Abstract：
BACKGROUND: Patient experience surveys gather information on various aspects of care via numerous survey items. Identifying the most critical areas of patient experience to prioritize for quality care improvement can be challenging. The objective of this study was to determine which care experience items are the drivers influencing patients\' overall rating of cancer care.
METHODS: Data from 2750 adult patients with cancer from the second wave of the Swiss Cancer Patient Experiences study were analyzed. This cross-sectional survey was conducted in eight Swiss hospitals from September 2021 to February 2022. Stepwise logistic regression examined the relationship between overall care rating and 29 patient experience items covering different patient-centered care dimensions while adjusting for sociodemographic and health variables.
RESULTS: Overall, patients rated their cancer care experience at 8.9 out of 10. Stepwise regression identified seven drivers contributing to overall care rating. The strongest drivers were \"professionals worked well together\" (odds ratio [OR], 4.81) and \"tests were not repeated\" (OR, 2.09) from the coordination and integration dimension, \"offered support for symptoms during treatment\" (OR, 2.11) from the physical comfort dimension, followed by \"hospital staff ensured available home support\" (OR, 1.99), \"offered to see health professional for concerns\" (OR, 1.91), \"treatment options were explained\" (OR, 1.75), and \"involved in treatment decisions as desired\" (OR, 1.68).
CONCLUSIONS: This study evaluated the care experiences of patients with cancer with a comprehensive tool that identified seven key factors independently associated with overall care rating. By concentrating on these areas, hospitals can not only improve the patient care experience but also efficiently allocate resources to quality improvement initiatives.
METHODS: Data from 2750 adult patients with cancer from the second wave of the Swiss Cancer Patient Experiences study were analyzed. This cross-sectional survey was conducted in eight Swiss hospitals from September 2021 to February 2022. Stepwise logistic regression examined the relationship between overall care rating and 29 patient experience items covering different patient-centered care dimensions while adjusting for sociodemographic and health variables.
RESULTS: Overall, patients rated their cancer care experience at 8.9 out of 10. Stepwise regression identified seven drivers contributing to overall care rating. The strongest drivers were \"professionals worked well together\" (odds ratio [OR], 4.81) and \"tests were not repeated\" (OR, 2.09) from the coordination and integration dimension, \"offered support for symptoms during treatment\" (OR, 2.11) from the physical comfort dimension, followed by \"hospital staff ensured available home support\" (OR, 1.99), \"offered to see health professional for concerns\" (OR, 1.91), \"treatment options were explained\" (OR, 1.75), and \"involved in treatment decisions as desired\" (OR, 1.68).
CONCLUSIONS: This study evaluated the care experiences of patients with cancer with a comprehensive tool that identified seven key factors independently associated with overall care rating. By concentrating on these areas, hospitals can not only improve the patient care experience but also efficiently allocate resources to quality improvement initiatives.
摘要：
背景：患者体验调查通过众多调查项目收集有关护理各个方面的信息。确定患者体验的最关键领域以优先考虑质量护理改进可能具有挑战性。这项研究的目的是确定哪些护理经验项目是影响患者癌症护理总体评级的驱动因素。
方法：分析了来自瑞士癌症患者经验第二波研究的2750名成年癌症患者的数据。这项横断面调查于2021年9月至2022年2月在八家瑞士医院进行。逐步逻辑回归检查了总体护理评级与29个患者经验项目之间的关系，涵盖了以患者为中心的不同护理维度，同时针对社会人口统计学和健康变量进行了调整。
结果：总体而言，患者对他们的癌症护理经验的评分为8.9/10.逐步回归确定了对整体护理评级有贡献的七个驱动因素。最强的车手是“专业人士合作得很好”(赔率比[OR]，4.81)和“没有重复测试”(或，2.09)从协调和整合的维度来看，“为治疗期间的症状提供支持”(或，2.11)从物理舒适维度来看，其次是“医院工作人员确保可用的家庭支持”(或，1.99),“提出要去看卫生专业人员”(或者，1.91),“解释了治疗方案”(或，1.75),和“根据需要参与治疗决策”(或，1.68).
结论：本研究使用综合工具评估了癌症患者的护理经验，该工具确定了与整体护理评级独立相关的七个关键因素。通过专注于这些领域，医院不仅可以改善患者护理体验，还可以有效地将资源分配到质量改进计划中。
方法：分析了来自瑞士癌症患者经验第二波研究的2750名成年癌症患者的数据。这项横断面调查于2021年9月至2022年2月在八家瑞士医院进行。逐步逻辑回归检查了总体护理评级与29个患者经验项目之间的关系，涵盖了以患者为中心的不同护理维度，同时针对社会人口统计学和健康变量进行了调整。
结果：总体而言，患者对他们的癌症护理经验的评分为8.9/10.逐步回归确定了对整体护理评级有贡献的七个驱动因素。最强的车手是“专业人士合作得很好”(赔率比[OR]，4.81)和“没有重复测试”(或，2.09)从协调和整合的维度来看，“为治疗期间的症状提供支持”(或，2.11)从物理舒适维度来看，其次是“医院工作人员确保可用的家庭支持”(或，1.99),“提出要去看卫生专业人员”(或者，1.91),“解释了治疗方案”(或，1.75),和“根据需要参与治疗决策”(或，1.68).
结论：本研究使用综合工具评估了癌症患者的护理经验，该工具确定了与整体护理评级独立相关的七个关键因素。通过专注于这些领域，医院不仅可以改善患者护理体验，还可以有效地将资源分配到质量改进计划中。
