title: Determinants of patient satisfaction with care in a Spanish oncology day hospital and its relationship with quality of life.
abstract: OBJECTIVE
  This study evaluates satisfaction with care (SC) in cancer patients treated at a Spanish day hospital to identify SC determinants and assess the relationship between SC and quality of life.
  
  
  METHODS
  One hundred seventy-six patients with different tumour sites and disease stages completed the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Cancer Outpatient Satisfaction with Care questionnaire for chemotherapy (OUT-PATSAT35 CT), the Oberst patients' perception of care quality and satisfaction scales, and an item on intention to recommend the hospital. Frequencies in the SC instruments, Spearman correlations between each scale of the OUT-PATSAT35 CT and overall satisfaction and between the subscales of OUT-PATSAT35 CT and of QLQ-C30 were calculated, and the determinants of patients' SC were calculated through multivariate regression models.
  
  
  RESULTS
  Satisfaction with care was high: mean scores were >70 in all OUT-PATSAT35 CT areas except doctor availability and environment. These scores were in line with the other SC instruments. Correlation with overall satisfaction was high and statistically significant (p < 0.01) for all subscales, especially for the nurses domain, which also had higher SC scores. Correlations between the EORTC QLQ-C30 and the OUT-PATSAT35 CT were low (≤ 0.35). Younger patients and those with breast cancer showed significantly lower satisfaction in most subscales. Unmarried patients and patients that had undergone surgery reported lower satisfaction only in specific subscales.
  
  
  CONCLUSIONS
  Satisfaction with care among cancer patients treated at the day hospital is high. Nurses play a key and successful role. Age and tumour location revealed stronger relationships with SC. Correlations between SC and quality of life indicate that these concepts are complementary.
authors.affiliation: Medical Oncology Department, Complejo Hospitalario de Navarra, Pamplona, Spain.
authors.forename: Juan Ignacio
authors.initials: JI
authors.lastname: Arraras
authors.forename: Jose Juan
authors.initials: JJ
authors.lastname: Illarramendi
authors.forename: Antonio
authors.initials: A
authors.lastname: Viudez
authors.forename: Berta
authors.initials: B
authors.lastname: Ibáñez
authors.forename: Maria Jose
authors.initials: MJ
authors.lastname: Lecumberri
authors.forename: Susana
authors.initials: S
authors.lastname: de la Cruz
authors.forename: Berta
authors.initials: B
authors.lastname: Hernandez
authors.forename: Uxue
authors.initials: U
authors.lastname: Zarandona
authors.forename: Koldo
authors.initials: K
authors.lastname: Cambra
authors.forename: Maite
authors.initials: M
authors.lastname: Martinez
authors.forename: Esteban
authors.initials: E
authors.lastname: Salgado
authors.forename: Nuria
authors.initials: N
authors.lastname: Lainez
authors.forename: Ruth
authors.initials: R
authors.lastname: Vera
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000970:Antineoplastic Agents / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D017567:Karnofsky Performance Status; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009369:Neoplasms / Q000188:drug therapy* / Q000523:psychology; D010045:Outpatients / Q000523:psychology / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011369:Professional-Patient Relations; D011594:Psychometrics; D011787:Quality of Health Care; D011788:Quality of Life / Q000523:psychology*; D015203:Reproducibility of Results; D012737:Sex Factors; D012959:Socioeconomic Factors; D013030:Spain; D011795:Surveys and Questionnaires
chemical_list: D000970:Antineoplastic Agents
keywords: cancer; determinants; oncology; patient satisfaction; quality of life