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Quality of Patient-Centered Care Provided to Patients Attending Hematological Cancer Treatment Centers

The Institute of Medicine has recommended that improvements are needed in patient-centered care. This study examined hematological cancer patients’ perceptions of which aspects of cancer care were being delivered well and areas that required improvement, and whether patient characteristics, or the t...

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Autores principales: Tzelepis, Flora, Clinton-McHarg, Tara, Paul, Christine L, Sanson-Fisher, Robert W, Joshua, Douglas, Carey, Mariko L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5877094/
https://www.ncbi.nlm.nih.gov/pubmed/29562704
http://dx.doi.org/10.3390/ijerph15030549
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author Tzelepis, Flora
Clinton-McHarg, Tara
Paul, Christine L
Sanson-Fisher, Robert W
Joshua, Douglas
Carey, Mariko L
author_facet Tzelepis, Flora
Clinton-McHarg, Tara
Paul, Christine L
Sanson-Fisher, Robert W
Joshua, Douglas
Carey, Mariko L
author_sort Tzelepis, Flora
collection PubMed
description The Institute of Medicine has recommended that improvements are needed in patient-centered care. This study examined hematological cancer patients’ perceptions of which aspects of cancer care were being delivered well and areas that required improvement, and whether patient characteristics, or the treatment center they attended, were associated with quality of patient-centered care. Participants were recruited via three Australian hematological cancer treatment centers and completed a paper-and-pen survey assessing sociodemographic, disease, and psychological and treatment characteristics at recruitment. A second survey that contained the Quality of Patient-Centered Cancer Care measure was completed one month after recruitment (n = 215). The most frequently delivered feature of patient-centered cancer care was hospital staff showing respect for patients (91.0%). The area of care reported most commonly as not being delivered was hospital staff helping the patient find other cancer patients to talk to (29.8%). Patients without depression reported higher perceived quality of treatment decision-making, co-ordinated and integrated care, emotional support, follow-up care, respectful communication, and cancer information than patients with depression. The treatment center that was attended was associated only with the quality of cancer information patients received. Privacy issues may hinder staff connecting patients directly but this could be overcome via referrals to cancer organizations that offer peer support services.
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spelling pubmed-58770942018-04-09 Quality of Patient-Centered Care Provided to Patients Attending Hematological Cancer Treatment Centers Tzelepis, Flora Clinton-McHarg, Tara Paul, Christine L Sanson-Fisher, Robert W Joshua, Douglas Carey, Mariko L Int J Environ Res Public Health Article The Institute of Medicine has recommended that improvements are needed in patient-centered care. This study examined hematological cancer patients’ perceptions of which aspects of cancer care were being delivered well and areas that required improvement, and whether patient characteristics, or the treatment center they attended, were associated with quality of patient-centered care. Participants were recruited via three Australian hematological cancer treatment centers and completed a paper-and-pen survey assessing sociodemographic, disease, and psychological and treatment characteristics at recruitment. A second survey that contained the Quality of Patient-Centered Cancer Care measure was completed one month after recruitment (n = 215). The most frequently delivered feature of patient-centered cancer care was hospital staff showing respect for patients (91.0%). The area of care reported most commonly as not being delivered was hospital staff helping the patient find other cancer patients to talk to (29.8%). Patients without depression reported higher perceived quality of treatment decision-making, co-ordinated and integrated care, emotional support, follow-up care, respectful communication, and cancer information than patients with depression. The treatment center that was attended was associated only with the quality of cancer information patients received. Privacy issues may hinder staff connecting patients directly but this could be overcome via referrals to cancer organizations that offer peer support services. MDPI 2018-03-19 2018-03 /pmc/articles/PMC5877094/ /pubmed/29562704 http://dx.doi.org/10.3390/ijerph15030549 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tzelepis, Flora
Clinton-McHarg, Tara
Paul, Christine L
Sanson-Fisher, Robert W
Joshua, Douglas
Carey, Mariko L
Quality of Patient-Centered Care Provided to Patients Attending Hematological Cancer Treatment Centers
title Quality of Patient-Centered Care Provided to Patients Attending Hematological Cancer Treatment Centers
title_full Quality of Patient-Centered Care Provided to Patients Attending Hematological Cancer Treatment Centers
title_fullStr Quality of Patient-Centered Care Provided to Patients Attending Hematological Cancer Treatment Centers
title_full_unstemmed Quality of Patient-Centered Care Provided to Patients Attending Hematological Cancer Treatment Centers
title_short Quality of Patient-Centered Care Provided to Patients Attending Hematological Cancer Treatment Centers
title_sort quality of patient-centered care provided to patients attending hematological cancer treatment centers
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5877094/
https://www.ncbi.nlm.nih.gov/pubmed/29562704
http://dx.doi.org/10.3390/ijerph15030549
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