title: Inequalities in the care experiences of patients with cancer: analysis of data from the National Cancer Patient Experience Survey 2011-2012.
abstract: OBJECTIVE
  To explore inequalities in the care experiences of of patients with cancer by patient, clinical and trust-level factors [corrected].
  
  
  METHODS
  Secondary analysis of data from the National Cancer Patient Experience Survey 2011-2012.
  
  
  METHODS
  Adult patients with a primary diagnosis of cancer who attended an acute or specialist National Health Service (NHS) trust in England.
  
  
  METHODS
  OR of a patient rating their overall care positively, adjusting for other patient, clinical and trust-level factors.
  
  
  METHODS
  Using cross-sectional data from 71 793 patients with cancer who completed the National Cancer Patient Experience Survey 2011-2012, we examined associations between patient, clinical and trust-level factors and a summary measure of patient experience, namely overall rating of care. Multivariate logistic regression was used to investigate variation by sociodemographic characteristics adjusting for other patient, clinical and trust-level factors.
  
  
  RESULTS
  Female, non-white and younger patients were less likely to rate their overall care as excellent or very good. Patients with long-standing conditions, particularly those with learning disabilities or mental health conditions, also reported poorer overall care. This variation persisted when other patient, clinical and trust-level factors were controlled for, indicating that there are real differences in experiences among patients with cancer by sociodemographic characteristics.
  
  
  CONCLUSIONS
  There is evidence of inequalities in the experiences of patients with cancer in the UK by sociodemographic characteristics such as gender, age, ethnicity and disability. Quality cancer care services must strive to meet the needs of a diverse patient population equally; this study identifies patient groups for whom it appears cancer care services are in greatest need of improvement.
authors: School of Public Health, Imperial College London, UK.
authors: Anna
authors: A
authors: Bone
authors: Louise
authors: L
authors: McGrath-Lone
authors: Sophie
authors: S
authors: Day
authors: Helen
authors: H
authors: Ward
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D003430:Cross-Sectional Studies; D004739:England; D005260:Female; D019538:Health Care Surveys; D054625:Healthcare Disparities / Q000208:ethnology / Q000706:statistics & numerical data*; D006801:Humans; D007859:Learning Disabilities / Q000150:complications; D008297:Male; D008875:Middle Aged; D009313:National Health Programs / Q000592:standards*; D009369:Neoplasms / Q000150:complications / Q000628:therapy*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D044469:Racial Groups / Q000706:statistics & numerical data; D012737:Sex Factors; D055815:Young Adult
keywords: Oncology; Public Health