We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Comparing modular and personal service delivery in specialised outpatient care: A survey of haematology and oncology patient preferences.
- Authors
Silander, Katariina; Torkki, Paulus; Peltokorpi, Antti; Tarkkanen, Maija; Lepäntalo, Aino; Mattson, Johanna; Bono, Petri; Kaila, Minna
- Abstract
Background: Oncology and haematology are shifting from inpatient to outpatient care, requiring new care delivery models. This study compares preferences of oncology patients treated by named nurses in a traditional specialty-focused day hospital and haematology patients treated without named nurses in a modularised day hospital. Methods: Questionnaires to explore patient preferences on number of treating nurses and named nurses, and satisfaction in day hospital care were distributed to 300 haematology and 410 oncology patients. Binomial logistic regressions were performed to study how background variables influenced preferences for having (i) a named nurse or (ii) maximum three treating nurses in the day hospital. Results: In 2016, 156 (52%) haematology and 289 (70%) oncology surveys were completed and returned. Both groups were satisfied with day hospital care. Haematology patients preferred named nurses less often than oncology patients (odds ratio (OR) = 0.09, p < 0.0005). Haematology patients were less likely to prefer a maximum of three treating nurses (OR = 0.12, p < 0.0005). Conclusion: This study suggests that patients can be satisfied with outpatient care with or without named nurses. However, as several factors affect patient satisfaction and experience, more in-depth research is needed to understand how modularisation and patient preferences may be linked.
- Subjects
ATTITUDE (Psychology); CANCER patient psychology; CANCER treatment; COMPARATIVE studies; HEMATOLOGY; HOSPITALS; OUTPATIENT services in hospitals; INTERVIEWING; RESEARCH methodology; MEDICAL care; MEDICAL personnel; MEDICAL specialties &; specialists; PATIENTS; PRIMARY nursing; QUESTIONNAIRES; RESEARCH funding; SCALE analysis (Psychology); MULTIPLE regression analysis; SPECIALTY hospitals; PATIENT-centered care; DATA analysis software; PATIENTS' attitudes; DESCRIPTIVE statistics; ODDS ratio
- Publication
Health Services Management Research, 2019, Vol 32, Issue 4, p209
- ISSN
0951-4848
- Publication type
Article
- DOI
10.1177/0951484819868681