A. Bredart et al., Assessment of quality of care in an Oncology Institute using information on patients' satisfaction, ONCOL-BASEL, 61(2), 2001, pp. 120-128
Objective: To evaluate the feasibility of conducting a patient satisfaction
survey in the oncology hospital setting, using a multidimensional patient
satisfaction questionnaire to be completed at home. Methods: Sociodemograph
ic and clinical data were collected for 133 consecutive patients. Patients
were asked to complete the European Organisation for Research and Treatment
of Cancer QLQ-C30 (version 2.0) just before hospital discharge and the Com
prehensive Assessment of Satisfaction with Care at home 2 weeks after disch
arge. Results: Respondents (73% of patients approached) were younger, hospi
talized for a shorter time and presented less appetite loss, nausea and vom
iting and better physical and role functioning than non-responders. The asp
ects of care for which patients wanted the most improvement were associated
with the provision of medical information. In multivariate analyses, longe
r hospital stay was associated with higher satisfaction with all aspects of
medical and nursing care, most probably because patients discharged early
were not assured of continuity of care and lacked information regarding sel
f-care at home. Higher global quality of life was associated with higher sa
tisfaction with all aspects of care, suggesting the potential contribution
of patient satisfaction to the patients' well-being. Conclusions: Conductin
g a patient satisfaction survey in an oncology hospital setting proved feas
ible; however, further surveys should attempt to obtain the opinion of pati
ents with more severe physical conditions. The assessment of the patients'
satisfaction provided indications for improvement of care in a particular h
ospital. Although the results of this study are specific to one hospital, t
he methods could be reproduced in other hospital settings, but may possibly
lead to other conclusions. Copyright (C) 2001 S. Karger AG, Basel.