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Assessing Cancer Patient Experience of Care in Outpatient Oncology Practices in the United States.
- Source :
-
Medical care [Med Care] 2020 Aug; Vol. 58 (8), pp. 744-748. - Publication Year :
- 2020
-
Abstract
- Introduction: Cancer patients' experience of care is an important component of quality that has not previously been used for comparing performance. We administered a new patient experience survey to cancer patients receiving outpatient chemotherapy treatment. We examined its measures for sensitivity to adjustment for case-mix and response tendency (level of general optimism/pessimism) and reliability for making performance comparisons between practices.<br />Methods: We surveyed 2304 cancer patients who received chemotherapy at 23 medical oncology practices in Southeastern Pennsylvania, receiving 715 responses (response rate 31%; 14 practices had 10 or more responses). We aggregated patient responses to calculate practice-level scores on 5 predefined composites: Affective Communication, Shared Decision-Making, Patient Self-Management, Exchanging Information, and Access. We then ranked the practices on each composite before and after adjustment for standard case-mix variables and supplemental adjustment for response tendency (measured via the Life Orientation Test-Revised). We calculated the reliability of practice scores on each composite using hierarchical linear models and calculated minimum sample sizes necessary to achieve reliabilities exceeding 0.7.<br />Results: After adjusting responses for case-mix and converting to a 0-100 scale, composite scores ranged from 77 for the Patient Self-Management composite to 92 for the Access composite. Adjustment for response tendency had an impact on practice rankings only for the Shared Decision-Making composite. The number of responses necessary to create reliable practice-level measurements ranged from 17 (Access composite) to 96 (Affective Communication composite).<br />Conclusions: Patient experiences at oncology practices can be measured reliably using reasonable sample sizes. Standard case-mix adjustment is adequate for making comparisons on most composites.
- Subjects :
- Adult
Aged
Aged, 80 and over
Cancer Care Facilities statistics & numerical data
Decision Making, Shared
Female
Health Services Accessibility
Humans
Male
Middle Aged
Pennsylvania
Professional-Patient Relations
Quality of Health Care statistics & numerical data
Reproducibility of Results
Surveys and Questionnaires statistics & numerical data
United States
Cancer Care Facilities standards
Patient Satisfaction
Quality of Health Care standards
Surveys and Questionnaires standards
Subjects
Details
- Language :
- English
- ISSN :
- 1537-1948
- Volume :
- 58
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Medical care
- Publication Type :
- Academic Journal
- Accession number :
- 32692141
- Full Text :
- https://doi.org/10.1097/MLR.0000000000001339