The Patients' View On Accredited Breast Cancer Centers: Strengths and Potential for Improvement.

Abstract:

:Breast Care Centers that were accredited according to the German Cancer Society criteria were offered to participate in a standardized patient survey in 2010, which was conducted by the Institute for Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Human Science and Faculty of Medicine, University of Cologne. Patients were included consecutively between March and November 2010. The Cologne Patient Questionnaire-Breast Cancer (CPQ-BC) was used, which assesses a number of aspects of hospital care as perceived by the patients, among them provider-patient interaction, the disease-specific information provided, the quality of organization, and room amenities. 128 of 195 Breast Care Centers and 160 of 251 hospitals participated in the study. 8226 patients consented to the survey. The questionnaires of 7301 patients could be included in the analyses (89 %). Overall, the results showed that patients are satisfied with their hospital stay and that the accreditation criteria are implemented in a way that serves the patients. However, there is room for improvement for a number of issues, for example with regard to the provision of information and patient involvement in decision making. In addition, for a number of indicators substantial differences were found between the hospitals. The results of the survey provide information on the breast centers' development and can be used by the centers' surgery locations for benchmarking purposes, to identify strengths and weaknesses, and to take actions. ZUSAMMENFASSUNG:Den nach den Kriterien der Deutschen Krebsgesellschaft e. V. (DKG) zertifizierten Brustkrebszentren wurde im Jahr 2010 angeboten, an einer einheitlichen und für die Häuser kostenlosen Befragung von Patientinnen und Patienten mit primärem Mammakarzinom teilzunehmen. Die Befragung wurde vom Institut für Medizinsoziologie, Versorgungsforschung und Rehabilitationswissenschaft (IMVR) der Humanwissenschaftlichen Fakultät und der Medizinischen Fakultät der Universität zu Köln durchgeführt. Der Einschluss der Patienten erfolgte zwischen März und November 2010. Die Befragung erfolgte postalisch-poststationär. In der Befragung wurde der Kölner Patientinnenfragebogen für Brustkrebs (KPF-BK) eingesetzt. 128 von 195 Brustkrebszentren und 160 von 251 OP-Standorten nahmen an der Patientenbefragung teil. 8226 Patientinnen gaben ihr Einverständnis, an der Befragung teilzunehmen. Insgesamt konnten 7301 Fragebogen in die Auswertung eingeschlossen werden (89 % der angeschriebenen Patientinnen). Die Ergebnisse zeigen eine hohe Zufriedenheit der Patientinnen mit der Versorgung in den DKG-zertifizierten Brustkrebszentren, die Ziele und Inhalte des Zertifizierungssystems werden im Sinne der Patientinnen umgesetzt. Bei einer insgesamt sehr guten Bewertung der Versorgung werden jedoch auch Verbesserungspotenziale für einige der in der Befragung erhobenen Aspekte ersichtlich. Zutage treten zudem teilweise deutliche Unterschiede zwischen den Brustkrebszentren.

authors

Kowalski C,Wesselmann S,Kreienberg R,Schulte H,Pfaff H

doi

10.1055/s-0031-1280475

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

137-143

issue

2

eissn

0016-5751

issn

1438-8804

journal_volume

72

pub_type

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