Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Sep 28:15:425.
doi: 10.1186/s12913-015-1104-9.

Determinants of patient-reported experience of cancer services responsiveness

Dominique Tremblay  1   2 , Danièle Roberge  3   4 , Djamal Berbiche  5
Affiliations

Determinants of patient-reported experience of cancer services responsiveness

Dominique Tremblay et al. BMC Health Serv Res. .

Abstract

Background: In coming years, patient-reported data are expected to play a more prominent role in ensuring early and efficient detection of healthcare system dysfunctions, developing interventions and evaluating their effects on health outcomes, and monitoring quality of care from the patient's perspective. The concept of responsiveness relates to patient-reported experience measures that focus on the system's response to service users' legitimate expectations. We explored this concept in an effort to address unresolved issues related to measuring and interpreting patient experience. Our objectives in this study were to report on patients' perceptions of cancer services responsiveness and to identify patient characteristics and organizational attributes that are potential determinants of a positive patient-reported experience.

Methods: A cross-sectional survey was conducted of 1379 cancer patients in nine participating ambulatory cancer clinics in hospitals across the province of Quebec, Canada. They were invited to complete the Cancer Services Responsiveness tool, a 19-item questionnaire evaluating patients' perceptions of the responsiveness of cancer services. Sociodemographic data and self-reported clinical and organizational data were collected. Descriptive statistical analysis, univariate and multivariate logistic regressions were performed.

Results: The patients surveyed generally perceived cancer services as highly responsive. The individual determinants of overall responsiveness found to be significant were self-assessed health status, age, and education level; organizational determinants were academic affiliation and geographic location of the clinic.

Discussion: Responsiveness refers to distinctive indicators of healthcare quality focused on patient-provider interactions and presents a complementary picture to other patient-reported experience measures. The identified determinants of patients' positive experience with cancer services provide valuable information to guide care providers in targeting quality improvements.

Conclusions: Finally, our results suggest these determinants should be further studied to eliminate confounders and produce usable results.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Patient data flow-chart N/A: The information is not available. The method used to calculate the volume of activity is not the same for each clinic
See this image and copyright information in PMC

References

    1. Snyder CF, Aaronson NK, Choucair AK, Elliott TE, Greenhalgh J, Halyard MY, et al. Implementing patient-reported outcomes assessment in clinical practice: a review of the options and considerations. Qual Life Res. 2012;21(8):1305–14. doi: 10.1007/s11136-011-0054-x. - DOI - PubMed
    1. Howell D, Fitch M, Bakker D, Green E, Sussman J, Mayo S, et al. Core domains for a person-focused outcome measurement system in cancer (PROMS-Cancer Core) for routine care: a scoping review and Canadian Delphi Consensus. Value Health. 2013;16(1):76–87. doi: 10.1016/j.jval.2012.10.017. - DOI - PubMed
    1. Dawson J, Doll H, Fitzpatrick R, Jenkinson C, Carr AJ. The routine use of patient reported outcome measures in healthcare settings. BMJ. 2010;340:c186. doi: 10.1136/bmj.c186. - DOI - PubMed
    1. Guidance for industry. Patient-reported outcome measures: use in medical product development to support labeling claims http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformati.... Accessed 27 September 2015. - PMC - PubMed
    1. Sandoval GA, Brown AD, Sullivan T, Green E. Factors that influence cancer patients’ overall perceptions of the quality of care. Int J Qual Health Care. 2006;18(4):266–74. doi: 10.1093/intqhc/mzl014. - DOI - PubMed

Publication types

LinkOut - more resources