Patient healthcare experiences of cancer hospitals in China: A multilevel modeling analysis based on a national survey
ImportancePatient satisfaction is a crucial indicator for assessing quality of care in healthcare settings. However, patient satisfaction benchmark for cancer hospitals in China is not established.ObjectiveTo examine patient satisfaction levels in tertiary cancer hospitals in China, and inter-hospit...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1059878/full |
| _version_ | 1797900577876738048 |
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| author | Meicen Liu Linlin Hu Yue Xu Yue Wang Yuanli Liu |
| author_facet | Meicen Liu Linlin Hu Yue Xu Yue Wang Yuanli Liu |
| author_sort | Meicen Liu |
| collection | DOAJ |
| description | ImportancePatient satisfaction is a crucial indicator for assessing quality of care in healthcare settings. However, patient satisfaction benchmark for cancer hospitals in China is not established.ObjectiveTo examine patient satisfaction levels in tertiary cancer hospitals in China, and inter-hospital variations after case-mix adjustment.DesignA nationwide cross-sectional hospital performance survey conducted from January to March 2021.SettingsAt 30 tertiary cancer hospitals in China.ParticipantsA total of 4,847 adult inpatients consecutively recruited at 30 tertiary cancer hospitals were included.ExposuresPatient characteristics included demographic characteristics (sex, age, education, and annual family income), clinical characteristics (cancer type, cancer stage, self-reported health status, and length of stay), and actual respondents of questionnaire.Main outcomes and measuresPatient satisfaction was measured using 23 items covering five aspects, administrative process, hospital environment, medical care, symptom management, and overall satisfaction. Responses to each item were recorded using a 5-point Likert scale. Patient satisfaction level for each aspect was described at individual and hospital levels. Using multilevel logistic regression, patient characteristics associated with patient satisfaction were examined as case-mix adjusters and inter-hospital variation were determined.ResultsThe satisfaction rates for symptom management, administrative process, hospital environment, overall satisfaction, and medical care aspects were 74.56, 81.70, 84.18, 84.26, and 90.86% with a cut-off value of 4, respectively. Significant predictors of patient satisfaction included sex, age, cancer type, cancer stage, self-reported health status, and actual respondent (representative or patient) (all P < 0.05). The ranking of the hospitals' performance in satisfaction was altered after the case-mix adjustment was made. But even after the adjustment, significant variation in satisfaction among hospitals remained.Conclusions and relevanceThis study pointed to symptom management as a special area, to which a keen attention should be paid by policymakers and hospital administrators. Significant variation in satisfaction among hospitals remained, implying that future studies should examine major factors affecting the variation. In review, target interventions are needed in low-performing hospitals. |
| first_indexed | 2024-04-10T08:48:07Z |
| format | Article |
| id | doaj.art-9af49f5e0fff4322bf30d1eed07300c0 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-10T08:48:07Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-9af49f5e0fff4322bf30d1eed07300c02023-02-22T06:07:02ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-02-011110.3389/fpubh.2023.10598781059878Patient healthcare experiences of cancer hospitals in China: A multilevel modeling analysis based on a national surveyMeicen LiuLinlin HuYue XuYue WangYuanli LiuImportancePatient satisfaction is a crucial indicator for assessing quality of care in healthcare settings. However, patient satisfaction benchmark for cancer hospitals in China is not established.ObjectiveTo examine patient satisfaction levels in tertiary cancer hospitals in China, and inter-hospital variations after case-mix adjustment.DesignA nationwide cross-sectional hospital performance survey conducted from January to March 2021.SettingsAt 30 tertiary cancer hospitals in China.ParticipantsA total of 4,847 adult inpatients consecutively recruited at 30 tertiary cancer hospitals were included.ExposuresPatient characteristics included demographic characteristics (sex, age, education, and annual family income), clinical characteristics (cancer type, cancer stage, self-reported health status, and length of stay), and actual respondents of questionnaire.Main outcomes and measuresPatient satisfaction was measured using 23 items covering five aspects, administrative process, hospital environment, medical care, symptom management, and overall satisfaction. Responses to each item were recorded using a 5-point Likert scale. Patient satisfaction level for each aspect was described at individual and hospital levels. Using multilevel logistic regression, patient characteristics associated with patient satisfaction were examined as case-mix adjusters and inter-hospital variation were determined.ResultsThe satisfaction rates for symptom management, administrative process, hospital environment, overall satisfaction, and medical care aspects were 74.56, 81.70, 84.18, 84.26, and 90.86% with a cut-off value of 4, respectively. Significant predictors of patient satisfaction included sex, age, cancer type, cancer stage, self-reported health status, and actual respondent (representative or patient) (all P < 0.05). The ranking of the hospitals' performance in satisfaction was altered after the case-mix adjustment was made. But even after the adjustment, significant variation in satisfaction among hospitals remained.Conclusions and relevanceThis study pointed to symptom management as a special area, to which a keen attention should be paid by policymakers and hospital administrators. Significant variation in satisfaction among hospitals remained, implying that future studies should examine major factors affecting the variation. In review, target interventions are needed in low-performing hospitals.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1059878/fullpatient experiencecancertertiary hospitalhospital performanceChina |
| spellingShingle | Meicen Liu Linlin Hu Yue Xu Yue Wang Yuanli Liu Patient healthcare experiences of cancer hospitals in China: A multilevel modeling analysis based on a national survey Frontiers in Public Health patient experience cancer tertiary hospital hospital performance China |
| title | Patient healthcare experiences of cancer hospitals in China: A multilevel modeling analysis based on a national survey |
| title_full | Patient healthcare experiences of cancer hospitals in China: A multilevel modeling analysis based on a national survey |
| title_fullStr | Patient healthcare experiences of cancer hospitals in China: A multilevel modeling analysis based on a national survey |
| title_full_unstemmed | Patient healthcare experiences of cancer hospitals in China: A multilevel modeling analysis based on a national survey |
| title_short | Patient healthcare experiences of cancer hospitals in China: A multilevel modeling analysis based on a national survey |
| title_sort | patient healthcare experiences of cancer hospitals in china a multilevel modeling analysis based on a national survey |
| topic | patient experience cancer tertiary hospital hospital performance China |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1059878/full |
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