Top Priorities for Health Service Improvements Among Australian Oncology Patients

doi:10.2147/PROM.S291794

. 2021 May 7:12:83-95.

doi: 10.2147/PROM.S291794. eCollection 2021.

Top Priorities for Health Service Improvements Among Australian Oncology Patients

Alix Hall^{1

2

3}, Jamie Bryant^{1

2

3}, Robert Sanson-Fisher^{1

2

3}, Alice Grady^{2

3

4}, Anthony Proietto^{1

2

3}, Christopher M Doran⁵

Affiliations

¹ Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia.
² Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, Australia.
³ Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.
⁴ Hunter New England Local Health District, Population Health, Wallsend, NSW, Australia.
⁵ Centre for Indigenous Health Equity Research, Central Queensland University, Rockhampton, QLD, Australia.

PMID: 33994819
PMCID: PMC8114575
DOI: 10.2147/PROM.S291794

Top Priorities for Health Service Improvements Among Australian Oncology Patients

Alix Hall et al. Patient Relat Outcome Meas. 2021.

. 2021 May 7:12:83-95.

doi: 10.2147/PROM.S291794. eCollection 2021.

Authors

Alix Hall^{1

2

3}, Jamie Bryant^{1

2

3}, Robert Sanson-Fisher^{1

2

3}, Alice Grady^{2

3

4}, Anthony Proietto^{1

2

3}, Christopher M Doran⁵

Affiliations

¹ Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia.
² Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, Australia.
³ Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.
⁴ Hunter New England Local Health District, Population Health, Wallsend, NSW, Australia.
⁵ Centre for Indigenous Health Equity Research, Central Queensland University, Rockhampton, QLD, Australia.

PMID: 33994819
PMCID: PMC8114575
DOI: 10.2147/PROM.S291794

Abstract

Objective: To determine among a sample of Australian cancer patients receiving outpatient oncology care: 1) the most frequently endorsed general health service improvements selected by patients; 2) for the three most endorsed general health service improvements, the proportion of participants endorsing specific health service changes; and 3) sociodemographic, disease and treatment characteristics associated with the most frequently endorsed general health service improvements.

Methods: A cross-sectional survey was conducted across six outpatient oncology treatment units located in New South Wales, Australia. Patients receiving chemotherapy for any cancer diagnosis at any of six oncology services were recruited. Participants completed an online survey which included the Consumer Preferences Survey. Logistic regression analyses were conducted to identify sociodemographic, disease and treatment characteristics associated with frequently endorsed health service improvements.

Results: A total of 879 eligible patients initiated the survey (72% consent rate). Participants selected a median of two health service improvements. The three most wanted improvements were car parking (56%), up-to-date information about treatment or condition progress (19%), and hospital catering (17%). Age was the only characteristic significantly associated with identifying car parking as a needed improvement.

Conclusion: Achieving high quality cancer care requires understanding of the views and experiences of patients about the quality of care they receive. Car parking and access to information were the two most frequently endorsed general health service changes desired by this sample of participants.

Practice implication: Future studies could examine whether enacting changes as per patient feedback improves patient perceptions of quality of care, and health outcomes.

Keywords: cancer; patient identified change; patient-centered care; quality of healthcare.

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Conflict of interest statement

Dr Jamie Bryant report grants from Cancer Council NSW Strategic Research Partnership Grant, during the conduct of the study. The authors report no other conflicts of interest to declare.

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References

1. Committee on Quality of Health Care in America. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. National Academy Press; 2001.
1. World Health Organization. WHO Global Strategy on People-Centred and Integrated Health Services: Interim Report. 2015.
1. Dong S, Butow PN, Costa,DSJ, Dhillon HM, Shields CG. The influence of patient-centered communication during radiotherapy education sessions on post-consultation patient outcomes. Patient Educ Couns. 2014;95(3):305–312. doi:10.1016/j.pec.2014.02.008 - DOI - PubMed
1. Kahn KL, Schneider EC, Malin JL, et al. Patient centered experiences in breast cancer: predicting long-term adherence to tamoxifen use. Med Care. 2007;45(5):431–439. doi:10.1097/01.mlr.0000257193.10760.7f - DOI - PubMed
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[1] Committee on Quality of Health Care in America. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. National Academy Press; 2001.

[2] Committee on Quality of Health Care in America. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. National Academy Press; 2001.

[3] World Health Organization. WHO Global Strategy on People-Centred and Integrated Health Services: Interim Report. 2015.

[4] World Health Organization. WHO Global Strategy on People-Centred and Integrated Health Services: Interim Report. 2015.

[5] Dong S, Butow PN, Costa,DSJ, Dhillon HM, Shields CG. The influence of patient-centered communication during radiotherapy education sessions on post-consultation patient outcomes. Patient Educ Couns. 2014;95(3):305–312. doi:10.1016/j.pec.2014.02.008 - DOI - PubMed

[6] Dong S, Butow PN, Costa,DSJ, Dhillon HM, Shields CG. The influence of patient-centered communication during radiotherapy education sessions on post-consultation patient outcomes. Patient Educ Couns. 2014;95(3):305–312. doi:10.1016/j.pec.2014.02.008 - DOI - PubMed

[7] Kahn KL, Schneider EC, Malin JL, et al. Patient centered experiences in breast cancer: predicting long-term adherence to tamoxifen use. Med Care. 2007;45(5):431–439. doi:10.1097/01.mlr.0000257193.10760.7f - DOI - PubMed

[8] Kahn KL, Schneider EC, Malin JL, et al. Patient centered experiences in breast cancer: predicting long-term adherence to tamoxifen use. Med Care. 2007;45(5):431–439. doi:10.1097/01.mlr.0000257193.10760.7f - DOI - PubMed

[9] Mallinger JB, Griggs JJ, Shields CG. Patient-centered care and breast cancer survivors’ satisfaction with information. Patient Educ Couns. 2005;57(3):342–349. doi:10.1016/j.pec.2004.09.009 - DOI - PubMed

[10] Mallinger JB, Griggs JJ, Shields CG. Patient-centered care and breast cancer survivors’ satisfaction with information. Patient Educ Couns. 2005;57(3):342–349. doi:10.1016/j.pec.2004.09.009 - DOI - PubMed

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Top Priorities for Health Service Improvements Among Australian Oncology Patients

Affiliations

Top Priorities for Health Service Improvements Among Australian Oncology Patients

Authors

Affiliations

Abstract

Conflict of interest statement

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