研究动态
Articles below are published ahead of final publication in an issue. Please cite articles in the following format: authors, (year), title, journal, DOI.

确定癌症护理总体评级的驱动因素:瑞士癌症患者体验研究第二波的见解。

Identifying the drivers of overall rating of cancer care: Insights from the second wave of the Swiss Cancer Patient Experiences study.

发表日期:2024 Aug 09
作者: Vladimir Jolidon, Manuela Eicher, Isabelle Peytremann-Bridevaux, Stefan Aebi, Sandro Anchisi, Adrienne Bettini, Yves Chalandon, Pierre-Yves Dietrich, Michel A Duchosal, Donat Dürr, Solange Peters, Roger von Moos, Andreas Wicki, Chantal Arditi
来源: CANCER

摘要:

患者体验调查通过众多调查项目收集有关护理各个方面的信息。确定患者体验中最关键的领域并优先考虑改善护理质量可能具有挑战性。本研究的目的是确定哪些护理体验项目是影响患者癌症护理总体评分的驱动因素。分析了第二波瑞士癌症患者体验研究中 2750 名成年癌症患者的数据。这项横断面调查于 2021 年 9 月至 2022 年 2 月在瑞士八家医院进行。逐步逻辑回归研究了整体护理评级与覆盖不同以患者为中心的护理维度的 29 个患者体验项目之间的关系,同时调整了社会人口统计和健康变量。总体而言,患者对他们的癌症护理体验的评分为 8.9 分(满分 10 分)。逐步回归确定了影响整体护理评分的七个驱动因素。最有力的驱动因素是协调和整合维度的“专业人员合作良好”(比值比 [OR],4.81)和“未重复测试”(OR,2.09),“在治疗期间为症状提供支持”(OR,2.11) )从身体舒适度维度来看,其次是“医院工作人员确保提供家庭支持”(OR,1.99)、“愿意就疑虑去看健康专家”(OR,1.91)、“解释了治疗方案”(OR,1.75),和“根据需要参与治疗决策”(OR,1.68)。这项研究使用综合工具评估了癌症患者的护理体验,该工具确定了与整体护理评级独立相关的七个关键因素。通过专注于这些领域,医院不仅可以改善患者护理体验,还可以有效地将资源分配给质量改进计划。© 2024 作者。 《癌症》由 Wiley periodicals LLC 代表美国癌症协会出版。
Patient experience surveys gather information on various aspects of care via numerous survey items. Identifying the most critical areas of patient experience to prioritize for quality care improvement can be challenging. The objective of this study was to determine which care experience items are the drivers influencing patients' overall rating of cancer care.Data from 2750 adult patients with cancer from the second wave of the Swiss Cancer Patient Experiences study were analyzed. This cross-sectional survey was conducted in eight Swiss hospitals from September 2021 to February 2022. Stepwise logistic regression examined the relationship between overall care rating and 29 patient experience items covering different patient-centered care dimensions while adjusting for sociodemographic and health variables.Overall, patients rated their cancer care experience at 8.9 out of 10. Stepwise regression identified seven drivers contributing to overall care rating. The strongest drivers were "professionals worked well together" (odds ratio [OR], 4.81) and "tests were not repeated" (OR, 2.09) from the coordination and integration dimension, "offered support for symptoms during treatment" (OR, 2.11) from the physical comfort dimension, followed by "hospital staff ensured available home support" (OR, 1.99), "offered to see health professional for concerns" (OR, 1.91), "treatment options were explained" (OR, 1.75), and "involved in treatment decisions as desired" (OR, 1.68).This study evaluated the care experiences of patients with cancer with a comprehensive tool that identified seven key factors independently associated with overall care rating. By concentrating on these areas, hospitals can not only improve the patient care experience but also efficiently allocate resources to quality improvement initiatives.© 2024 The Author(s). Cancer published by Wiley Periodicals LLC on behalf of American Cancer Society.