Patient satisfaction with a rapid diagnosis of suspicious breast lesions: Association with distress and anxiety
Few studies have explored with standard measures patient satisfaction with care at the time of the diagnosis through rapid diagnostic pathways. This study aimed to assess satisfaction levels at the time of the diagnosis in a One‐Stop Breast Unit and to examine associations with psychological states....
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| Veröffentlicht in: | The Breast Journal 2018-03, Vol.24 (2), p.154-160 |
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| container_title | The Breast Journal |
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| creator | Boinon, Diane Dauchy, Sarah Charles, Cecile Fasse, Léonor Cano, Alejandra Balleyguier, Corinne Mazouni, Chafika Caron, Hélène Vielh, Philippe Delaloge, Suzette |
| description | Few studies have explored with standard measures patient satisfaction with care at the time of the diagnosis through rapid diagnostic pathways. This study aimed to assess satisfaction levels at the time of the diagnosis in a One‐Stop Breast Unit and to examine associations with psychological states. An anonymous cross‐sectional survey was conducted at a single center's One‐Stop Breast Unit, to assess patient satisfaction regarding several aspects of the Unit. Two days after the diagnosis, 113 participants completed self‐reported questionnaires evaluating satisfaction (Out‐Patsat35), anxiety (State Anxiety Inventory), and psychological distress (Distress Thermometer). Overall, patients were very satisfied (80.7±20.7) with the One‐Stop Breast Unit. The highest mean satisfaction scores concerned nurses' technical skills, interpersonal skills and availability. The lowest mean scores concerned physicians' availability, waiting time, and the provision of information. The results revealed a significant association between high state anxiety levels, lower levels of satisfaction with doctors' interpersonal skills (r=−.41, P |
| doi_str_mv | 10.1111/tbj.12856 |
| format | Article |
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This study aimed to assess satisfaction levels at the time of the diagnosis in a One‐Stop Breast Unit and to examine associations with psychological states. An anonymous cross‐sectional survey was conducted at a single center's One‐Stop Breast Unit, to assess patient satisfaction regarding several aspects of the Unit. Two days after the diagnosis, 113 participants completed self‐reported questionnaires evaluating satisfaction (Out‐Patsat35), anxiety (State Anxiety Inventory), and psychological distress (Distress Thermometer). Overall, patients were very satisfied (80.7±20.7) with the One‐Stop Breast Unit. The highest mean satisfaction scores concerned nurses' technical skills, interpersonal skills and availability. The lowest mean scores concerned physicians' availability, waiting time, and the provision of information. The results revealed a significant association between high state anxiety levels, lower levels of satisfaction with doctors' interpersonal skills (r=−.41, P<.001) and lower levels for information provided by nurses (r=−.38, P<.001). Moreover, greater psychological distress was associated with less satisfaction with the different aspects of care (doctors' interpersonal skills, doctors' availability and waiting‐time). The results of regression models showed that doctor‐related satisfaction scales explained 20% of the variance in anxiety (P<.01). Facing cancer diagnosis remains a stressful situation. However, our study suggested that a substantial part of this anxiety is sensitive to the quality of the patient‐doctor relationship. Consequently, further efforts should be expended on adapting patient‐doctor communication to improve patient reassurance.</description><identifier>ISSN: 1075-122X</identifier><identifier>EISSN: 1524-4741</identifier><identifier>DOI: 10.1111/tbj.12856</identifier><identifier>PMID: 28703443</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Ambulatory Care Facilities - statistics & numerical data ; Anxiety ; Anxiety - psychology ; Availability ; Breast ; Breast Neoplasms - diagnosis ; Breast Neoplasms - psychology ; Cancer ; Cross-Sectional Studies ; Diagnosis ; Diagnostic systems ; distress ; Female ; Humanities and Social Sciences ; Humans ; Lesions ; Medical personnel ; Middle Aged ; Nurse-Patient Relations ; One‐Stop Breast Unit ; Patient satisfaction ; Patient Satisfaction - statistics & numerical data ; Physician-Patient Relations ; Physicians ; Psychology ; Regression analysis ; Regression models ; Retrospective Studies ; Self Report ; Skills ; Stress, Psychological - psychology</subject><ispartof>The Breast Journal, 2018-03, Vol.24 (2), p.154-160</ispartof><rights>2017 Wiley Periodicals, Inc.</rights><rights>Copyright © 2018 Wiley Periodicals, Inc.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4226-9b9cb6ba7b7dcafd7f482b71b19d2edfaae9cfd7202f899603a787fab733350a3</citedby><cites>FETCH-LOGICAL-c4226-9b9cb6ba7b7dcafd7f482b71b19d2edfaae9cfd7202f899603a787fab733350a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Ftbj.12856$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ftbj.12856$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,886,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28703443$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-04595605$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Boinon, Diane</creatorcontrib><creatorcontrib>Dauchy, Sarah</creatorcontrib><creatorcontrib>Charles, Cecile</creatorcontrib><creatorcontrib>Fasse, Léonor</creatorcontrib><creatorcontrib>Cano, Alejandra</creatorcontrib><creatorcontrib>Balleyguier, Corinne</creatorcontrib><creatorcontrib>Mazouni, Chafika</creatorcontrib><creatorcontrib>Caron, Hélène</creatorcontrib><creatorcontrib>Vielh, Philippe</creatorcontrib><creatorcontrib>Delaloge, Suzette</creatorcontrib><title>Patient satisfaction with a rapid diagnosis of suspicious breast lesions: Association with distress and anxiety</title><title>The Breast Journal</title><addtitle>Breast J</addtitle><description>Few studies have explored with standard measures patient satisfaction with care at the time of the diagnosis through rapid diagnostic pathways. This study aimed to assess satisfaction levels at the time of the diagnosis in a One‐Stop Breast Unit and to examine associations with psychological states. An anonymous cross‐sectional survey was conducted at a single center's One‐Stop Breast Unit, to assess patient satisfaction regarding several aspects of the Unit. Two days after the diagnosis, 113 participants completed self‐reported questionnaires evaluating satisfaction (Out‐Patsat35), anxiety (State Anxiety Inventory), and psychological distress (Distress Thermometer). Overall, patients were very satisfied (80.7±20.7) with the One‐Stop Breast Unit. The highest mean satisfaction scores concerned nurses' technical skills, interpersonal skills and availability. The lowest mean scores concerned physicians' availability, waiting time, and the provision of information. The results revealed a significant association between high state anxiety levels, lower levels of satisfaction with doctors' interpersonal skills (r=−.41, P<.001) and lower levels for information provided by nurses (r=−.38, P<.001). Moreover, greater psychological distress was associated with less satisfaction with the different aspects of care (doctors' interpersonal skills, doctors' availability and waiting‐time). The results of regression models showed that doctor‐related satisfaction scales explained 20% of the variance in anxiety (P<.01). Facing cancer diagnosis remains a stressful situation. However, our study suggested that a substantial part of this anxiety is sensitive to the quality of the patient‐doctor relationship. Consequently, further efforts should be expended on adapting patient‐doctor communication to improve patient reassurance.</description><subject>Adult</subject><subject>Aged</subject><subject>Ambulatory Care Facilities - statistics & numerical data</subject><subject>Anxiety</subject><subject>Anxiety - psychology</subject><subject>Availability</subject><subject>Breast</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Neoplasms - psychology</subject><subject>Cancer</subject><subject>Cross-Sectional Studies</subject><subject>Diagnosis</subject><subject>Diagnostic systems</subject><subject>distress</subject><subject>Female</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Lesions</subject><subject>Medical personnel</subject><subject>Middle Aged</subject><subject>Nurse-Patient Relations</subject><subject>One‐Stop Breast Unit</subject><subject>Patient satisfaction</subject><subject>Patient Satisfaction - statistics & numerical data</subject><subject>Physician-Patient Relations</subject><subject>Physicians</subject><subject>Psychology</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Retrospective Studies</subject><subject>Self Report</subject><subject>Skills</subject><subject>Stress, Psychological - psychology</subject><issn>1075-122X</issn><issn>1524-4741</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV1rFDEUhoMotlYv_AMS8EYvpk0yyWTi3VrUKgt6UcG7cPIxNsvsZM2Zse6_N3VrC4KBkHB48iQnLyHPOTvldZzNbnPKRa-6B-SYKyEbqSV_WPdMq4YL8e2IPEHcMMaEYfIxORK9Zq2U7THJX2BOcZop1hUH8HPKE71O8xUFWmCXAg0Jvk8ZE9I8UFxwl3zKC1JXIuBMx4j1CL6hK8TsE9wLQsK5REQKU6jzV4rz_il5NMCI8dntekK-vn93eX7RrD9_-Hi-WjdeCtE1xhnvOgfa6eBhCHqQvXCaO26CiGEAiMbXsmBi6I3pWAu61wM43batYtCekNcH7xWMdlfSFsreZkj2YrW2NzUmlVEdUz95ZV8d2F3JP5aIs90m9HEcYYq1UcsN73uphFAVffkPuslLmWonVrD63VpX6_3lvmTEEoe7F3BmbxKzNTH7J7HKvrg1Lm4bwx35N6IKnB2A6zTG_f9N9vLtp4PyN7ecoOs</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Boinon, Diane</creator><creator>Dauchy, Sarah</creator><creator>Charles, Cecile</creator><creator>Fasse, Léonor</creator><creator>Cano, Alejandra</creator><creator>Balleyguier, Corinne</creator><creator>Mazouni, Chafika</creator><creator>Caron, Hélène</creator><creator>Vielh, Philippe</creator><creator>Delaloge, Suzette</creator><general>Wiley Subscription Services, Inc</general><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>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope><scope>1XC</scope><scope>BXJBU</scope></search><sort><creationdate>201803</creationdate><title>Patient satisfaction with a rapid diagnosis of suspicious breast lesions: Association with distress and anxiety</title><author>Boinon, Diane ; Dauchy, Sarah ; Charles, Cecile ; Fasse, Léonor ; Cano, Alejandra ; Balleyguier, Corinne ; Mazouni, Chafika ; Caron, Hélène ; Vielh, Philippe ; Delaloge, Suzette</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4226-9b9cb6ba7b7dcafd7f482b71b19d2edfaae9cfd7202f899603a787fab733350a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Ambulatory Care Facilities - statistics & numerical data</topic><topic>Anxiety</topic><topic>Anxiety - psychology</topic><topic>Availability</topic><topic>Breast</topic><topic>Breast Neoplasms - diagnosis</topic><topic>Breast Neoplasms - psychology</topic><topic>Cancer</topic><topic>Cross-Sectional Studies</topic><topic>Diagnosis</topic><topic>Diagnostic systems</topic><topic>distress</topic><topic>Female</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Lesions</topic><topic>Medical personnel</topic><topic>Middle Aged</topic><topic>Nurse-Patient Relations</topic><topic>One‐Stop Breast Unit</topic><topic>Patient satisfaction</topic><topic>Patient Satisfaction - statistics & numerical data</topic><topic>Physician-Patient Relations</topic><topic>Physicians</topic><topic>Psychology</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Retrospective Studies</topic><topic>Self Report</topic><topic>Skills</topic><topic>Stress, Psychological - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boinon, Diane</creatorcontrib><creatorcontrib>Dauchy, Sarah</creatorcontrib><creatorcontrib>Charles, Cecile</creatorcontrib><creatorcontrib>Fasse, Léonor</creatorcontrib><creatorcontrib>Cano, Alejandra</creatorcontrib><creatorcontrib>Balleyguier, Corinne</creatorcontrib><creatorcontrib>Mazouni, Chafika</creatorcontrib><creatorcontrib>Caron, Hélène</creatorcontrib><creatorcontrib>Vielh, Philippe</creatorcontrib><creatorcontrib>Delaloge, Suzette</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>HAL-SHS: Archive ouverte en Sciences de l'Homme et de la Société</collection><jtitle>The Breast Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boinon, Diane</au><au>Dauchy, Sarah</au><au>Charles, Cecile</au><au>Fasse, Léonor</au><au>Cano, Alejandra</au><au>Balleyguier, Corinne</au><au>Mazouni, Chafika</au><au>Caron, Hélène</au><au>Vielh, Philippe</au><au>Delaloge, Suzette</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient satisfaction with a rapid diagnosis of suspicious breast lesions: Association with distress and anxiety</atitle><jtitle>The Breast Journal</jtitle><addtitle>Breast J</addtitle><date>2018-03</date><risdate>2018</risdate><volume>24</volume><issue>2</issue><spage>154</spage><epage>160</epage><pages>154-160</pages><issn>1075-122X</issn><eissn>1524-4741</eissn><abstract>Few studies have explored with standard measures patient satisfaction with care at the time of the diagnosis through rapid diagnostic pathways. This study aimed to assess satisfaction levels at the time of the diagnosis in a One‐Stop Breast Unit and to examine associations with psychological states. An anonymous cross‐sectional survey was conducted at a single center's One‐Stop Breast Unit, to assess patient satisfaction regarding several aspects of the Unit. Two days after the diagnosis, 113 participants completed self‐reported questionnaires evaluating satisfaction (Out‐Patsat35), anxiety (State Anxiety Inventory), and psychological distress (Distress Thermometer). Overall, patients were very satisfied (80.7±20.7) with the One‐Stop Breast Unit. The highest mean satisfaction scores concerned nurses' technical skills, interpersonal skills and availability. The lowest mean scores concerned physicians' availability, waiting time, and the provision of information. The results revealed a significant association between high state anxiety levels, lower levels of satisfaction with doctors' interpersonal skills (r=−.41, P<.001) and lower levels for information provided by nurses (r=−.38, P<.001). Moreover, greater psychological distress was associated with less satisfaction with the different aspects of care (doctors' interpersonal skills, doctors' availability and waiting‐time). The results of regression models showed that doctor‐related satisfaction scales explained 20% of the variance in anxiety (P<.01). Facing cancer diagnosis remains a stressful situation. However, our study suggested that a substantial part of this anxiety is sensitive to the quality of the patient‐doctor relationship. Consequently, further efforts should be expended on adapting patient‐doctor communication to improve patient reassurance.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28703443</pmid><doi>10.1111/tbj.12856</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Ambulatory Care Facilities - statistics & numerical data Anxiety Anxiety - psychology Availability Breast Breast Neoplasms - diagnosis Breast Neoplasms - psychology Cancer Cross-Sectional Studies Diagnosis Diagnostic systems distress Female Humanities and Social Sciences Humans Lesions Medical personnel Middle Aged Nurse-Patient Relations One‐Stop Breast Unit Patient satisfaction Patient Satisfaction - statistics & numerical data Physician-Patient Relations Physicians Psychology Regression analysis Regression models Retrospective Studies Self Report Skills Stress, Psychological - psychology |
| title | Patient satisfaction with a rapid diagnosis of suspicious breast lesions: Association with distress and anxiety |
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