Author:
Jolidon Vladimir,Eicher Manuela,Peytremann-Bridevaux Isabelle,Arditi Chantal
Abstract
Abstract
Background
Patients with fewer socioeconomic and health literacy resources are disadvantaged in their access and use of healthcare, which may give rise to worse experiences with care and thus inequalities in patient experiences. However, only a limited number of studies have examined how socioeconomic and health literacy factors shape inequalities in patients’ experiences with cancer care.
Objective
To examine whether patients’ experiences with cancer care differ according to their economic status and health literacy.
Methods
Secondary analysis of data on 2789 adult patients diagnosed with cancer from the Swiss Cancer Patient Experiences-2 (SCAPE-2) study, a cross-sectional survey conducted in eight hospitals across Switzerland from September 2021 to February 2022. Regression analysis was applied to examine the independent effect of patients’ economic status and health literacy on various outcomes of experiences with cancer care, covering eight different dimensions of patient-centred care, controlling for confounding factors.
Results
Adjusted regression analysis showed that patients with lower economic status reported significantly worse experiences with cancer care in 12 out of 29 specific care experiences, especially in the dimensions of ‘respect for patients’ preferences’ and ‘physical comfort’ where all items of experiences were associated with economic status. Additionally, lower health literacy was associated with worse patient experiences in 23 specific care experiences. All items in the dimensions of ‘respect for patients’ preferences’, ‘physical comfort’ and ‘emotional support’ were associated with health literacy.
Discussion
This study revealed significant inequalities in experiences with cancer care shaped by the economic status and health literacy of patients across different dimensions of patient-centred care. It is essential to address the needs of more disadvantaged patients who face obstacles in their access and use of the healthcare system, not only to mitigate inequalities in cancer care but also to avoid inequalities in health outcomes.
Publisher
Springer Science and Business Media LLC
Reference97 articles.
1. Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open, 2013. 3(1).
2. Berwick DM, Nolan TW, Whittington J. The triple aim: care, health, and cost. Health Aff (Millwood). 2008;27(3):759–69.
3. Miller D, et al. Patient-centered care and patient-reported measures: Let’s look before we Leap. Patient. 2015;8(4):293–9.
4. Jamieson Gilmore K, et al. The uses of patient reported experience measures in health systems: a systematic narrative review. Health Policy. 2023;128:1–10.
5. Arditi C, Peytremann I, Bridevaux. Giving patients a voice about cancer care: should Switzerland do more to collect patients’ experiences of cancer care? In policy brief. Swiss Learning Health System; 2021.