Abstract
Objective
The aim of this study was the measurement of cancer patient’s satisfaction regarding health care services received during their hospitalizations.
Methods
A cross-sectional study of cancer patients treated at two oncology hospitals (Ibn Rochd in Casablanca and the National Institution of Oncology in Rabat) was assessed. A patient satisfaction questionnaire (EORTC IN-Patsat32) was used. The clinical, demographic and EORTC In-Patsat32 factors were evaluated for predictive significance.
Results
The mean age of the sample was 46.6 years (SD = 14.08, range 16 to 89), with a preponderance of females (66.5%). The majority of patients received chemotherapy (60.1%). The patients’ satisfaction had generally average scores below 52. Patients living in rural areas reported satisfaction more than residents in urban areas towards the comfort of the institution (p < 10−3). The patients’ satisfaction towards the nurses’ information provision, the waiting time and the comfort of the institution differed significantly by cancer localization. Satisfaction scores differed significantly by status of treatment towards services accessibility and comfort of cancer institutions. The multivariate modeling of different scales in the instrument showed that satisfaction towards the hospital access seem significantly lower in patients’ resident in rural areas, female and not yet received any treatment compared to those of urban, male and already under treatment.
Conclusion
This finding highlight the importance of undertaking further research on developing and measuring satisfaction markers, where such indicators could act as domains, alerting care providers and educators to areas and programmers’ requiring attention.
Résumé
Objectif
Cette étude avait pour but de mesurer la satisfaction des patients atteints de cancer à l’égard des services et soins médicaux reçus pendant leur hospitalisation.
Méthodes
Nous avons évalué une étude transversale de patients cancéreux traités dans deux hôpitaux de cancérologie (Ibn-Rochd à Casablanca et l’Institut national de cancérologie à Rabat). Un questionnaire de satisfaction des patients (EORTC IN-Patsat32) a été utilisé pour cela. Les facteurs cliniques, démographiques et EORTC IN-Patsat32 ont été évalués sur le plan de la signification prévisionnelle.
Résultats
L’âge moyen des patients était de 46,6 ans (ET = 14,08, limites : 16–89), avec une prépondérance des femmes (66,5 %). La majorité des patients ont reçu une chimiothérapie (60,1 %). Le score moyen de satisfaction des patients était globalement inférieur à 52. Les patients vivant en zone rurale étaient davantage satisfaits du confort de l’institution que les résidents de zones urbaines (p < 0,001). La satisfaction des patients concernant l’information donnée par l’équipe infirmière, le temps d’attente et le confort de l’institution étaient significativement différentes selon la localisation du cancer. Les scores de satisfaction différaient significativement par statut de traitement envers l’accessibilité des services et le confort des instituts anticancéreux. La modélisation multifactorielle de différentes échelles dans l’instrument a montré que la satisfaction à l’égard de l’accès à l’hôpital semble significativement plus faible chez les patients des zones rurales, des femmes et des patients non traités auparavant, comparés aux patients des zones urbaines, aux hommes et aux patients déjà sous traitement.
Conclusion
Cette étude montre l’importance d’entreprendre d’autres recherches sur la mise au point et la mesure de marqueurs de satisfaction, de tels indicateurs pouvant servir de domaines pour alerter les fournisseurs de soins et les éducateurs quant aux domaines méritant l’attention des décideurs.
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Obtel, M., El Achhab, Y., Bendahhou, K. et al. Measuring patient satisfaction in Moroccan oncology institutions EORTC IN-Patsat32 and satisfaction in Moroccan patient with cancer. J Afr Cancer 4, 9–17 (2012). https://doi.org/10.1007/s12558-011-0185-6
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DOI: https://doi.org/10.1007/s12558-011-0185-6