Are National Cancer Control Indicators for patient experiences being met in regional and remote Australia? A cross-sectional study of cancer survivors who travelled for treatment
Article
Article Title | Are National Cancer Control Indicators for patient experiences being met in regional and remote Australia? A cross-sectional study of cancer survivors who travelled for treatment |
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ERA Journal ID | 200230 |
Article Category | Article |
Authors | Dunn, Jeff (Author), Goodwin, Belinda (Author), Aitken, Joanne F. (Author), March, Sonja (Author), Crawford-Williams, Fiona (Author), Ireland, Michael (Author), Ralph, Nicholas (Author), Zajdlewicz, Leah (Author), Rowe, Arlen (Author) and Chambers, Suzanne (Author) |
Journal Title | BMJ Open |
Journal Citation | 11 (2), pp. 1-10 |
Article Number | e042507 |
Number of Pages | 10 |
Year | 2021 |
Publisher | BMJ |
Place of Publication | United Kingdom |
ISSN | 2044-6055 |
Digital Object Identifier (DOI) | https://doi.org/10.1136/bmjopen-2020-042507 |
Web Address (URL) | https://bmjopen.bmj.com/content/11/2/e042507.full |
Abstract | Objectives: To examine the health services experience of cancer patients from regional and remote Australia using the Australian National Cancer Control Indicators (NCCI) guidelines as an assessment framework. Design: Cross-sectional. Setting: Queensland non-for-profit cancer accommodation lodges. Participants: Participants were cancer patients who travelled for treatment from rural and remote Queensland to major urban centres (n=518; age M = 64.6 , SD =11.18). Results: The frequency at which NCCI indicators were met ranged from 37.5% for receiving an assessment and care plan to 97.3% for understanding explanations about diagnosis. Middle school educated participants were more likely than those with senior level education or higher to receive an assessment and care plan (OR = 1.90, CI = 1.23 – 2.91) and to report having their views on treatment taken into account (OR = 2.22, CI = 1.49 – 3.33). Patients with breast or prostate cancer reported better communication and patient involvement and information and services provision (r = p <.001) compared to those with skin and head and neck cancer. When compared to information and service provision, communication and patient involvement showed stronger positive associations with QoL (z = 2.03, p = .042), psychosocial (z = 2.05, p =.040), and patient care (z = 2.00, p =.046) outcomes. Conclusion: The patient care experience varies across the NCCI indicators by sociodemographic and clinical factors that likely reflects health care system biases. Perceptions about communication and involvement appear most critical for optimal outcomes and should be a priority action area for cancer control. |
Keywords | cancer; health service; information; communication; patient experiences; cancer control |
ANZSRC Field of Research 2020 | 420603. Health promotion |
Byline Affiliations | Centre for Health Research |
School of Psychology and Counselling | |
Cancer Council Australia, Australia | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q6319/are-national-cancer-control-indicators-for-patient-experiences-being-met-in-regional-and-remote-australia-a-cross-sectional-study-of-cancer-survivors-who-travelled-for-treatment
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