Determinants of patient satisfaction with cancer care delivered by the Danish healthcare system

Anne Christine Stender Heerdegen; Gitte Stentebjerg Petersen; Signe Smith Jervelund

doi:10.1002/cncr.30673

Determinants of patient satisfaction with cancer care delivered by the Danish healthcare system

Anne Christine Stender Heerdegen, Gitte Stentebjerg Petersen, Signe Smith Jervelund

Section of Health Services Research

13 Citations (Scopus)

Abstract

BACKGROUND: Patient-reported quality of care, which is often measured by patients' overall rating of care, is gaining more attention within the field of oncology. The aim of this study was to examine factors that determine adult cancer patients' overall rating of prediagnosis care (PDC) and care provided during treatment (CDT). METHODS: Data were collected from 2 recurrent nationwide surveys among adult cancer patients in Denmark in 2010 and 2012. Analyses regarding PDC were based on the 2010 study population (n = 3681), and CDT analyses were based on the 2012 follow-up population (n = 2315). Multivariable logistic regression models were applied. RESULTS: Overall, 55.1% of patients reported excellent PDC and 61.9% reported excellent CDT. The odds of rating PDC and CDT as excellent differed significantly according to sex, age, and cancer diagnosis. Furthermore, the extent of supportive relatives, comorbidity, self-reported health, and region of treatment significantly determined ratings of CDT. Patients who reported negative experiences related to waiting time, information, coordination, and continuity of care during PDC and CDT, respectively, were significantly less likely overall to rate their care as excellent. The final regression models for PDC and CDT explained 38.2% and 30.6%, respectively, of the variance in the overall rating. CONCLUSION: Learning how patient characteristics influence the overall rating of care can enable health care providers to accommodate vulnerable patient groups. Identification of health care aspects that are independently associated with the overall rating of care may enable targeted efforts when planning and prioritizing initiatives aimed at improving the patient-experienced quality of care. Cancer 2017;123:2918–26.

Original language	English
Journal	Cancer
Volume	123
Issue number	15
Pages (from-to)	2918–2926
Number of pages	9
ISSN	0008-543X
DOIs	https://doi.org/10.1002/cncr.30673
Publication status	Published - 1 Aug 2017

Keywords

Journal Article

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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title = "Determinants of patient satisfaction with cancer care delivered by the Danish healthcare system",

abstract = "BACKGROUND: Patient-reported quality of care, which is often measured by patients' overall rating of care, is gaining more attention within the field of oncology. The aim of this study was to examine factors that determine adult cancer patients' overall rating of prediagnosis care (PDC) and care provided during treatment (CDT). METHODS: Data were collected from 2 recurrent nationwide surveys among adult cancer patients in Denmark in 2010 and 2012. Analyses regarding PDC were based on the 2010 study population (n = 3681), and CDT analyses were based on the 2012 follow-up population (n = 2315). Multivariable logistic regression models were applied. RESULTS: Overall, 55.1% of patients reported excellent PDC and 61.9% reported excellent CDT. The odds of rating PDC and CDT as excellent differed significantly according to sex, age, and cancer diagnosis. Furthermore, the extent of supportive relatives, comorbidity, self-reported health, and region of treatment significantly determined ratings of CDT. Patients who reported negative experiences related to waiting time, information, coordination, and continuity of care during PDC and CDT, respectively, were significantly less likely overall to rate their care as excellent. The final regression models for PDC and CDT explained 38.2% and 30.6%, respectively, of the variance in the overall rating. CONCLUSION: Learning how patient characteristics influence the overall rating of care can enable health care providers to accommodate vulnerable patient groups. Identification of health care aspects that are independently associated with the overall rating of care may enable targeted efforts when planning and prioritizing initiatives aimed at improving the patient-experienced quality of care. Cancer 2017;123:2918–26.",

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author = "Heerdegen, {Anne Christine Stender} and Petersen, {Gitte Stentebjerg} and Jervelund, {Signe Smith}",

note = "{\textcopyright} 2017 American Cancer Society.",

year = "2017",

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doi = "10.1002/cncr.30673",

language = "English",

volume = "123",

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journal = "Cancer",

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T1 - Determinants of patient satisfaction with cancer care delivered by the Danish healthcare system

AU - Heerdegen, Anne Christine Stender

AU - Petersen, Gitte Stentebjerg

AU - Jervelund, Signe Smith

PY - 2017/8/1

Y1 - 2017/8/1

N2 - BACKGROUND: Patient-reported quality of care, which is often measured by patients' overall rating of care, is gaining more attention within the field of oncology. The aim of this study was to examine factors that determine adult cancer patients' overall rating of prediagnosis care (PDC) and care provided during treatment (CDT). METHODS: Data were collected from 2 recurrent nationwide surveys among adult cancer patients in Denmark in 2010 and 2012. Analyses regarding PDC were based on the 2010 study population (n = 3681), and CDT analyses were based on the 2012 follow-up population (n = 2315). Multivariable logistic regression models were applied. RESULTS: Overall, 55.1% of patients reported excellent PDC and 61.9% reported excellent CDT. The odds of rating PDC and CDT as excellent differed significantly according to sex, age, and cancer diagnosis. Furthermore, the extent of supportive relatives, comorbidity, self-reported health, and region of treatment significantly determined ratings of CDT. Patients who reported negative experiences related to waiting time, information, coordination, and continuity of care during PDC and CDT, respectively, were significantly less likely overall to rate their care as excellent. The final regression models for PDC and CDT explained 38.2% and 30.6%, respectively, of the variance in the overall rating. CONCLUSION: Learning how patient characteristics influence the overall rating of care can enable health care providers to accommodate vulnerable patient groups. Identification of health care aspects that are independently associated with the overall rating of care may enable targeted efforts when planning and prioritizing initiatives aimed at improving the patient-experienced quality of care. Cancer 2017;123:2918–26.

AB - BACKGROUND: Patient-reported quality of care, which is often measured by patients' overall rating of care, is gaining more attention within the field of oncology. The aim of this study was to examine factors that determine adult cancer patients' overall rating of prediagnosis care (PDC) and care provided during treatment (CDT). METHODS: Data were collected from 2 recurrent nationwide surveys among adult cancer patients in Denmark in 2010 and 2012. Analyses regarding PDC were based on the 2010 study population (n = 3681), and CDT analyses were based on the 2012 follow-up population (n = 2315). Multivariable logistic regression models were applied. RESULTS: Overall, 55.1% of patients reported excellent PDC and 61.9% reported excellent CDT. The odds of rating PDC and CDT as excellent differed significantly according to sex, age, and cancer diagnosis. Furthermore, the extent of supportive relatives, comorbidity, self-reported health, and region of treatment significantly determined ratings of CDT. Patients who reported negative experiences related to waiting time, information, coordination, and continuity of care during PDC and CDT, respectively, were significantly less likely overall to rate their care as excellent. The final regression models for PDC and CDT explained 38.2% and 30.6%, respectively, of the variance in the overall rating. CONCLUSION: Learning how patient characteristics influence the overall rating of care can enable health care providers to accommodate vulnerable patient groups. Identification of health care aspects that are independently associated with the overall rating of care may enable targeted efforts when planning and prioritizing initiatives aimed at improving the patient-experienced quality of care. Cancer 2017;123:2918–26.

KW - Journal Article

KW - cancer

KW - Kræft

KW - determinanter

KW - tilfredshed

KW - sundhedstjenester

KW - kvalitet

KW - Kvalitetsmåling

KW - ventetid

KW - information

KW - Patientinddragelse

KW - patientoplevelser

KW - sammenhængende patientforløb

KW - koordination

U2 - 10.1002/cncr.30673

DO - 10.1002/cncr.30673

M3 - Journal article

C2 - 28464268

SN - 0008-543X

VL - 123

SP - 2918

EP - 2926

JO - Cancer

JF - Cancer

IS - 15

ER -

Determinants of patient satisfaction with cancer care delivered by the Danish healthcare system

Abstract

Keywords

UN SDGs

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