Satisfaction of early breast cancer patients with discussions during initial oncology consultations with a medical oncologist
Objective: The purpose of this report is to extend the current understanding of patient satisfaction by examining expectations of a sample of breast cancer patients and concordance with their medical oncologists about the content of consultations and the importance of consultation items. Methods: Th...
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| Veröffentlicht in: | Psycho-oncology (Chichester, England) England), 2009-01, Vol.18 (1), p.42-49 |
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| creator | Brown, R. F. Hill, C. Burant, C. J. Siminoff, L. A. |
| description | Objective: The purpose of this report is to extend the current understanding of patient satisfaction by examining expectations of a sample of breast cancer patients and concordance with their medical oncologists about the content of consultations and the importance of consultation items.
Methods: Three hundred and ninety‐five female early stage breast cancer patients of 56 oncologists participated. Patients and oncologists completed a matched questionnaire measuring (a) met expectations, (b) concordance over content and item importance, and (c) satisfaction.
Results: Overall patient satisfaction was extremely high (x=91/100%) although expectations were not met at the stated level desired. Patients and physicians disagreed over what was conveyed and received. Higher overall satisfaction was predicted by levels of met expectations (unstandardized beta=0.69, p=0.008, SE=0.26) and concordance over (a) content (unstandardized beta=1.09, p=0.002, SE=0.34) and (b) importance (unstandardized beta=−0.78, p=0.006, SE 0.28).
Conclusion: Although patient expectations were not well met and physician–patient discord was high about the content of consultations and the importance of consultation items, patients reported high levels of satisfaction. Expectation fulfillment and levels of concordance predicted satisfaction. Copyright © 2008 John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/pon.1376 |
| format | Article |
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Methods: Three hundred and ninety‐five female early stage breast cancer patients of 56 oncologists participated. Patients and oncologists completed a matched questionnaire measuring (a) met expectations, (b) concordance over content and item importance, and (c) satisfaction.
Results: Overall patient satisfaction was extremely high (x=91/100%) although expectations were not met at the stated level desired. Patients and physicians disagreed over what was conveyed and received. Higher overall satisfaction was predicted by levels of met expectations (unstandardized beta=0.69, p=0.008, SE=0.26) and concordance over (a) content (unstandardized beta=1.09, p=0.002, SE=0.34) and (b) importance (unstandardized beta=−0.78, p=0.006, SE 0.28).
Conclusion: Although patient expectations were not well met and physician–patient discord was high about the content of consultations and the importance of consultation items, patients reported high levels of satisfaction. Expectation fulfillment and levels of concordance predicted satisfaction. Copyright © 2008 John Wiley & Sons, Ltd.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.1376</identifier><identifier>PMID: 18484569</identifier><identifier>CODEN: POJCEE</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Breast cancer ; Breast Neoplasms - therapy ; cancer ; Doctor-Patient interactions ; Expectations ; Female ; Humans ; Male ; Middle Aged ; Ohio ; Oncologists ; Oncology ; Patient Education as Topic ; Patient Satisfaction ; Physical examinations ; physician-patient concordance ; Physician-Patient Relations ; satisfaction ; Social Support ; Texas</subject><ispartof>Psycho-oncology (Chichester, England), 2009-01, Vol.18 (1), p.42-49</ispartof><rights>Copyright © 2008 John Wiley & Sons, Ltd.</rights><rights>(c) 2008 John Wiley & Sons, Ltd.</rights><rights>Copyright John Wiley and Sons, Limited Jan 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5366-c3c6a48208e509fbd226e9562c21cf2b197b75f78f8d646f3432923f48243c433</citedby><cites>FETCH-LOGICAL-c5366-c3c6a48208e509fbd226e9562c21cf2b197b75f78f8d646f3432923f48243c433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpon.1376$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpon.1376$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,315,782,786,887,1419,27931,27932,31006,31007,45581,45582</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18484569$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brown, R. F.</creatorcontrib><creatorcontrib>Hill, C.</creatorcontrib><creatorcontrib>Burant, C. J.</creatorcontrib><creatorcontrib>Siminoff, L. A.</creatorcontrib><title>Satisfaction of early breast cancer patients with discussions during initial oncology consultations with a medical oncologist</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psycho-Oncology</addtitle><description>Objective: The purpose of this report is to extend the current understanding of patient satisfaction by examining expectations of a sample of breast cancer patients and concordance with their medical oncologists about the content of consultations and the importance of consultation items.
Methods: Three hundred and ninety‐five female early stage breast cancer patients of 56 oncologists participated. Patients and oncologists completed a matched questionnaire measuring (a) met expectations, (b) concordance over content and item importance, and (c) satisfaction.
Results: Overall patient satisfaction was extremely high (x=91/100%) although expectations were not met at the stated level desired. Patients and physicians disagreed over what was conveyed and received. Higher overall satisfaction was predicted by levels of met expectations (unstandardized beta=0.69, p=0.008, SE=0.26) and concordance over (a) content (unstandardized beta=1.09, p=0.002, SE=0.34) and (b) importance (unstandardized beta=−0.78, p=0.006, SE 0.28).
Conclusion: Although patient expectations were not well met and physician–patient discord was high about the content of consultations and the importance of consultation items, patients reported high levels of satisfaction. Expectation fulfillment and levels of concordance predicted satisfaction. Copyright © 2008 John Wiley & Sons, Ltd.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - therapy</subject><subject>cancer</subject><subject>Doctor-Patient interactions</subject><subject>Expectations</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Ohio</subject><subject>Oncologists</subject><subject>Oncology</subject><subject>Patient Education as Topic</subject><subject>Patient Satisfaction</subject><subject>Physical examinations</subject><subject>physician-patient concordance</subject><subject>Physician-Patient Relations</subject><subject>satisfaction</subject><subject>Social Support</subject><subject>Texas</subject><issn>1057-9249</issn><issn>1099-1611</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqF0k1vFCEYB_CJ0dgXTfwEhnhQL1N5Z7iYmEarSbPVWNPeCMPAljoLK8y07sHvLtOdtGqiniDhxx94eKrqCYIHCEL8ah3DASKC36t2EZSyRhyh-9OciVpiKneqvZwvISxY8ofVDmpoQxmXu9WPz3rw2Wkz-BhAdMDq1G9Am6zOAzA6GJvAuhgbhgyu_XABOp_NmHPxGXRj8mEJfPCD1z2IwcQ-LjfAlMWxH_Rwo262abCynTd3yufhUfXA6T7bx_O4X3159_b08H19fHL04fDNcW0Y4bw2xHBNGwwby6B0bYcxt5JxbDAyDrdIilYwJxrXdJxyRyjBEhNXtlBiKCH71ett7npsyy1MeUzSvVonv9Jpo6L26veV4C_UMl4p2hCJJCoBL-aAFL-NNg9qVapg-14HG8esBKekQVLSIp__U3IuGBSI_xcygRnEeDr72R_wMo4plHopjLHghMHp2JdbZFLMOVl3-zgE1dQjqvSImnqk0Ke_FuMOzk1RQL0F1763m78GqY8nizlw9uVH7fdbr9NXxQURTJ0tjtTi0zk7Oz1fKEZ-AvH412w</recordid><startdate>200901</startdate><enddate>200901</enddate><creator>Brown, R. F.</creator><creator>Hill, C.</creator><creator>Burant, C. J.</creator><creator>Siminoff, L. A.</creator><general>John Wiley & Sons, 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><scope>5PM</scope></search><sort><creationdate>200901</creationdate><title>Satisfaction of early breast cancer patients with discussions during initial oncology consultations with a medical oncologist</title><author>Brown, R. F. ; Hill, C. ; Burant, C. J. ; Siminoff, L. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5366-c3c6a48208e509fbd226e9562c21cf2b197b75f78f8d646f3432923f48243c433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - therapy</topic><topic>cancer</topic><topic>Doctor-Patient interactions</topic><topic>Expectations</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Ohio</topic><topic>Oncologists</topic><topic>Oncology</topic><topic>Patient Education as Topic</topic><topic>Patient Satisfaction</topic><topic>Physical examinations</topic><topic>physician-patient concordance</topic><topic>Physician-Patient Relations</topic><topic>satisfaction</topic><topic>Social Support</topic><topic>Texas</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brown, R. F.</creatorcontrib><creatorcontrib>Hill, C.</creatorcontrib><creatorcontrib>Burant, C. J.</creatorcontrib><creatorcontrib>Siminoff, L. 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 & 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 & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brown, R. F.</au><au>Hill, C.</au><au>Burant, C. J.</au><au>Siminoff, L. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Satisfaction of early breast cancer patients with discussions during initial oncology consultations with a medical oncologist</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psycho-Oncology</addtitle><date>2009-01</date><risdate>2009</risdate><volume>18</volume><issue>1</issue><spage>42</spage><epage>49</epage><pages>42-49</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><coden>POJCEE</coden><abstract>Objective: The purpose of this report is to extend the current understanding of patient satisfaction by examining expectations of a sample of breast cancer patients and concordance with their medical oncologists about the content of consultations and the importance of consultation items.
Methods: Three hundred and ninety‐five female early stage breast cancer patients of 56 oncologists participated. Patients and oncologists completed a matched questionnaire measuring (a) met expectations, (b) concordance over content and item importance, and (c) satisfaction.
Results: Overall patient satisfaction was extremely high (x=91/100%) although expectations were not met at the stated level desired. Patients and physicians disagreed over what was conveyed and received. Higher overall satisfaction was predicted by levels of met expectations (unstandardized beta=0.69, p=0.008, SE=0.26) and concordance over (a) content (unstandardized beta=1.09, p=0.002, SE=0.34) and (b) importance (unstandardized beta=−0.78, p=0.006, SE 0.28).
Conclusion: Although patient expectations were not well met and physician–patient discord was high about the content of consultations and the importance of consultation items, patients reported high levels of satisfaction. Expectation fulfillment and levels of concordance predicted satisfaction. Copyright © 2008 John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>18484569</pmid><doi>10.1002/pon.1376</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adult Aged Aged, 80 and over Breast cancer Breast Neoplasms - therapy cancer Doctor-Patient interactions Expectations Female Humans Male Middle Aged Ohio Oncologists Oncology Patient Education as Topic Patient Satisfaction Physical examinations physician-patient concordance Physician-Patient Relations satisfaction Social Support Texas |
| title | Satisfaction of early breast cancer patients with discussions during initial oncology consultations with a medical oncologist |
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