Patient Satisfaction, Outcomes, and the Need for Cancer-Specific Quality Metrics
Menée aux Etats-Unis à partir de données de 63 197 patients atteints de cancer et traités dans 448 hôpitaux, cette étude analyse l'association entre les données de satisfaction du patient relative à la qualité des soins et la survie après un traitement chirurgical
In this issue of the Journal, Wright and colleagues highlight the relationship between patient satisfaction and thirty-day oncologic outcomes (1). The authors demonstrate that current publicly reported measures of quality and patient satisfaction are poorly correlated with thirty-day morbidity and mortality in patients undergoing solid tumor resections. The measures of patient satisfaction from Hospital Compare are for hospital-wide performance, not just oncology patients, so the findings are not particularly surprising. However, this study does highlight the need to: 1) examine whether patient experience and satisfaction really need to correlate with traditional measures of clinical quality (eg, outcomes), 2) discuss how patients seeking provider performance data are unable to access oncology-specific information from public reporting programs, and 3) discuss how cancer quality improvement efforts would benefit from both patient experience and traditional quality measures that are cancer specific.
An increasing emphasis has been placed on patient experience measures as they carry considerable weight in Centers for Medicare & Medicaid Services (CMS) pay-for-performance programs. A number of studies have sought to assess whether these patient experience measures are associated with outcomes. Some have demonstrated that hospitals with higher patient satisfaction … (....)
Journal of the National Cancer Institute , éditorial, 2015