Cancer patients' preferences of care within hospitals: a systematic literature review.
OBJECTIVE
Knowledge about cancer patients' preferences in health care is important because it enables care to be patient centered. However, the literature does not provide an overview. The aim of this study was to identify the dimensions of hospital-based cancer care that patients evaluate the most important using Patient-rated importance as a method.


METHODS
PubMed was searched in 2013/2014.


METHODS
Studies were identified, if they were in accordance with specific search terms and focused on hospital-based cancer care. Totally, 11 studies were found.


METHODS
The 11 studies comprised a total of 598 items. Of these, 592 items were categorized into 19 care dimensions. The highest rated quartile of items was identified as care elements patients evaluated to be the most important. Identification of the most important dimensions was done by calculating the percentages of items within each dimension that were within the highest quartile.


RESULTS
The 11 studies varied a lot in regard to aim and patient characteristics. The three most important dimensions were as follows: Rapid diagnosis and treatment; High professional standard; and Information about treatment and side(effects)/consequences. Within four dimensions, Psychosocial support, Physical facilities, Waiting time and Transparency in care, no items were within the highest quartile.


CONCLUSIONS
Patient-rated importance was a useful method in identifying the care patients preferred. Due to a limited number of studies and great diversity within studies evaluated, interpretation of results should be cautious. However, it seems that cancer patients treated in hospitals with a curative intent find treatment-related information, professional standard and short delay of diagnosis and treatment most important.
Danish Cancer Society, Documentation & Quality, Strandboulevarden 49, Copenhagen DK-2100, Denmark.
Gitte Stentebjerg
GS
Petersen
Danish Cancer Society, Documentation & Quality, Strandboulevarden 49, Copenhagen DK-2100, Denmark.
Janne Lehmann
JL
Knudsen
Danish Cancer Society, Documentation & Quality, Strandboulevarden 49, Copenhagen DK-2100, Denmark.
Mette Marianne
MM
Vinter
D004777:Environment; D006801:Humans; D009369:Neoplasms / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D010353:Patient Education as Topic; D057240:Patient Preference / Q000523:psychology*; D011787:Quality of Health Care / Q000592:standards; D012944:Social Support; D014850:Waiting Lists
cancer; hospital care; patient preferences; patient-centered care; quality improvement