Assessing Cancer Patient Experience of Care in Outpatient Oncology Practices in the United States

Medical Care
Lindsey M RothSarah Hudson Scholle

Abstract

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. 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....Continue Reading

References

Feb 17, 2006·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Jennifer L MalinPatricia A Ganz
May 14, 2008·Health Affairs·Donald M BerwickJohn Whittington
Oct 26, 2012·The New England Journal of Medicine·Jane C WeeksDeborah Schrag
Dec 18, 2013·Future Oncology·Gary A AbelGeorgios Lyratzopoulos

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Citations

Sep 18, 2021·Clinical Journal of Oncology Nursing·Ellis C DillonDorothy Y Hung

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