Patients and the Cancer Care Experience Survey--Short Form

e18656 Background: Medical oncology (MEDONC) requires a combination of skills in collaboration, communication, and professionalism, ultimately delivering technical and clinical knowledge in practice. Standard assessment tools (e.g. written examination, OSCE) are not effective in evaluating competencies beyond technical skills and fail to define the cancer care experience holistically. This explorative, descriptive study aims to identify the potential of unstructured, unsolicited, open access online patient reviews (OPRs) as a tool to assess physician competency. Methods: University-affiliated MEDONCs in Ontario (Canada) were selected. All OPRs were identified on RateMD using every name permutation; physician names and institutional affiliations were removed from comments. A descriptive analysis of the cohort was completed. The CanMEDS Framework, defining physician standards, was used with its hierarchy of roles, concepts, and competencies. Two reviewers, a communication studies researcher and a healthcare professional, independently assessed comments and identified common themes. Competency-level assessments were evaluated using kappa with linear weights. Results: 473 OPRs were identified for 49 MEDONCs (71% male, 29% female). Of these, 23% were written by care providers. Competencies defining roles of Medical Expert, Communicator, and Professional were most prevalent (64%, 38%, and 27% respectively). Agreement levels were high in all roles (wK = 0.71 - 1.00). Themes identified were similar in positive and negative evaluations. Most commonly discussed positive themes were knowledge translation and compassionate interpersonal skills. Most common negative themes centered on lack of humility, compassion, and communication skills. 38% of comments were marked helpful, indicating engagement with other OPRs as a key characteristic of rating tools. In addition to the physician in question, 21% of OPRs reported on healthcare delivery by staff. Conclusions: OPRs emphasize experiential competencies related to interpersonal skills and suggest an alternative format to evaluating such aspects of MEDONC competencies.[Table: see text]

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

Journal of Patient Experience ◽

10.1177/2374373519889435 ◽

2019 ◽

Vol 7 (5) ◽

pp. 758-765

Author(s):

Mayam Gomez-Cano ◽

Georgios Lyratzopoulos ◽

Gary A Abel

Keyword(s):

Cancer Patient ◽

Patient Experience ◽

Secondary Analysis ◽

Specific Treatment ◽

Treatment Pathways ◽

Care Experience ◽

Experience Of Care ◽

Wide Range ◽

Experience Survey ◽

Core Questions

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.

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Pre-referral general practitioner consultations and subsequent experience of cancer care: evidence from the English Cancer Patient Experience Survey

European Journal of Cancer Care ◽

10.1111/ecc.12353 ◽

2015 ◽

Vol 25 (3) ◽

pp. 478-490 ◽

Cited By ~ 29

Author(s):

S.C. Mendonca ◽

G.A. Abel ◽

C.L. Saunders ◽

J. Wardle ◽

G. Lyratzopoulos

Keyword(s):

General Practitioner ◽

Cancer Patient ◽

Patient Experience ◽

Cancer Care ◽

Experience Survey

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Financial toxicity associated with conflict-induced cross-border travel for cancer care: Experience of Iraqi patients in Lebanon.

Journal of Clinical Oncology ◽

10.1200/jco.2018.36.15_suppl.6562 ◽

2018 ◽

Vol 36 (15_suppl) ◽

pp. 6562-6562 ◽

Cited By ~ 1

Author(s):

Deborah Mukherji ◽

Mac Skelton ◽

Raafat Alameddine ◽

Omran Saifi ◽

Miza Salim Hammoud ◽

...

Keyword(s):

Cancer Care ◽

Financial Toxicity ◽

Care Experience ◽

Cross Border

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Cognitive Assessment Tools Recommended in Geriatric Oncology Guidelines: A Rapid Review

Current Oncology ◽

10.3390/curroncol28050339 ◽

2021 ◽

Vol 28 (5) ◽

pp. 3987-4003

Author(s):

Gina Tuch ◽

Wee Kheng Soo ◽

Ki-Yung Luo ◽

Kinglsey Frearson ◽

Ek Leone Oh ◽

...

Keyword(s):

Cancer Care ◽

Cognitive Assessment ◽

Assessment Tool ◽

Geriatric Oncology ◽

Assessment Tools ◽

Rapid Review ◽

Clinical Settings ◽

Care Experience ◽

Clock Drawing Test ◽

Cancer Guidelines

Cognitive assessment is a cornerstone of geriatric care. Cognitive impairment has the potential to significantly impact multiple phases of a person’s cancer care experience. Accurately identifying this vulnerability is a challenge for many cancer care clinicians, thus the use of validated cognitive assessment tools are recommended. As international cancer guidelines for older adults recommend Geriatric Assessment (GA) which includes an evaluation of cognition, clinicians need to be familiar with the overall interpretation of the commonly used cognitive assessment tools. This rapid review investigated the cognitive assessment tools that were most frequently recommended by Geriatric Oncology guidelines: Blessed Orientation-Memory-Concentration test (BOMC), Clock Drawing Test (CDT), Mini-Cog, Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and Short Portable Mental Status Questionnaire (SPMSQ). A detailed appraisal of the strengths and limitations of each tool was conducted, with a focus on practical aspects of implementing cognitive assessment tools into real-world clinical settings. Finally, recommendations on choosing an assessment tool and the additional considerations beyond screening are discussed.

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Malnutrition Screening and Assessment in the Cancer Care Ambulatory Setting: Mortality Predictability and Validity of the Patient-Generated Subjective Global Assessment Short form (PG-SGA SF) and the GLIM Criteria

Nutrients ◽

10.3390/nu12082287 ◽

2020 ◽

Vol 12 (8) ◽

pp. 2287 ◽

Cited By ~ 1

Author(s):

Lynette M. De Groot ◽

Gahee Lee ◽

Antoinette Ackerie ◽

Barbara S. van der Meij

Keyword(s):

Mortality Risk ◽

Cancer Care ◽

Global Assessment ◽

Short Form ◽

Handgrip Strength ◽

Assessment Tools ◽

Ambulatory Setting ◽

Severe Malnutrition ◽

Subjective Global Assessment ◽

Predictive Values

Background: A valid malnutrition screening tool (MST) is essential to provide timely nutrition support in ambulatory cancer care settings. The aim of this study is to investigate the validity of the Patient-Generated Subjective Global Assessment Short Form (PG-SGA SF) and the new Global Leadership Initiative on Malnutrition (GLIM) criteria as compared to the reference standard, the Patient-Generated Subjective Global Assessment (PG-SGA). Methods: Cross-sectional observational study including 246 adult ambulatory patients with cancer receiving in-chair intravenous treatment at a cancer care centre in Australia. Anthropometrics, handgrip strength and patient descriptive data were assessed. Nutritional risk was identified using MST and PG-SGA SF, nutritional status using PG-SGA and GLIM. Sensitivity (Se), specificity (Sp), positive and negative predictive values and kappa (k) were analysed. Associations between malnutrition and 1-year mortality were investigated by Cox survival analyses. Results: A PG-SGA SF cut-off score ≥5 had the highest agreement when compared with the PG-SGA (Se: 89%, Sp: 80%, k = 0.49, moderate agreement). Malnutrition risk (PG-SGA SF ≥ 5) was 31% vs. 24% (MST). For malnutrition according to GLIM, the Se was 76% and Sp was 73% (k = 0.32, fair agreement) when compared to PG-SGA. The addition of handgrip strength to PG-SGA SF or GLIM did not improve Se, Sp or agreement. Of 100 patients who provided feedback, 97% of patients found the PG-SGA SF questions easy to understand, and 81% reported that it did not take too long to complete. PG-SGA SF ≥ 5 and severe malnutrition by GLIM were associated with 1-year mortality risk. Conclusions: The PG-SGA SF and GLIM criteria are accurate, sensitive and specific malnutrition screening and assessment tools in the ambulatory cancer care setting. The addition of handgrip strength tests did not improve the recognition of malnutrition or mortality risk.

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MacArthur Admission Experience Survey--Short Form

PsycTESTS Dataset ◽

10.1037/t08038-000 ◽

1993 ◽

Author(s):

William Gardner ◽

Steven K. Hoge ◽

Nancy Bennett ◽

Loren H. Roth ◽

Charles W. Lidz ◽

...

Keyword(s):

Short Form ◽

Experience Survey

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Insight into Patients’ Experiences of Cancer Care in Taiwan: An Instrument Translation and Cross-Cultural Adaptation Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15081772 ◽

2018 ◽

Vol 15 (8) ◽

pp. 1772 ◽

Cited By ~ 1

Author(s):

Tsung-Hsien Yu ◽

Kuo-Piao Chung ◽

Yu-Chi Tung ◽

Hsin-Yun Tsai

Keyword(s):

Cancer Patient ◽

Patient Experience ◽

Cultural Adaptation ◽

Cancer Care ◽

Expert Panel ◽

Cross Cultural ◽

Patient Centered ◽

Cross Cultural Adaptation ◽

Centered Care ◽

Experience Survey

Background: Since Taiwan launched the Cancer Prevention Act in 2003, several prevention strategies and early detection programs have been implemented to reduce the incidence, morbidity and mortality rates of cancer. However, most of the programs have concentrated on healthcare providers. Evaluations from the patient’s perspective have been lacking. Thus, in this study a cancer patient experience questionnaire was developed in the Taiwanese context and a preliminary nationwide investigation was conducted on the status of cancer care from the patient’s perspective. Methods: An extensive literature review was first conducted to collect information on the existing instruments used to measure the cancer patient’s experience. Thereafter, a multidisciplinary expert panel was convened to select an optimal instrument based on the IOM’s six domains for evaluating patient-centered care. The European Organisation for Research and Treatment of Cancer (EORTC) translation procedure was applied to the questionnaire for cross-cultural adaptation. A nationwide field test was then implemented at certificated cancer care hospitals. Results: Fifteen questionnaires were collected for the literature review. The expert panel selected the National Cancer Patient Experience Survey based on the IOM’s recommendations. After cross-cultural translation of the questionnaire, a total of 4000 questionnaires were administered in 19 certificated cancer care hospitals and two major cancer patient associations, with 1010 being returned (25.25% response rate). Most of the respondents were middle-aged, and 70% were female. The respondents reported they had a good experience with cancer care, except for “Home care and support” and “Finding out what was wrong with you”. Stratified analysis was conducted, with the results showing that the cancer patients’ experiences varied depending on their sociodemographic and cancer-related characteristics. Conclusions: A Taiwanese version of the cancer patient experience survey questionnaire was developed. Its results showed that the cancer patient’s experiences varied, depending on the patient’s age, cancer type, and cancer history. This study can be used as a basis to establish a patient-centered care model for cancer care in Taiwan.

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