Care Coordination and Patient Satisfaction With Ambulatory Cancer Care During the COVID-19 Pandemic in Manitoba, Canada: Report of An Online Survey Study of Patient-Reported Experience Measures With Interpretation Guided by Fit Theory
Notice bibliographique
Résumé
Background: In Manitoba, Canada, the impact of the COVID-19 pandemic on cancer care delivery included, but was not limited to, disruption of many routine health care services, and the rapid introduction of both social distancing and virtual care. Little was known about how COVID-19-related changes to cancer care delivery would impact patient satisfaction with care and care coordination. Objective: This report aims to present and interpret findings of an online survey of people with oncology-related conditions in Manitoba, Canada, during the COVID-19 pandemic, exploring patient satisfaction and care coordination. Methods: A link to an online survey was made available to patients receiving cancer treatment in Manitoba, Canada, between July 31, 2020, and February 28, 2022. The survey included validated patient-reported experience measures (PREMs) for patient satisfaction and care coordination. Analysis included the generation of descriptive statistics and logistic regression, including univariate and multivariate analysis using stepwise model building. The survey results were interpreted using fit theory as a theoretical lens. Results: A total of 203 responses were collected, of which 154 had completed responses for all PREM measures and were included in the analysis. Response rate is estimated at 3.3%-2.0%. The average age was 65 (SD 11.7) years. Most respondents were male (n=79, 52.7%). Most respondents were being treated with curative intent (n=81, 53.6%). The most common type of cancer was breast (n=41, 26.6%). Univariate analysis demonstrated that ages 60-69 years were associated with above average patient satisfaction (OR 2.205, 95% CI 1.045-4.624; P=.04). Age <60 years (OR 0.437, 95% CI 0.204-0.934; P=.03) and European Cooperative Group functional status (ECOG) ≥2 (OR 0.327, 95% CI 0.137-0.782; P=.01) were associated with below average patient satisfaction. Age <60 years, ECOG ≥2, and hematological cancer were selected through stepwise multivariate model building, resulting in an explanatory model (R2=0.129) of patient satisfaction. ECOG ≥2 was associated with below-average care coordination (OR 0.357, 95% CI 0.145-0.880; P=.03), and was the only identified predictor of care coordination, with no explanatory multivariate model generated. Fit theory supports that the level of patient satisfaction and care coordination in each population subset inversely reflects a relative level of unmet supportive care need. Conclusions: Survey respondents with poor functional status, those outside the 60-69 years age range, and those with nonhematological malignancies likely experience increased unmet supportive care needs compared with their counterparts. Further research is needed to determine whether these findings reflect transient phenomena related to the COVID-19 pandemic, selection biases associated with the survey method used, or underlying health care delivery inequities.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».