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Article: The association between patient satisfaction and quality of life in Chinese lung and liver cancer patients.

TitleThe association between patient satisfaction and quality of life in Chinese lung and liver cancer patients.
Authors
KeywordsChinese
Liver cancer
Lung cancer
Patient satisfaction
Quality of life
Issue Date2008
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.lww-medicalcare.com
Citation
Medical Care, 2008, v. 46 n. 3, p. 293-302 How to Cite?
AbstractBACKGROUND: Patient satisfaction has been accorded increased importance in evaluating the quality of health care. However, only a few studies have examined factors associated with patient satisfaction in cancer populations, with no data currently available in Chinese oncology populations. OBJECTIVES: We sought to examine the longitudinal course of the relationship between patient satisfaction and quality of life (QoL) in Chinese cancer patients. METHODS: A total of 253 liver cancer patients and 334 lung cancer patients were assessed during their first outpatient visit (baseline) and at 2 follow-up interviews (FU1 and FU2). QoL was measured by the Chinese version of the Functional Assessment of Cancer Therapy-General Scale [FACT-G (Ch)]. Patient satisfaction was assessed by the Nine-Item Chinese Patient Satisfaction Questionnaire (ChPSQ-9) and the cognitive subscale of the Medical Interview Satisfaction Scale (MISS-Cog). Linear mixed effects (LME) models were fitted to identify predictors of patient satisfaction and QoL. RESULTS: Results of LME analyses showed no significant between-group differences in psychosocial, satisfaction, and QoL measures over time (all P > 0.05). Age [beta = -0.001, 95% confidence interval (CI): -0.03 to 0.00, P < 0.05] and optimism (beta = 0.20, 95% CI: 0.10 to 0.30, P < 0.001) predicted MISS-Cog and ChPSQ-9, respectively. After adjusting for sociodemographic and psychosocial variables, only ChPSQ-9 (beta = 0.12, 95% CI: 0.06 to 0.18, P < 0.001) predicted QoL scores. No significant association between MISS-Cog and QoL was found. CONCLUSIONS: General emotional support from health professionals (ChPSQ-9) was a more effective predictor of QoL than was a measure of informational support (MISS-Cog) among these patients. Because expectations of clinical care likely vary by culture, and nature and stage of disease, measures of patient satisfaction that address both informational and care expectations are important.
Persistent Identifierhttp://hdl.handle.net/10722/151649
ISSN
2023 Impact Factor: 3.3
2023 SCImago Journal Rankings: 1.384
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWong, WSen_US
dc.contributor.authorFielding, Ren_US
dc.date.accessioned2012-06-26T06:25:55Z-
dc.date.available2012-06-26T06:25:55Z-
dc.date.issued2008en_US
dc.identifier.citationMedical Care, 2008, v. 46 n. 3, p. 293-302en_US
dc.identifier.issn0025-7079en_US
dc.identifier.urihttp://hdl.handle.net/10722/151649-
dc.description.abstractBACKGROUND: Patient satisfaction has been accorded increased importance in evaluating the quality of health care. However, only a few studies have examined factors associated with patient satisfaction in cancer populations, with no data currently available in Chinese oncology populations. OBJECTIVES: We sought to examine the longitudinal course of the relationship between patient satisfaction and quality of life (QoL) in Chinese cancer patients. METHODS: A total of 253 liver cancer patients and 334 lung cancer patients were assessed during their first outpatient visit (baseline) and at 2 follow-up interviews (FU1 and FU2). QoL was measured by the Chinese version of the Functional Assessment of Cancer Therapy-General Scale [FACT-G (Ch)]. Patient satisfaction was assessed by the Nine-Item Chinese Patient Satisfaction Questionnaire (ChPSQ-9) and the cognitive subscale of the Medical Interview Satisfaction Scale (MISS-Cog). Linear mixed effects (LME) models were fitted to identify predictors of patient satisfaction and QoL. RESULTS: Results of LME analyses showed no significant between-group differences in psychosocial, satisfaction, and QoL measures over time (all P > 0.05). Age [beta = -0.001, 95% confidence interval (CI): -0.03 to 0.00, P < 0.05] and optimism (beta = 0.20, 95% CI: 0.10 to 0.30, P < 0.001) predicted MISS-Cog and ChPSQ-9, respectively. After adjusting for sociodemographic and psychosocial variables, only ChPSQ-9 (beta = 0.12, 95% CI: 0.06 to 0.18, P < 0.001) predicted QoL scores. No significant association between MISS-Cog and QoL was found. CONCLUSIONS: General emotional support from health professionals (ChPSQ-9) was a more effective predictor of QoL than was a measure of informational support (MISS-Cog) among these patients. Because expectations of clinical care likely vary by culture, and nature and stage of disease, measures of patient satisfaction that address both informational and care expectations are important.en_US
dc.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.lww-medicalcare.comen_US
dc.relation.ispartofMedical careen_US
dc.rightsMedical Care. Copyright © Lippincott Williams & Wilkins.-
dc.subjectChinese-
dc.subjectLiver cancer-
dc.subjectLung cancer-
dc.subjectPatient satisfaction-
dc.subjectQuality of life-
dc.subject.meshAdulten_US
dc.subject.meshAge Factorsen_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshChina - Epidemiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLiver Neoplasms - Psychologyen_US
dc.subject.meshLongitudinal Studiesen_US
dc.subject.meshLung Neoplasms - Psychologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPatient Education As Topicen_US
dc.subject.meshPatient Satisfactionen_US
dc.subject.meshProfessional-Patient Relationsen_US
dc.subject.meshQuality Of Lifeen_US
dc.subject.meshSeverity Of Illness Indexen_US
dc.subject.meshSex Factorsen_US
dc.subject.meshSocial Supporten_US
dc.subject.meshSocioeconomic Factorsen_US
dc.subject.meshTime Factorsen_US
dc.titleThe association between patient satisfaction and quality of life in Chinese lung and liver cancer patients.en_US
dc.typeArticleen_US
dc.identifier.emailFielding, R:fielding@hku.hken_US
dc.identifier.authorityFielding, R=rp00339en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/MLR.0b013e31815b9785-
dc.identifier.pmid18388844en_US
dc.identifier.scopuseid_2-s2.0-42449129706en_US
dc.identifier.hkuros141560-
dc.identifier.volume46en_US
dc.identifier.issue3en_US
dc.identifier.spage293en_US
dc.identifier.epage302en_US
dc.identifier.eissn1537-1948-
dc.identifier.isiWOS:000253665200009-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridWong, WS=7403972073en_US
dc.identifier.scopusauthoridFielding, R=7102200484en_US
dc.identifier.issnl0025-7079-

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