Satisfaction with care of hospitalised patients with advanced cancer in the Netherlands

• Published in: European journal of cancer care Vol. 27; no. 5; pp. e12874 - n/a
• Main Authors: Engel, Marijanne, Brinkman‐Stoppelenburg, Arianne, Nieboer, Daan, Heide, Agnes
• Format: Journal Article
• Language: English
• Published: England Hindawi Limited 01-09-2018
• Subjects: Adult; Aged; Breast cancer; Cancer; Cross-Sectional Studies; Dyspnea; Factor analysis; Factor Analysis, Statistical; Female; Global health; Hospice Care - psychology; hospitals; Humans; Male; Medical personnel; Middle Aged; neoplasms; Neoplasms - nursing; Neoplasms - psychology; Neoplasms - therapy; Netherlands; Nursing; palliative care; Palliative Care - standards; Patient Satisfaction; Patient-Centered Care - standards; Patients; Physicians; Psychometrics; Quality assessment; Quality of Life; Regression Analysis; Respiration; Netherlands; patient satisfaction; hospitals; neoplasms; quality of life; palliative care; cross-sectional studies
• ISSN: 0961-5423; 1365-2354
• DOI: 10.1111/ecc.12874

We aimed to assess the level of satisfaction with hospital care of patients with advanced cancer and its association with quality of life and other patient characteristics. Eligible patients were asked to fill out the EORTC INPATSAT‐32 questionnaire, measuring patient satisfaction, and the EORTC QLQ‐C15‐PAL, measuring quality of life. Factor analysis was performed to identify underlying patterns in satisfaction. Multivariable regression analyses were used to assess associations of quality of life and other patient characteristics with satisfaction. A total of 105 patients participated in the study. The mean general satisfaction score was 72 (SD 21). Factor analysis identified three underlying dimensions: satisfaction with nurses (explaining 62.1% of the total variance), satisfaction with physicians (7.7%) and satisfaction with hospital services (5.3%). Associations were found between global health and general satisfaction (β = 0.35, p = 0.01), and between emotional functioning and satisfaction with hospital services (β = 0.016, p < 0.01). Further, diagnosis of breast cancer was associated with satisfaction with physicians (β = 1.06, p < 0.01) and dyspnoea with satisfaction with hospital services (β = 0.007, p = 0.03). Patients with advanced cancer are reasonably satisfied with hospital care. The INPATSAT‐32 mainly measures satisfaction with nurses. Satisfaction with care and quality of life seems to represent distinct outcomes of hospital care in patients with advanced cancer.