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Published in: BMC Cancer 1/2013

Open Access 01-12-2013 | Research article

Improving cancer patient care: development of a generic cancer consumer quality index questionnaire for cancer patients

Authors: Judith C Booij, Marieke Zegers, Pauline MPJ Evers, Michelle Hendriks, Diana MJ Delnoij, Jany JDJM Rademakers

Published in: BMC Cancer | Issue 1/2013

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Abstract

Background

To develop a Consumer Quality Index (CQI) Cancer Care questionnaire for measuring experiences with hospital care of patients with different types of cancer.

Methods

We derived quality aspects from focus group discussions, existing questionnaires and literature. We developed an experience questionnaire and sent it to 1,498 Dutch cancer patients. Another questionnaire measuring the importance of the quality aspects was sent to 600 cancer patients. Data were psychometrically analysed.

Results

The response to the experience questionnaire was 50 percent. Psychometric analysis revealed 12 reliable scales. Patients rated rapid and adequate referral, rapid start of the treatment after diagnosis, enough information and confidence in the healthcare professionals as most important themes. Hospitals received high scores for skills and cooperation of healthcare professionals and a patient-centered approach by doctors; and low scores for psychosocial guidance and information at completion of the treatment.

Conclusions

The CQI Cancer Care questionnaire is a valuable tool for the evaluation of the quality of cancer care from the patient’s perspective. Large scale implementation is necessary to determine the discriminatory powers of the questionnaire and may enable healthcare providers to improve the quality of cancer care. Preliminary results indicate that hospitals could improve their psychosocial guidance and information provision.
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Literature
1.
go back to reference Tishelman C, Lovgren M, Broberger E, Hamberg K, Sprangers MA: Are the most distressing concerns of patients with inoperable lung cancer adequately assessed? a mixed-methods analysis. J Clin Oncol. 2010, 28: 1942-1949. 10.1200/JCO.2009.23.3403.CrossRefPubMed Tishelman C, Lovgren M, Broberger E, Hamberg K, Sprangers MA: Are the most distressing concerns of patients with inoperable lung cancer adequately assessed? a mixed-methods analysis. J Clin Oncol. 2010, 28: 1942-1949. 10.1200/JCO.2009.23.3403.CrossRefPubMed
2.
go back to reference Institute of Medicine: Crossing the quality chasm: a New health system for the 21st century. 2001, Washington, DC: National Academy Press Institute of Medicine: Crossing the quality chasm: a New health system for the 21st century. 2001, Washington, DC: National Academy Press
3.
go back to reference Hahn SR: Patient-centered communication to assess and enhance patient adherence to glaucoma medication. Ophthalmology. 2009, 116: S37-S42. 10.1016/j.ophtha.2009.06.023.CrossRefPubMed Hahn SR: Patient-centered communication to assess and enhance patient adherence to glaucoma medication. Ophthalmology. 2009, 116: S37-S42. 10.1016/j.ophtha.2009.06.023.CrossRefPubMed
4.
go back to reference Meterko M, Wright S, Lin H, Lowy E, Cleary PD: Mortality among patients with acute myocardial infarction: the influences of patient-centered care and evidence-based medicine. Health Serv Res. 2010, 45: 1188-1204. 10.1111/j.1475-6773.2010.01138.x.CrossRefPubMedPubMedCentral Meterko M, Wright S, Lin H, Lowy E, Cleary PD: Mortality among patients with acute myocardial infarction: the influences of patient-centered care and evidence-based medicine. Health Serv Res. 2010, 45: 1188-1204. 10.1111/j.1475-6773.2010.01138.x.CrossRefPubMedPubMedCentral
5.
go back to reference Swenson SL, Buell S, Zettler P, White M, Ruston DC, Lo B: Patient-centered communication: do patients really prefer it?. J Gen Intern Med. 2004, 19: 1069-1079. 10.1111/j.1525-1497.2004.30384.x.CrossRefPubMedPubMedCentral Swenson SL, Buell S, Zettler P, White M, Ruston DC, Lo B: Patient-centered communication: do patients really prefer it?. J Gen Intern Med. 2004, 19: 1069-1079. 10.1111/j.1525-1497.2004.30384.x.CrossRefPubMedPubMedCentral
6.
go back to reference Groene O: Patient centredness and quality improvement efforts in hospitals: rationale, measurement, implementation. Int J Qual Health Care. 2011, 23: 531-537. 10.1093/intqhc/mzr058.CrossRefPubMed Groene O: Patient centredness and quality improvement efforts in hospitals: rationale, measurement, implementation. Int J Qual Health Care. 2011, 23: 531-537. 10.1093/intqhc/mzr058.CrossRefPubMed
7.
go back to reference Lilford R, Mohammed MA, Spiegelhalter D, Thomson R: Use and misuse of process and outcome data in managing performance of acute medical care: avoiding institutional stigma. Lancet. 2004, 363: 1147-1154. 10.1016/S0140-6736(04)15901-1.CrossRefPubMed Lilford R, Mohammed MA, Spiegelhalter D, Thomson R: Use and misuse of process and outcome data in managing performance of acute medical care: avoiding institutional stigma. Lancet. 2004, 363: 1147-1154. 10.1016/S0140-6736(04)15901-1.CrossRefPubMed
8.
go back to reference Wessels H, de Graeff A, Wynia K, de Heus M, Kruitwagen CL, Teunissen SC, Voest EE: Are health care professionals able to judge cancer patients' health care preferences correctly?. A cross-sectional study. BMC Health Serv Res. 2010, 10: 198-10.1186/1472-6963-10-198.CrossRefPubMed Wessels H, de Graeff A, Wynia K, de Heus M, Kruitwagen CL, Teunissen SC, Voest EE: Are health care professionals able to judge cancer patients' health care preferences correctly?. A cross-sectional study. BMC Health Serv Res. 2010, 10: 198-10.1186/1472-6963-10-198.CrossRefPubMed
9.
go back to reference Cronin C: Patient-centered care: an overview of definitions and concepts. 2004, Washington, DC: Prepared for the National Health Council Cronin C: Patient-centered care: an overview of definitions and concepts. 2004, Washington, DC: Prepared for the National Health Council
10.
go back to reference Damman OC, Hendriks M, Sixma HJ: Towards more patient centred healthcare: a new consumer quality index instrument to assess patients' experiences with breast care. Eur J Cancer. 2009, 45: 1569-1577. 10.1016/j.ejca.2008.12.011.CrossRefPubMed Damman OC, Hendriks M, Sixma HJ: Towards more patient centred healthcare: a new consumer quality index instrument to assess patients' experiences with breast care. Eur J Cancer. 2009, 45: 1569-1577. 10.1016/j.ejca.2008.12.011.CrossRefPubMed
11.
go back to reference Delnoij D, Rademakers J, Groenewegen PP: The dutch consumer quality index: an example of stakeholder involvement in indicator development. BMC Health Serv Res. 2010, 10: 88-10.1186/1472-6963-10-88.CrossRefPubMedPubMedCentral Delnoij D, Rademakers J, Groenewegen PP: The dutch consumer quality index: an example of stakeholder involvement in indicator development. BMC Health Serv Res. 2010, 10: 88-10.1186/1472-6963-10-88.CrossRefPubMedPubMedCentral
12.
go back to reference Zuidgeest M: Measuring and improving the quality of care from the healthcare user perspective:the consumer quality index. 2011, Bergenschenhoek, Netherlands: PhD Thesis Zuidgeest M: Measuring and improving the quality of care from the healthcare user perspective:the consumer quality index. 2011, Bergenschenhoek, Netherlands: PhD Thesis
13.
go back to reference Fung CH, Lim YW, Mattke S, Damberg C, Shekelle PG: Systematic review: the evidence that publishing patient care performance data improves quality of care. Ann Intern Med. 2008, 148: 111-123. 10.7326/0003-4819-148-2-200801150-00006.CrossRefPubMed Fung CH, Lim YW, Mattke S, Damberg C, Shekelle PG: Systematic review: the evidence that publishing patient care performance data improves quality of care. Ann Intern Med. 2008, 148: 111-123. 10.7326/0003-4819-148-2-200801150-00006.CrossRefPubMed
14.
go back to reference Hendriks M, Spreeuwenberg P, Rademakers J, Delnoij DM: Dutch healthcare reform: did it result in performance improvement of health plans?. A comparison of consumer experiences over time. BMC Health Serv Res. 2009, 9: 167-PubMed Hendriks M, Spreeuwenberg P, Rademakers J, Delnoij DM: Dutch healthcare reform: did it result in performance improvement of health plans?. A comparison of consumer experiences over time. BMC Health Serv Res. 2009, 9: 167-PubMed
15.
go back to reference Hargraves JL, Hays RD, Cleary PD: Psychometric properties of the consumer assessment of health plans study (CAHPS) 2.0 Adult core survey. Health Serv Res. 2003, 38: 1509-1527. 10.1111/j.1475-6773.2003.00190.x.CrossRefPubMed Hargraves JL, Hays RD, Cleary PD: Psychometric properties of the consumer assessment of health plans study (CAHPS) 2.0 Adult core survey. Health Serv Res. 2003, 38: 1509-1527. 10.1111/j.1475-6773.2003.00190.x.CrossRefPubMed
16.
go back to reference Sixma HJ, Kerssens JJ, Campen CV, Peters L: Quality of care from the patients' perspective: from theoretical concept to a new measuring instrument. Health Expect. 1998, 1: 82-95. 10.1046/j.1369-6513.1998.00004.x.CrossRefPubMed Sixma HJ, Kerssens JJ, Campen CV, Peters L: Quality of care from the patients' perspective: from theoretical concept to a new measuring instrument. Health Expect. 1998, 1: 82-95. 10.1046/j.1369-6513.1998.00004.x.CrossRefPubMed
17.
go back to reference Wiggers JH, Donovan KO, Redman S, Sanson-Fisher RW: Cancer patient satisfaction with care. Cancer. 1990, 66: 610-616. 10.1002/1097-0142(19900801)66:3<610::AID-CNCR2820660335>3.0.CO;2-T.CrossRefPubMed Wiggers JH, Donovan KO, Redman S, Sanson-Fisher RW: Cancer patient satisfaction with care. Cancer. 1990, 66: 610-616. 10.1002/1097-0142(19900801)66:3<610::AID-CNCR2820660335>3.0.CO;2-T.CrossRefPubMed
18.
go back to reference Skarstein J, Dahl AA, Laading J, Fossa SD: ‘Patient satisfaction’ in hospitalized cancer patients. Acta Oncol. 2002, 41: 639-645. 10.1080/028418602321028256.CrossRefPubMed Skarstein J, Dahl AA, Laading J, Fossa SD: ‘Patient satisfaction’ in hospitalized cancer patients. Acta Oncol. 2002, 41: 639-645. 10.1080/028418602321028256.CrossRefPubMed
19.
go back to reference Tamburini M, Gangeri L, Brunelli C, Boeri P, Borreani C, Bosisio M, Karmann CF, Greco M, Miccinesi G, Murru L: Cancer patients’ needs during hospitalisation: a quantitative and qualitative study. BMC Cancer. 2003, 3: 12-10.1186/1471-2407-3-12.CrossRefPubMedPubMedCentral Tamburini M, Gangeri L, Brunelli C, Boeri P, Borreani C, Bosisio M, Karmann CF, Greco M, Miccinesi G, Murru L: Cancer patients’ needs during hospitalisation: a quantitative and qualitative study. BMC Cancer. 2003, 3: 12-10.1186/1471-2407-3-12.CrossRefPubMedPubMedCentral
20.
go back to reference Wessels H, de Graeff A, Wynia K, Sixma HJ, de Heus M, Schipper M, Woltjer GT, Teunissen SC, Voest EE: Medical oncology patients' preferences with regard to health care: development of a patient-driven questionnaire. Ann Oncol. 2009, 20: 1708-1713. 10.1093/annonc/mdp044.CrossRefPubMed Wessels H, de Graeff A, Wynia K, Sixma HJ, de Heus M, Schipper M, Woltjer GT, Teunissen SC, Voest EE: Medical oncology patients' preferences with regard to health care: development of a patient-driven questionnaire. Ann Oncol. 2009, 20: 1708-1713. 10.1093/annonc/mdp044.CrossRefPubMed
21.
go back to reference Cleary PD, Edgman-Levitan S: Health care quality. Incorporating consumer perspectives. JAMA. 1997, 278: 1608-1612.PubMed Cleary PD, Edgman-Levitan S: Health care quality. Incorporating consumer perspectives. JAMA. 1997, 278: 1608-1612.PubMed
25.
go back to reference Sixma H, Delnoij D: Measuring patient experiences in the netherlands: the case of hospital care. Eur J Pub Health. 2008, 18: 88- Sixma H, Delnoij D: Measuring patient experiences in the netherlands: the case of hospital care. Eur J Pub Health. 2008, 18: 88-
26.
go back to reference Dillman DA: Mail and telephone surveys: the total design method. 1978, New York: John Wiley & Sons Dillman DA: Mail and telephone surveys: the total design method. 1978, New York: John Wiley & Sons
27.
go back to reference Sixma HJ, Boer De D, Delnoij D: Handboek CQ-index ontwikkeling: richtlijnen en voorschriften voor de ontwikkeling van een CQ-index meetinstrument. 2008, Utrecht: NIVEL Sixma HJ, Boer De D, Delnoij D: Handboek CQ-index ontwikkeling: richtlijnen en voorschriften voor de ontwikkeling van een CQ-index meetinstrument. 2008, Utrecht: NIVEL
30.
go back to reference de Boer D, Delnoij D, Rademakers J: Do patient experiences on priority aspects of health care predict their global rating of quality of care? a study in five patient groups. Health Expect. 2010, 13: 285-297.PubMed de Boer D, Delnoij D, Rademakers J: Do patient experiences on priority aspects of health care predict their global rating of quality of care? a study in five patient groups. Health Expect. 2010, 13: 285-297.PubMed
31.
go back to reference Henselmans I, Sanderman R, Smink A, Ranchor AV, De Vries J: Waiting times in breast disease clinics and psychological well-being: speedy care is better care. Ned Tijdschr Geneeskd. 2010, 154: B491-PubMed Henselmans I, Sanderman R, Smink A, Ranchor AV, De Vries J: Waiting times in breast disease clinics and psychological well-being: speedy care is better care. Ned Tijdschr Geneeskd. 2010, 154: B491-PubMed
32.
go back to reference Wilson IB, Landon BE, Hirschhorn LR, McInnes K, Ding L, Marsden PV, Cleary PD: Quality of HIV care provided by nurse practitioners, physician assistants, and physicians. Ann Intern Med. 2005, 143: 729-736. 10.7326/0003-4819-143-10-200511150-00010.CrossRefPubMed Wilson IB, Landon BE, Hirschhorn LR, McInnes K, Ding L, Marsden PV, Cleary PD: Quality of HIV care provided by nurse practitioners, physician assistants, and physicians. Ann Intern Med. 2005, 143: 729-736. 10.7326/0003-4819-143-10-200511150-00010.CrossRefPubMed
33.
go back to reference Roblin DW, Becker ER, Adams EK, Howard DH, Roberts MH: Patient satisfaction with primary care: does type of practitioner matter?. Med Care. 2004, 42: 579-590. 10.1097/01.mlr.0000128005.27364.72.CrossRefPubMed Roblin DW, Becker ER, Adams EK, Howard DH, Roberts MH: Patient satisfaction with primary care: does type of practitioner matter?. Med Care. 2004, 42: 579-590. 10.1097/01.mlr.0000128005.27364.72.CrossRefPubMed
34.
go back to reference Ikkersheim DE, Koolman X: Dutch healthcare reform: did it result in better patient experiences in hospitals?. A comparison of the consumer quality index over time. BMC Health Serv Res. 2012, 12: 76-PubMed Ikkersheim DE, Koolman X: Dutch healthcare reform: did it result in better patient experiences in hospitals?. A comparison of the consumer quality index over time. BMC Health Serv Res. 2012, 12: 76-PubMed
35.
go back to reference de Boer D, Delnoij D, Rademakers J: The discriminative power of patient experience surveys. BMC Health Serv Res. 2011, 11: 332-10.1186/1472-6963-11-332.CrossRefPubMedPubMedCentral de Boer D, Delnoij D, Rademakers J: The discriminative power of patient experience surveys. BMC Health Serv Res. 2011, 11: 332-10.1186/1472-6963-11-332.CrossRefPubMedPubMedCentral
36.
go back to reference Sitzia J, Wood N: Response rate in patient satisfaction research: an analysis of 210 published studies. Int J Qual Health Care. 1998, 10: 311-317. 10.1093/intqhc/10.4.311.CrossRefPubMed Sitzia J, Wood N: Response rate in patient satisfaction research: an analysis of 210 published studies. Int J Qual Health Care. 1998, 10: 311-317. 10.1093/intqhc/10.4.311.CrossRefPubMed
37.
go back to reference Sanson-Fisher R, Girgis A, Boyes A, Bonevski B, Burton L, Cook P: The unmet supportive care needs of patients with cancer. Supportive care review group. Cancer. 2000, 88: 226-237. 10.1002/(SICI)1097-0142(20000101)88:1<226::AID-CNCR30>3.0.CO;2-P.CrossRefPubMed Sanson-Fisher R, Girgis A, Boyes A, Bonevski B, Burton L, Cook P: The unmet supportive care needs of patients with cancer. Supportive care review group. Cancer. 2000, 88: 226-237. 10.1002/(SICI)1097-0142(20000101)88:1<226::AID-CNCR30>3.0.CO;2-P.CrossRefPubMed
38.
go back to reference Ross L, Petersen MA, Johnsen AT, Lundstrom LH, Groenvold M: Are different groups of cancer patients offered rehabilitation to the same extent? a report from the population-based study "the cancer Patient's world". Support Care Cancer. 2012, 20: 1089-1100. 10.1007/s00520-011-1189-6.CrossRefPubMed Ross L, Petersen MA, Johnsen AT, Lundstrom LH, Groenvold M: Are different groups of cancer patients offered rehabilitation to the same extent? a report from the population-based study "the cancer Patient's world". Support Care Cancer. 2012, 20: 1089-1100. 10.1007/s00520-011-1189-6.CrossRefPubMed
39.
go back to reference Zuidgeest M, De Boer D, Hendriks M, Rademakers J: Verschillende dataverzamelingsmethoden in CQI onderzoek: een overzicht van de respons en representativiteit van respondenten. Tijdschrift voor gezondheidswetenschappen. 2008, 86 (8): 455-462. 10.1007/BF03082143.CrossRef Zuidgeest M, De Boer D, Hendriks M, Rademakers J: Verschillende dataverzamelingsmethoden in CQI onderzoek: een overzicht van de respons en representativiteit van respondenten. Tijdschrift voor gezondheidswetenschappen. 2008, 86 (8): 455-462. 10.1007/BF03082143.CrossRef
40.
go back to reference Edwards P, Roberts I, Clarke M, DiGuiseppi C, Pratap S, Wentz R, Kwan I: Increasing response rates to postal questionnaires: systematic review. BMJ. 2002, 324: 1183-10.1136/bmj.324.7347.1183.CrossRefPubMedPubMedCentral Edwards P, Roberts I, Clarke M, DiGuiseppi C, Pratap S, Wentz R, Kwan I: Increasing response rates to postal questionnaires: systematic review. BMJ. 2002, 324: 1183-10.1136/bmj.324.7347.1183.CrossRefPubMedPubMedCentral
41.
go back to reference Whitehead L: Methodological issues in internet-mediated research: a randomized comparison of internet versus mailed questionnaires. J Med Internet Res. 2011, 13: e109-10.2196/jmir.1593.CrossRefPubMedPubMedCentral Whitehead L: Methodological issues in internet-mediated research: a randomized comparison of internet versus mailed questionnaires. J Med Internet Res. 2011, 13: e109-10.2196/jmir.1593.CrossRefPubMedPubMedCentral
42.
go back to reference Ritter P, Lorig K, Laurent D, Matthews K: Internet versus mailed questionnaires: a randomized comparison. J Med Internet Res. 2004, 6: e29-10.2196/jmir.6.3.e29.CrossRefPubMedPubMedCentral Ritter P, Lorig K, Laurent D, Matthews K: Internet versus mailed questionnaires: a randomized comparison. J Med Internet Res. 2004, 6: e29-10.2196/jmir.6.3.e29.CrossRefPubMedPubMedCentral
43.
go back to reference Nijman JL, Sixma H, Van TB, Keus RB, Hendriks M: The quality of radiation care: the results of focus group interviews and concept mapping to explore the patient's perspective. Radiother Oncol. 2012, 102: 154-160. 10.1016/j.radonc.2011.08.005.CrossRefPubMed Nijman JL, Sixma H, Van TB, Keus RB, Hendriks M: The quality of radiation care: the results of focus group interviews and concept mapping to explore the patient's perspective. Radiother Oncol. 2012, 102: 154-160. 10.1016/j.radonc.2011.08.005.CrossRefPubMed
Metadata
Title
Improving cancer patient care: development of a generic cancer consumer quality index questionnaire for cancer patients
Authors
Judith C Booij
Marieke Zegers
Pauline MPJ Evers
Michelle Hendriks
Diana MJ Delnoij
Jany JDJM Rademakers
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2013
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/1471-2407-13-203

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