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dc.contributor.authorAyanian, John Z.
dc.contributor.authorZaslavsky, Alan M.
dc.contributor.authorArora, Neeraj K.
dc.contributor.authorKahn, Katherine L.
dc.contributor.authorMalin, Jennifer L.
dc.contributor.authorGanz, Patricia A.
dc.contributor.authorvan Ryn, Michelle
dc.contributor.authorHornbrook, Mark C.
dc.contributor.authorKiefe, Catarina I.
dc.contributor.authorHe, Yulei
dc.contributor.authorUrmie, Julie M.
dc.contributor.authorWeeks, Jane C.
dc.contributor.authorHarrington, David P.
dc.date2022-08-11T08:10:44.000
dc.date.accessioned2022-08-23T17:17:59Z
dc.date.available2022-08-23T17:17:59Z
dc.date.issued2010-08-18
dc.date.submitted2011-01-07
dc.identifier.citationJ Clin Oncol. 2010 Sep 20;28(27):4154-61. Epub 2010 Aug 16. <a href="http://dx.doi.org/10.1200/JCO.2009.27.3268">Link to article on publisher's site</a>
dc.identifier.issn0732-183X (Linking)
dc.identifier.doi10.1200/JCO.2009.27.3268
dc.identifier.pmid20713876
dc.identifier.urihttp://hdl.handle.net/20.500.14038/47758
dc.description.abstractPURPOSE: To assess patients' experiences with cancer care, ratings of their quality of care, and correlates of these assessments. PATIENTS AND METHODS: For 4,093 patients with lung cancer and 3,685 patients with colorectal cancer in multiple US regions and health care delivery systems, we conducted telephone surveys of patients or their surrogates in English, Spanish, or Chinese at 4 to 7 months after diagnosis. The surveys assessed ratings of the overall quality of cancer care and experiences with three domains of interpersonal care (physician communication, nursing care, and coordination and responsiveness of care). RESULTS: English-speaking Asian/Pacific Islander patients and Chinese-speaking patients and those in worse health reported significantly worse adjusted experiences with all three domains of interpersonal care, whereas white, black, and Hispanic patients reported generally similar experiences with interpersonal care. The overall quality of cancer care was rated as excellent by 44.4% of patients with lung cancer and 53.0% of patients with colorectal cancer, and these ratings were most strongly correlated with positive experiences with coordination and responsiveness of care (Spearman rank coefficients of 0.49 and 0.42 for lung and colorectal cancer, respectively). After multivariate adjustment, excellent ratings were less common for each cancer among black patients, English-speaking Asian/Pacific Islander patients, Chinese-speaking patients, and patients reporting worse health status (all P CONCLUSION: Patients' reports and ratings of care differed significantly by race, language, and health status. Efforts to improve patients' experiences with cancer care should focus on problems affecting Asian and Pacific Islander patients and those in worse health.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=20713876&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1200/JCO.2009.27.3268
dc.subjectAdult
dc.subjectAfrican Americans
dc.subjectAged
dc.subjectAsian Americans
dc.subjectColorectal Neoplasms
dc.subjectCommunication
dc.subjectEuropean Continental Ancestry Group
dc.subjectFemale
dc.subjectHealth Care Surveys
dc.subjectHealth Services Research
dc.subjectHealth Status Disparities
dc.subjectHealthcare Disparities
dc.subjectHispanic Americans
dc.subjectHumans
dc.subjectLanguage
dc.subjectLinear Models
dc.subjectLogistic Models
dc.subjectLung Neoplasms
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectOutcome and Process Assessment (Health Care)
dc.subjectPatient Care Team
dc.subjectPatient Satisfaction
dc.subjectPatients
dc.subjectPhysician-Patient Relations
dc.subjectQuality of Health Care
dc.subjectQuestionnaires
dc.subjectTreatment Outcome
dc.subjectUnited States
dc.subjectYoung Adult
dc.subjectBioinformatics
dc.subjectBiostatistics
dc.subjectEpidemiology
dc.subjectHealth Services Research
dc.titlePatients' experiences with care for lung cancer and colorectal cancer: findings from the Cancer Care Outcomes Research and Surveillance Consortium
dc.typeJournal Article
dc.source.journaltitleJournal of clinical oncology : official journal of the American Society of Clinical Oncology
dc.source.volume28
dc.source.issue27
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/qhs_pp/878
dc.identifier.contextkey1721349
html.description.abstract<p>PURPOSE: To assess patients' experiences with cancer care, ratings of their quality of care, and correlates of these assessments.</p> <p>PATIENTS AND METHODS: For 4,093 patients with lung cancer and 3,685 patients with colorectal cancer in multiple US regions and health care delivery systems, we conducted telephone surveys of patients or their surrogates in English, Spanish, or Chinese at 4 to 7 months after diagnosis. The surveys assessed ratings of the overall quality of cancer care and experiences with three domains of interpersonal care (physician communication, nursing care, and coordination and responsiveness of care).</p> <p>RESULTS: English-speaking Asian/Pacific Islander patients and Chinese-speaking patients and those in worse health reported significantly worse adjusted experiences with all three domains of interpersonal care, whereas white, black, and Hispanic patients reported generally similar experiences with interpersonal care. The overall quality of cancer care was rated as excellent by 44.4% of patients with lung cancer and 53.0% of patients with colorectal cancer, and these ratings were most strongly correlated with positive experiences with coordination and responsiveness of care (Spearman rank coefficients of 0.49 and 0.42 for lung and colorectal cancer, respectively). After multivariate adjustment, excellent ratings were less common for each cancer among black patients, English-speaking Asian/Pacific Islander patients, Chinese-speaking patients, and patients reporting worse health status (all P </p> <p>CONCLUSION: Patients' reports and ratings of care differed significantly by race, language, and health status. Efforts to improve patients' experiences with cancer care should focus on problems affecting Asian and Pacific Islander patients and those in worse health.</p>
dc.identifier.submissionpathqhs_pp/878
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pages4154-61


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