IJERPH, Vol. 15, Pages 549: Quality of Patient-Centered Care Provided to Patients Attending Hematological Cancer Treatment Centers

IJERPH, Vol. 15, Pages 549: Quality of Patient-Centered Care Provided to Patients Attending Hematological Cancer Treatment Centers

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15030549

Authors: Flora Tzelepis Tara Clinton-McHarg Christine Paul Robert Sanson-Fisher Douglas Joshua Mariko Carey

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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