Patient Experience Drivers of Overall Satisfaction With Care in Cancer Patients: Evidence From Responders to the English Cancer Patient Experience Survey.

Mayam Gomez-Cano,Georgios Lyratzopoulos,Gary A Abel

doi:10.1177/2374373519889435

Mayam Gomez-Cano, Georgios Lyratzopoulos + Show 1 more

Open Access

https://doi.org/10.1177/2374373519889435

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Abstract

Background:Surveys collecting patient experience data often contain a large number of items covering a wide range of experiences. Knowing which areas to prioritize for improvements efforts can be difficult.Objective:To examine which aspects of care experience are the key drivers of overall satisfaction with cancer care.Methods:Secondary analysis of the National Cancer Patient Experience Survey. Logistic regression was used to examine the relationship between overall satisfaction and 10 core questions covering aspects of experience applicable to all patients. Supplementary analyses examined a further 16 questions applying only to patients in certain groups or on specific treatment pathways.Results:Of 68 340 included patients, 58 697 (86%) rated overall satisfaction highly (8 or more out of 10). The strongest predictors of overall satisfaction across all models were responses to 2 questions on experience of care administration and care coordination (odds ratio [OR] = 2.11, 95% confidence interval [95% CI = 2.05-2.17, P < .0001; OR = 2.03, 95% CI = 1.97-2.09, P < .0001, respectively, per 1 standard deviation change).Conclusion:Focusing improvement efforts on care administration and coordination has potential to improve overall satisfaction with oncological care across diverse patient groups/care pathways.

Highlights

A positive experience of health care is increasingly considered a key dimension of care quality, alongside clinical quality and safety outcomes [1]
To best support prioritization of improvements on aspects of care experience that drive patient satisfaction, we aimed to identify which survey items are most strongly associated with overall satisfaction with cancer care
Those aged 65 to 74 and older deprived patients were more likely to be satisfied with their care, as were patients with testicular cancer, ductal carcinoma in situ, and leukemia

Summary

Introduction

A positive experience of health care is increasingly considered a key dimension of care quality, alongside clinical quality and safety outcomes [1]. There is increasing investment in the systematic, nationwide, measurement of the quality of patient experience to guide improvement actions [2,3]. Policy initiatives in this field initially did not focus on specific diseases but survey instruments specific to cancer patients have since been developed. Objective: To examine which aspects of care experience are the key drivers of overall satisfaction with cancer care. Logistic regression was used to examine the relationship between overall satisfaction and 10 core questions covering aspects of experience applicable to all patients. Conclusion: Focusing improvement efforts on care administration and coordination has potential to improve overall satisfaction with oncological care across diverse patient groups/care pathways

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