Unmet supportive care needs and associated factors: Evidence from 4195 cancer survivors in Shanghai, China
BackgroundCancer survivors at different stages of life often have different needs that make it challenging for services to provide satisfactory care. Few studies have considered whether services are truly meeting the needs of cancer patients by exploring and identifying their perspectives on unmet n...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.1054885/full |
| _version_ | 1828178015210700800 |
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| author | Minxing Chen Ruijia Li Yujie Chen Gang Ding Jie Song Xiaojing Hu Chunlin Jin |
| author_facet | Minxing Chen Ruijia Li Yujie Chen Gang Ding Jie Song Xiaojing Hu Chunlin Jin |
| author_sort | Minxing Chen |
| collection | DOAJ |
| description | BackgroundCancer survivors at different stages of life often have different needs that make it challenging for services to provide satisfactory care. Few studies have considered whether services are truly meeting the needs of cancer patients by exploring and identifying their perspectives on unmet needs.ObjectiveThe aim of this study was to identify the unmet needs of cancer survivors and to further determine the potential impact of socio-demographic factors.MethodsA cross-sectional study that included 4195 cancer patients was conducted in Shanghai, China. Using Maslow’s hierarchy of needs theory as a conceptual framework, the questionnaire included five dimensions: information, life and finances, continuing care, emotions, and self-actualization. Correlation analysis and ordered logistic regression analysis was used to explore the relationship between demographic sociological factors and unmet needs for supportive care.ResultsThe most common unmet supportive care needs include information needs (2.91 ± 1.32), self-actualization needs (2.69 ± 1.32) and continuing care needs (2.59 ± 1.30). Unmet needs for life and finances were more pronounced among cancer participants in the 45-69 age group. After adjusting for confounders, we found that each 6-month increase in the time since diagnosis was associated with a 0.8% (OR: 0.992, 95% CI: 0.985-0.998) reduction in high need for continuing care and a 0.9% (OR:0.991, 95% CI: 0.983-0.999) reduction in high need for self-actualization, respectively.ConclusionsInformation needs are the most important concern among the diverse unmet needs of cancer survivors. Time since diagnosis is associated with unmet supportive care needs of cancer survivors. The findings highlight the large gap between actual health services and patients’ unmet need for supportive care, which will provide the basis for a patient-centered supportive care system for cancer survivors. |
| first_indexed | 2024-04-12T05:07:50Z |
| format | Article |
| id | doaj.art-0dd5cb3fe6ac476892523589e9e4bffd |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-12T05:07:50Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-0dd5cb3fe6ac476892523589e9e4bffd2022-12-22T03:46:49ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-11-011210.3389/fonc.2022.10548851054885Unmet supportive care needs and associated factors: Evidence from 4195 cancer survivors in Shanghai, ChinaMinxing Chen0Ruijia Li1Yujie Chen2Gang Ding3Jie Song4Xiaojing Hu5Chunlin Jin6Shanghai Health Development Research Center, Shanghai Medical Information Center, Shanghai, ChinaShanghai Health Development Research Center, Shanghai Medical Information Center, Shanghai, ChinaSchool of Public Health, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaOncology Department, Shanghai International Medical Center, Shanghai, ChinaShanghai Health Development Research Center, Shanghai Medical Information Center, Shanghai, ChinaShanghai Health Development Research Center, Shanghai Medical Information Center, Shanghai, ChinaShanghai Health Development Research Center, Shanghai Medical Information Center, Shanghai, ChinaBackgroundCancer survivors at different stages of life often have different needs that make it challenging for services to provide satisfactory care. Few studies have considered whether services are truly meeting the needs of cancer patients by exploring and identifying their perspectives on unmet needs.ObjectiveThe aim of this study was to identify the unmet needs of cancer survivors and to further determine the potential impact of socio-demographic factors.MethodsA cross-sectional study that included 4195 cancer patients was conducted in Shanghai, China. Using Maslow’s hierarchy of needs theory as a conceptual framework, the questionnaire included five dimensions: information, life and finances, continuing care, emotions, and self-actualization. Correlation analysis and ordered logistic regression analysis was used to explore the relationship between demographic sociological factors and unmet needs for supportive care.ResultsThe most common unmet supportive care needs include information needs (2.91 ± 1.32), self-actualization needs (2.69 ± 1.32) and continuing care needs (2.59 ± 1.30). Unmet needs for life and finances were more pronounced among cancer participants in the 45-69 age group. After adjusting for confounders, we found that each 6-month increase in the time since diagnosis was associated with a 0.8% (OR: 0.992, 95% CI: 0.985-0.998) reduction in high need for continuing care and a 0.9% (OR:0.991, 95% CI: 0.983-0.999) reduction in high need for self-actualization, respectively.ConclusionsInformation needs are the most important concern among the diverse unmet needs of cancer survivors. Time since diagnosis is associated with unmet supportive care needs of cancer survivors. The findings highlight the large gap between actual health services and patients’ unmet need for supportive care, which will provide the basis for a patient-centered supportive care system for cancer survivors.https://www.frontiersin.org/articles/10.3389/fonc.2022.1054885/fullcancer survivors (MeSH term)unmet supportive care needsShanghaidifferent life stagepatient – centered care |
| spellingShingle | Minxing Chen Ruijia Li Yujie Chen Gang Ding Jie Song Xiaojing Hu Chunlin Jin Unmet supportive care needs and associated factors: Evidence from 4195 cancer survivors in Shanghai, China Frontiers in Oncology cancer survivors (MeSH term) unmet supportive care needs Shanghai different life stage patient – centered care |
| title | Unmet supportive care needs and associated factors: Evidence from 4195 cancer survivors in Shanghai, China |
| title_full | Unmet supportive care needs and associated factors: Evidence from 4195 cancer survivors in Shanghai, China |
| title_fullStr | Unmet supportive care needs and associated factors: Evidence from 4195 cancer survivors in Shanghai, China |
| title_full_unstemmed | Unmet supportive care needs and associated factors: Evidence from 4195 cancer survivors in Shanghai, China |
| title_short | Unmet supportive care needs and associated factors: Evidence from 4195 cancer survivors in Shanghai, China |
| title_sort | unmet supportive care needs and associated factors evidence from 4195 cancer survivors in shanghai china |
| topic | cancer survivors (MeSH term) unmet supportive care needs Shanghai different life stage patient – centered care |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.1054885/full |
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