Melanoma survivors at high risk of developing new primary disease: a qualitative examination of the factors that contribute to patient satisfaction with clinical care

Background Providing ongoing clinical care that adequately addresses patients' medical, psychosocial and information needs is challenging, particularly for patient groups at increased risk of developing life‐threatening disease such as malignant melanoma. This study examined a model of clinical...

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Veröffentlicht in:Psycho-oncology (Chichester, England) England), 2013-09, Vol.22 (9), p.1994-2000
Hauptverfasser: McLoone, J. K., Watts, K. J., Menzies, S. W., Barlow-Stewart, K., Mann, G. J., Kasparian, N. A.
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container_end_page 2000
container_issue 9
container_start_page 1994
container_title Psycho-oncology (Chichester, England)
container_volume 22
creator McLoone, J. K.
Watts, K. J.
Menzies, S. W.
Barlow-Stewart, K.
Mann, G. J.
Kasparian, N. A.
description Background Providing ongoing clinical care that adequately addresses patients' medical, psychosocial and information needs is challenging, particularly for patient groups at increased risk of developing life‐threatening disease such as malignant melanoma. This study examined a model of clinical care developed by the High Risk Clinic (HRC) of the Sydney Melanoma Diagnostic Centre in relation to patient satisfaction. Methods Semi‐structured telephone interviews were conducted and analyzed using the framework of Miles and Huberman, and themes were organized using the qualitative software package, QSR NVivo8. Results Twenty HRC patients participated in the study (nine men, 11 women; mean age 57.6 years, age range 34–74 years; response rate 91%). Satisfaction with clinical care at the HRC was high. Factors contributing to patient satisfaction included: rapid and regular access to physicians who were perceived by participants as experts, the development of confidence and trust in one's treating doctor, and a sense of being cared about and understood by one's healthcare team. Although one‐third of the participants reported some inconveniences in attending the clinic, these were viewed as minor difficulties and not significant barriers to care. Formal psychological support was not sought or expected by participants, although many expressed long‐standing melanoma‐related fears and concerns. Conclusions Accessible, expert medical attention, delivered in a patient‐centered manner was integral to melanoma survivors' satisfaction with clinical management. Appropriate referrals to psychological support may further increase satisfaction with clinical care. Copyright © 2013 John Wiley & Sons, Ltd.
doi_str_mv 10.1002/pon.3243
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K. ; Watts, K. J. ; Menzies, S. W. ; Barlow-Stewart, K. ; Mann, G. J. ; Kasparian, N. A.</creator><creatorcontrib>McLoone, J. K. ; Watts, K. J. ; Menzies, S. W. ; Barlow-Stewart, K. ; Mann, G. J. ; Kasparian, N. A.</creatorcontrib><description>Background Providing ongoing clinical care that adequately addresses patients' medical, psychosocial and information needs is challenging, particularly for patient groups at increased risk of developing life‐threatening disease such as malignant melanoma. This study examined a model of clinical care developed by the High Risk Clinic (HRC) of the Sydney Melanoma Diagnostic Centre in relation to patient satisfaction. Methods Semi‐structured telephone interviews were conducted and analyzed using the framework of Miles and Huberman, and themes were organized using the qualitative software package, QSR NVivo8. Results Twenty HRC patients participated in the study (nine men, 11 women; mean age 57.6 years, age range 34–74 years; response rate 91%). Satisfaction with clinical care at the HRC was high. Factors contributing to patient satisfaction included: rapid and regular access to physicians who were perceived by participants as experts, the development of confidence and trust in one's treating doctor, and a sense of being cared about and understood by one's healthcare team. Although one‐third of the participants reported some inconveniences in attending the clinic, these were viewed as minor difficulties and not significant barriers to care. Formal psychological support was not sought or expected by participants, although many expressed long‐standing melanoma‐related fears and concerns. Conclusions Accessible, expert medical attention, delivered in a patient‐centered manner was integral to melanoma survivors' satisfaction with clinical management. Appropriate referrals to psychological support may further increase satisfaction with clinical care. Copyright © 2013 John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.3243</identifier><identifier>PMID: 23382138</identifier><identifier>CODEN: POJCEE</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Australia ; Clinics ; Doctors ; Experts ; Female ; Humans ; Male ; Melanoma ; Melanoma - psychology ; Melanoma - therapy ; Middle Aged ; Needs Assessment ; Patient Satisfaction ; patient satisfaction with care ; Psychological support ; psychosocial research ; qualitative methods ; Qualitative research ; Quality of care ; Risk ; Skin melanoma ; Skin Neoplasms - psychology ; Skin Neoplasms - therapy ; Social support ; Software packages ; Surveys and Questionnaires ; Survivor ; Survivors - psychology ; unmet needs</subject><ispartof>Psycho-oncology (Chichester, England), 2013-09, Vol.22 (9), p.1994-2000</ispartof><rights>Copyright © 2013 John Wiley &amp; Sons, Ltd.</rights><rights>Copyright Wiley Subscription Services, Inc. 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J.</creatorcontrib><creatorcontrib>Menzies, S. W.</creatorcontrib><creatorcontrib>Barlow-Stewart, K.</creatorcontrib><creatorcontrib>Mann, G. J.</creatorcontrib><creatorcontrib>Kasparian, N. A.</creatorcontrib><title>Melanoma survivors at high risk of developing new primary disease: a qualitative examination of the factors that contribute to patient satisfaction with clinical care</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psycho-Oncology</addtitle><description>Background Providing ongoing clinical care that adequately addresses patients' medical, psychosocial and information needs is challenging, particularly for patient groups at increased risk of developing life‐threatening disease such as malignant melanoma. This study examined a model of clinical care developed by the High Risk Clinic (HRC) of the Sydney Melanoma Diagnostic Centre in relation to patient satisfaction. Methods Semi‐structured telephone interviews were conducted and analyzed using the framework of Miles and Huberman, and themes were organized using the qualitative software package, QSR NVivo8. Results Twenty HRC patients participated in the study (nine men, 11 women; mean age 57.6 years, age range 34–74 years; response rate 91%). Satisfaction with clinical care at the HRC was high. Factors contributing to patient satisfaction included: rapid and regular access to physicians who were perceived by participants as experts, the development of confidence and trust in one's treating doctor, and a sense of being cared about and understood by one's healthcare team. Although one‐third of the participants reported some inconveniences in attending the clinic, these were viewed as minor difficulties and not significant barriers to care. Formal psychological support was not sought or expected by participants, although many expressed long‐standing melanoma‐related fears and concerns. Conclusions Accessible, expert medical attention, delivered in a patient‐centered manner was integral to melanoma survivors' satisfaction with clinical management. Appropriate referrals to psychological support may further increase satisfaction with clinical care. 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K.</creator><creator>Watts, K. J.</creator><creator>Menzies, S. W.</creator><creator>Barlow-Stewart, K.</creator><creator>Mann, G. J.</creator><creator>Kasparian, N. A.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201309</creationdate><title>Melanoma survivors at high risk of developing new primary disease: a qualitative examination of the factors that contribute to patient satisfaction with clinical care</title><author>McLoone, J. K. ; Watts, K. J. ; Menzies, S. W. ; Barlow-Stewart, K. ; Mann, G. J. ; Kasparian, N. 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K.</creatorcontrib><creatorcontrib>Watts, K. J.</creatorcontrib><creatorcontrib>Menzies, S. W.</creatorcontrib><creatorcontrib>Barlow-Stewart, K.</creatorcontrib><creatorcontrib>Mann, G. J.</creatorcontrib><creatorcontrib>Kasparian, N. A.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McLoone, J. K.</au><au>Watts, K. J.</au><au>Menzies, S. W.</au><au>Barlow-Stewart, K.</au><au>Mann, G. J.</au><au>Kasparian, N. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Melanoma survivors at high risk of developing new primary disease: a qualitative examination of the factors that contribute to patient satisfaction with clinical care</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psycho-Oncology</addtitle><date>2013-09</date><risdate>2013</risdate><volume>22</volume><issue>9</issue><spage>1994</spage><epage>2000</epage><pages>1994-2000</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><coden>POJCEE</coden><abstract>Background Providing ongoing clinical care that adequately addresses patients' medical, psychosocial and information needs is challenging, particularly for patient groups at increased risk of developing life‐threatening disease such as malignant melanoma. This study examined a model of clinical care developed by the High Risk Clinic (HRC) of the Sydney Melanoma Diagnostic Centre in relation to patient satisfaction. Methods Semi‐structured telephone interviews were conducted and analyzed using the framework of Miles and Huberman, and themes were organized using the qualitative software package, QSR NVivo8. Results Twenty HRC patients participated in the study (nine men, 11 women; mean age 57.6 years, age range 34–74 years; response rate 91%). Satisfaction with clinical care at the HRC was high. Factors contributing to patient satisfaction included: rapid and regular access to physicians who were perceived by participants as experts, the development of confidence and trust in one's treating doctor, and a sense of being cared about and understood by one's healthcare team. Although one‐third of the participants reported some inconveniences in attending the clinic, these were viewed as minor difficulties and not significant barriers to care. Formal psychological support was not sought or expected by participants, although many expressed long‐standing melanoma‐related fears and concerns. Conclusions Accessible, expert medical attention, delivered in a patient‐centered manner was integral to melanoma survivors' satisfaction with clinical management. Appropriate referrals to psychological support may further increase satisfaction with clinical care. Copyright © 2013 John Wiley &amp; Sons, Ltd.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>23382138</pmid><doi>10.1002/pon.3243</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aged
Australia
Clinics
Doctors
Experts
Female
Humans
Male
Melanoma
Melanoma - psychology
Melanoma - therapy
Middle Aged
Needs Assessment
Patient Satisfaction
patient satisfaction with care
Psychological support
psychosocial research
qualitative methods
Qualitative research
Quality of care
Risk
Skin melanoma
Skin Neoplasms - psychology
Skin Neoplasms - therapy
Social support
Software packages
Surveys and Questionnaires
Survivor
Survivors - psychology
unmet needs
title Melanoma survivors at high risk of developing new primary disease: a qualitative examination of the factors that contribute to patient satisfaction with clinical care
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