A survey of cancer patients' unmet information and coordination needs in handovers--a cross-sectional study.
BACKGROUND
The care responsibilities for cancer patients are frequently handed over from one healthcare professional to another. These handovers are known to pose a threat to the safety of patients and the efficiency of the healthcare system. Little is known about specific needs of cancer patients in handovers. The objectives of this study were to examine cancer patients' unmet needs for information and coordination in handovers and to analyse the association between patients' demographic and clinical characteristics and unmet information and coordination needs.


METHODS
Cancer patients treated in an oncology and a surgery outpatient setting completed a questionnaire developed to examine unmet information and coordination needs of cancer patients in handovers. Associations between unmet needs and comorbidity, treatment type, time since diagnosis, gender, age, and education in various handover situations were analysed.


RESULTS
Of 250 eligible patients 131 participated (response rate of 52%). Overall, 18% of patients had unmet coordination needs and 18% had unmet information needs.Hospital discharge was the type of handover where patients most frequently reported unmet information needs (18%). Unmet coordination needs were most frequently reported in handovers between different hospitals (19%) and in handovers between hospital and general practice (18%). In general, age and education were statistically significantly associated with reporting unmet needs, where patients younger than 60 years and patients with a higher education were more likely to express unmet needs.


CONCLUSIONS
The findings indicate room for improvements regarding exchange of information and coordination between healthcare professionals, and between healthcare professionals and patients.
Unit for Health Promotion Research in Esbjerg, University of Southern Denmark, Niels Bohrs Vej 9-10, 6700 Esbjerg, Denmark. evagad@gmail.com.
Eva Gad
EG
Søndergaard
Bettina Haastrup
BH
Grøne
Christian Nielsen
CN
Wulff
Pia Veldt
PV
Larsen
Jens
J
Søndergaard
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003710:Demography; D003718:Denmark / Q000453:epidemiology; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment / Q000706:statistics & numerical data*; D009369:Neoplasms / Q000453:epidemiology*; D062209:Patient Handoff / Q000706:statistics & numerical data*; D015995:Prevalence; D011795:Surveys and Questionnaires