Quality of Patient-Centered Care Provided to Patients Attending Hematological Cancer Treatment Centers

Flora Tzelepis, Tara Clinton-McHarg, Christine L Paul, Robert W Sanson-Fisher, Douglas Joshua and Mariko L Carey
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Flora Tzelepis: Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW 2308, Australia
Tara Clinton-McHarg: Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW 2308, Australia
Christine L Paul: Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW 2308, Australia
Robert W Sanson-Fisher: Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW 2308, Australia
Douglas Joshua: Institute of Haematology, New South Wales Pathology, Royal Prince Alfred Hospital, University of Sydney, Sydney, NSW 2006, Australia
Mariko L Carey: Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW 2308, Australia

IJERPH, 2018, vol. 15, issue 3, 1-16

Abstract: 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.

Keywords: patient-centered; quality of care; hematology; cancer (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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