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A Cross-Sectional Analysis of Ambulatory Oncology Experience by Treatment Intent
Current Oncology ( IF 2.8 ) Pub Date : 2020-12-18 , DOI: 10.3390/curroncol28010013
Linda Watson , Siwei Qi , Eclair Photitai , Andrea DeIure

The Ambulatory Oncology Patient Satisfaction Survey (AOPSS) is a standardized instrument to assess the overall cancer patient experience. This study retrospectively investigated differences in care experiences and satisfaction among ambulatory oncology patients who self-identified as receiving outpatient therapies for curative intent or for symptom or disease control. This cross-sectional study analyzed data from the AOPSS collected between February and April 2019 within the provincial cancer program in Alberta, Canada. There were 2104 participants who returned the survey, representing a 52.7% response rate. This nationally validated survey gathers patient care experiences and satisfaction across six domains of person-centred care. Treatment intent was characterized by adding a new “goal of treatment” question. Statistical analysis was performed using Mann–Whitney U tests and analysis of covariance (ANCOVAs). Cancer patients’ treatment goals were found to be significantly associated with key patient characteristics like age, sex, tumour group, and the locations where they received care. Patients whose self-identified goal of treatment was to cure their cancer reported significantly higher levels of satisfaction and a more positive experience in five out of the six person-centred care domains. Results identify marked differences in satisfaction and experience between these two patient groups even though they both received care in the same ambulatory environments. A better understanding of the experience and satisfaction of non-curative cancer patients could allow for a more holistic and supportive approach to patient care. In addition, an early palliative approach to care is recommended for improved patient outcomes.

中文翻译:

按治疗意图对门诊肿瘤学经验进行横断面分析

门诊肿瘤患者满意度调查 (AOPSS) 是评估癌症患者整体体验的标准化工具。本研究回顾性地调查了自我认定为治愈目的或症状或疾病控制而接受门诊治疗的门诊肿瘤患者在护理体验和满意度方面的差异。这项横断面研究分析了 2019 年 2 月至 4 月在加拿大艾伯塔省省级癌症项目中收集的 AOPSS 数据。共有 2104 名参与者返回调查,响应率为 52.7%。这项经过全国验证的调查收集了六个以人为本的护理领域的患者护理体验和满意度。治疗意图的特点是增加了一个新的“治疗目标”问题。使用 Mann-Whitney U 检验和协方差分析 (ANCOVA) 进行统计分析。发现癌症患者的治疗目标与关键患者特征显着相关,例如年龄、性别、肿瘤组和他们接受治疗的地点。自我确定的治疗目标是治愈癌症的患者在六个以人为中心的护理领域中的五个领域中报告了更高的满意度和更积极的体验。结果表明,即使这两个患者组都在相同的门诊环境中接受护理,他们在满意度和体验方面存在显着差异。更好地了解非治愈性癌症患者的体验和满意度可以为患者护理提供更全面和支持性的方法。此外,
更新日期:2020-12-18
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