemmed | Factors predicting patient satisfaction in women with advanced breast cancer: a prospective study |
title_short | Factors predicting patient satisfaction in women with advanced breast cancer: a prospective study |
title_sort | factors predicting patient satisfaction in women with advanced breast cancer: a prospective study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5803988/ https://www.ncbi.nlm.nih.gov/pubmed/29415669 http://dx.doi.org/10.1186/s12885-018-4085-3 |
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