Factors that influence cancer patients’ overall perceptions of the quality of care

Sandoval, Guillermo A.; Brown, Adalsteinn D.; Sullivan, Terry; Green, Esther

doi:10.1093/intqhc/mzl014

Cited by 95 publications

(102 citation statements)

References 26 publications

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“…The literature appears contradictory regarding the possible effects of stage of disease on the patients' assessments of care. 6,7,37 The scores on the indicator regarding mediastinoscopy performed according to guideline criteria is a good example of the finding that a low score on an indicator does not automatically mean that there is a problem in the quality of care, but rather is a signal to further evaluate the matter. There can either be new evidence that demands a change in recommen-dations, or care should be improved.…”

Section: Discussionmentioning

confidence: 99%

Quality of integrated care for patients with nonsmall cell lung cancer

Ouwens

Hermens

Termeer

et al. 2007

Cancer

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Mammalian cells play a dominant role in the industrial production of biopharmaceutical proteins. However, the productivity of producer cells is often hindered by a bottleneck in the saturated secretory pathway, where a sophisticated mechanism of vesicle trafficking is mediated by numerous proteins and their complexes, among which are the cross‐kingdom conserved SNAREs [soluble NSF (N‐ethylmaleimide‐sensitive factor) receptor]. The SNAREs assemble into complexes by means of four interactive α‐helices and, thus, trigger the fusion of transport vesicles with the respective target membranes. We report that the transgenic expression of exocytic SNAREs, which control the fusion of secretory vesicles to the plasma membrane, differentially impacts the secretory capacity of HEK‐293, HeLa, and CHO‐K1 cells. While other exocytic SNAREs have no effect or a negative effect, SNAP‐23 [synaptosome‐associated protein of 23 kDa] and VAMP8 [vesicle‐associated membrane protein 8] specifically increase the production of recombinant proteins when they are ectopically and stably expressed in mammalian cells. The targeted and effective intervention in the secretory capacity of SNARE proteins is a novel engineering strategy, which could lead to the development of new therapies by increasing the production of biopharmaceutical proteins or by boosting the secretion of cell implants in cell therapy initiatives. Biotechnol. Bioeng. 2011; 108:611–620. © 2010 Wiley Periodicals, Inc.

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Section: Discussionmentioning

confidence: 99%

Quality of integrated care for patients with nonsmall cell lung cancer

Ouwens

Hermens

Termeer

et al. 2007

Cancer

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“…1 This inefficiency also affects patients, who often experience long wait times for appointments with their oncologists, reducing their satisfaction, [2][3][4][5][6] increasing their distress, 7 and increasing patient and caregiver costs. [8][9] There is also evidence that long wait times may also directly and indirectly reduce patient adherence to recommended treatment.…”

Section: Introductionmentioning

confidence: 99%

“…3,6,[16][17][18][19][20] Time-focused research has consistently demonstrated that wait time significantly influences the emotional turmoil and health outcomes of patients with cancer. 3 An investigation of the patient perceptions of oncology outpatient clinics assessed 252 patients' perceptions of factors that influenced patient satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Measuring the Use of Examination Room Time in Oncology Clinics: A Novel Approach to Assessing Clinic Efficiency and Patient Flow

Hamel

Chapman

Eggly

et al. 2014

JOP

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Purpose: The use of time in outpatient cancer clinics is a marker of quality and efficiency. Inefficiencies such as excessive patient wait times can have deleterious effects on clinic flow, functioning, and patient satisfaction. We propose a novel method of objectively measuring patient time in cancer clinic examination rooms and evaluating its impact on overall system efficiency. Methods:We video-recorded patient visits (N ϭ 55) taken from a larger study to determine patient occupancy and flow in and out of examination rooms in a busy urban clinic in a National Cancer Institute-designated comprehensive cancer center. Coders observed video recordings and assessed patient occupancy time, patient wait time, and physician-patient interaction time. Patient occupancy time was compared with scheduled occupancy time to determine discrepancy in occupancy time. Descriptive and correlational analyses were conducted.Results: Mean patient occupancy time was 94.8 minutes (SD ϭ 36.6), mean wait time was 34.9 minutes (SD ϭ 28.8), and mean patient-physician interaction time was 29.0 minutes (SD ϭ 13.5). Mean discrepancy in occupancy time was 40.3 minutes (range, 0.75 to 146.5 minutes). We found no correlation between scheduled occupancy time and patient occupancy time, patient-physician interaction time, and patient wait time, or between discrepancy in occupancy time and patient-physician interaction time. Conclusion:The method is useful for assessing clinic efficiency and patient flow. There was no relationship between scheduled and actual time patients spend in exam rooms. Such data can be used in the design of interventions that reduce patient wait times, increase efficient use of resources, and improve scheduling patterns.

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“…An important argument for health care organizations to increase patient satisfaction is the belief that satisfied patients are more likely to cooperate with their treatment, continue their use of medical services, and maintain a good relationship with their physicians. Greater patient satisfaction is associated with better clinical outcomes [2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Gender-Related Needs and Preferences in Cancer Care Indicate the Need for an Individualized Approach to Cancer Patients

et al. 2010

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After completing this course, the reader will be able to:1. Enumerate reasons for a patient-centered model of care and plan changes in your practice/facility consistent with patient-centered care.2. Differentiate between the general preferences of male and female cancer patients and tailor care of individual patients accordingly.This article is available for continuing medical education credit at CME.TheOncologist.com. CME CME ABSTRACTAim. Improving quality of care for cancer patients requires insight into their specific wishes, needs, and preferences concerning cancer care. The Oncologist CME Program is located online at http://cme.theoncologist.com/. To take the CME activity related to this article, you must be a registered user. Symptom Management and Supportive CareThe and attitude of physicians and nurses highest on their list of preferences. There were significant differences between male and female patients concerning preferences in health care in 15 of the 21 scales and in two of the eight single items. Without exception, women found the care aspects mentioned in these scales and items more important than men. Multivariate regression analysis showed that, of all the patient-and diseaserelated factors, gender was the most important independent predictor of patient preferences. Conclusion.Gender impacts cancer patients' needs and preferences and should be taken into account for optimal cancer care. Cancer care might be tailored toward gender, for example, with regard to the means and extent of communication, manner and extent of support, counseling and rehabilitation, consultation length, and physician assignment. The results of this study may guide health care professionals and organizations to develop a gender-specific health care approach to further improve cancer patientcentered care. The Oncologist 2010;15:648 -655

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Factors that influence cancer patients’ overall perceptions of the quality of care

Cited by 95 publications

References 26 publications

Quality of integrated care for patients with nonsmall cell lung cancer

Quality of integrated care for patients with nonsmall cell lung cancer

Measuring the Use of Examination Room Time in Oncology Clinics: A Novel Approach to Assessing Clinic Efficiency and Patient Flow

Gender-Related Needs and Preferences in Cancer Care Indicate the Need for an Individualized Approach to Cancer Patients

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