title: Determinants of patient-reported experience of cancer services responsiveness.
abstract: BACKGROUND
  In coming years, patient-reported data are expected to play a more prominent role in ensuring early and efficient detection of healthcare system dysfunctions, developing interventions and evaluating their effects on health outcomes, and monitoring quality of care from the patient's perspective. The concept of responsiveness relates to patient-reported experience measures that focus on the system's response to service users' legitimate expectations. We explored this concept in an effort to address unresolved issues related to measuring and interpreting patient experience. Our objectives in this study were to report on patients' perceptions of cancer services responsiveness and to identify patient characteristics and organizational attributes that are potential determinants of a positive patient-reported experience.
  
  
  METHODS
  A cross-sectional survey was conducted of 1379 cancer patients in nine participating ambulatory cancer clinics in hospitals across the province of Quebec, Canada. They were invited to complete the Cancer Services Responsiveness tool, a 19-item questionnaire evaluating patients' perceptions of the responsiveness of cancer services. Sociodemographic data and self-reported clinical and organizational data were collected. Descriptive statistical analysis, univariate and multivariate logistic regressions were performed.
  
  
  RESULTS
  The patients surveyed generally perceived cancer services as highly responsive. The individual determinants of overall responsiveness found to be significant were self-assessed health status, age, and education level; organizational determinants were academic affiliation and geographic location of the clinic.
  
  
  CONCLUSIONS
  Responsiveness refers to distinctive indicators of healthcare quality focused on patient-provider interactions and presents a complementary picture to other patient-reported experience measures. The identified determinants of patients' positive experience with cancer services provide valuable information to guide care providers in targeting quality improvements.
  
  
  CONCLUSIONS
  Finally, our results suggest these determinants should be further studied to eliminate confounders and produce usable results.
authors.affiliation: Nursing School, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, QC, Canada. dominique.tremblay2@usherbrooke.ca.|Charles-Le Moyne Hospital Research Centre, Greenfield Park, Longueuil, QC, Canada. dominique.tremblay2@usherbrooke.ca.
authors.forename: Dominique
authors.initials: D
authors.lastname: Tremblay
authors.affiliation: Charles-Le Moyne Hospital Research Centre, Greenfield Park, Longueuil, QC, Canada. daniele.roberge@usherbrooke.ca.|Community Health Sciences Department, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, QC, Canada. daniele.roberge@usherbrooke.ca.
authors.forename: Danièle
authors.initials: D
authors.lastname: Roberge
authors.affiliation: Charles-Le Moyne Hospital Research Centre, Greenfield Park, Longueuil, QC, Canada. djamal.berbiche@usherbrooke.ca.
authors.forename: Djamal
authors.initials: D
authors.lastname: Berbiche
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms; D017060:Patient Satisfaction; D011787:Quality of Health Care; D011792:Quebec; D011795:Surveys and Questionnaires; D055815:Young Adult