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Cancer patients' perceptions of quality-of-care attributes—Associations with age, perceived health status, gender and education

Suhonen, Riitta; Stolt, Minna; Berg, Agneta LU ; Katajisto, Jouko; Lemonidou, Chryssoula; Patiraki, Elisabeth; Sjövall, Katarina LU and Charalambous, Andreas (2018) In Journal of Clinical Nursing 27(1-2). p.306-316
Abstract

Aims and objectives: The aim of this study was to explore the associations between patients' gender, education, health status in relation to assessments of patient-centred quality and individuality in care and trust in nurses for those <65 (working age) and ≥65 years (older people). Background: Patients' assessments of the quality of care they receive are essential for the development of the provision of patient care and services. Previous studies have revealed age of the patient is associated with their assessment of care quality attributes. Design: The study employed a cross-sectional, multicultural comparative survey design. Methods: The data were collected using questionnaires among hospitalised cancer patients (N = 876, n = 599,... (More)

Aims and objectives: The aim of this study was to explore the associations between patients' gender, education, health status in relation to assessments of patient-centred quality and individuality in care and trust in nurses for those <65 (working age) and ≥65 years (older people). Background: Patients' assessments of the quality of care they receive are essential for the development of the provision of patient care and services. Previous studies have revealed age of the patient is associated with their assessment of care quality attributes. Design: The study employed a cross-sectional, multicultural comparative survey design. Methods: The data were collected using questionnaires among hospitalised cancer patients (N = 876, n = 599, 68%) in four European countries: Greece, Cyprus, Sweden and Finland. The data were divided into two subgroups based on age (cut point 65 years) and were analysed statistically. Results: Cancer patients' age, gender and level of education were not related to their assessments of care quality attributes: person-centred care quality, individuality in care and trust in nurses. Subgroup analysis of the older adults and those of working age showed clear associations with patients' assessments of quality-of-care attributes and perceived health status. The lower the perceived health status, the lower the assessment of care quality attributes. Discussion: The results suggest that the cancer itself is the strongest determinant of the care delivered, rather than any patient characteristics, such as age, education or gender. Perceived health status, in association with cancer patient assessments of care quality attributes, may be useful in the development of patient-centred, individualised care strategies alongside a stronger focus on people instead of cancer-care-related processes and duties. Conclusions: Health status was the only factor associated with cancer patients' assessments of care quality attributes. Cancer itself may be the strongest determinant of the care quality perceptions, rather than any patient characteristics. Relevance to clinical practice: The findings of this study have implications for cancer care professionals in terms of patient assessment and care planning. The measures may be useful in assessing quality of cancer nursing care.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
age, cancer, education, gender, health status, international, patient, person-centred care, quality, survey
in
Journal of Clinical Nursing
volume
27
issue
1-2
pages
11 pages
publisher
Wiley-Blackwell
external identifiers
  • scopus:85041906507
ISSN
0962-1067
DOI
10.1111/jocn.13902
language
English
LU publication?
yes
id
fbb471ef-3c0d-4cc2-aa2f-77a3ba84db1f
date added to LUP
2018-02-22 08:05:48
date last changed
2018-05-29 11:36:06
@article{fbb471ef-3c0d-4cc2-aa2f-77a3ba84db1f,
  abstract     = {<p>Aims and objectives: The aim of this study was to explore the associations between patients' gender, education, health status in relation to assessments of patient-centred quality and individuality in care and trust in nurses for those &lt;65 (working age) and ≥65 years (older people). Background: Patients' assessments of the quality of care they receive are essential for the development of the provision of patient care and services. Previous studies have revealed age of the patient is associated with their assessment of care quality attributes. Design: The study employed a cross-sectional, multicultural comparative survey design. Methods: The data were collected using questionnaires among hospitalised cancer patients (N = 876, n = 599, 68%) in four European countries: Greece, Cyprus, Sweden and Finland. The data were divided into two subgroups based on age (cut point 65 years) and were analysed statistically. Results: Cancer patients' age, gender and level of education were not related to their assessments of care quality attributes: person-centred care quality, individuality in care and trust in nurses. Subgroup analysis of the older adults and those of working age showed clear associations with patients' assessments of quality-of-care attributes and perceived health status. The lower the perceived health status, the lower the assessment of care quality attributes. Discussion: The results suggest that the cancer itself is the strongest determinant of the care delivered, rather than any patient characteristics, such as age, education or gender. Perceived health status, in association with cancer patient assessments of care quality attributes, may be useful in the development of patient-centred, individualised care strategies alongside a stronger focus on people instead of cancer-care-related processes and duties. Conclusions: Health status was the only factor associated with cancer patients' assessments of care quality attributes. Cancer itself may be the strongest determinant of the care quality perceptions, rather than any patient characteristics. Relevance to clinical practice: The findings of this study have implications for cancer care professionals in terms of patient assessment and care planning. The measures may be useful in assessing quality of cancer nursing care.</p>},
  author       = {Suhonen, Riitta and Stolt, Minna and Berg, Agneta and Katajisto, Jouko and Lemonidou, Chryssoula and Patiraki, Elisabeth and Sjövall, Katarina and Charalambous, Andreas},
  issn         = {0962-1067},
  keyword      = {age,cancer,education,gender,health status,international,patient,person-centred care,quality,survey},
  language     = {eng},
  number       = {1-2},
  pages        = {306--316},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Clinical Nursing},
  title        = {Cancer patients' perceptions of quality-of-care attributes—Associations with age, perceived health status, gender and education},
  url          = {http://dx.doi.org/10.1111/jocn.13902},
  volume       = {27},
  year         = {2018},
}