Hospital differences in patient satisfaction with care for breast, colorectal, lung and prostate cancers

Eur J Cancer. 2008 Jul;44(11):1559-65. doi: 10.1016/j.ejca.2008.03.023. Epub 2008 Apr 20.


Background: We have investigated cancer patient satisfaction with care and the extent to which it varies between and within hospitals.

Design and methods: A national survey of cancer patients in England with questions in 10 different dimensions for four common cancers: breast, colorectal, lung and prostate (55,674 patients). We compared hospitals across tumour types, and against the national average.

Results: Dissatisfaction was greater (p<0.001) in younger, female patients. Breast cancer patients expressed least, and prostate cancer patients expressed greatest dissatisfaction. Breast, colorectal and prostate cancers showed significant (p<0.001) pair-wise correlations for standardised satisfaction scores, particularly for in-hospital care. Summed hospital satisfaction scores showed significant associations across different dimensions of care.

Conclusions: Cancer patient satisfaction is measurably different between hospitals, as well as by tumour type. For many aspects of care there is evidence of systemic hospital-level factors that influence satisfaction as well as factors common to the care pathways experienced by individual patients. Factors amenable to clinical or managerial intervention deserve further investigation.

Publication types

  • Comparative Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Breast Neoplasms / psychology
  • Breast Neoplasms / therapy
  • Colorectal Neoplasms / psychology
  • Colorectal Neoplasms / therapy
  • England
  • Female
  • Health Services Accessibility
  • Hospitalization*
  • Humans
  • Lung Neoplasms / psychology
  • Lung Neoplasms / therapy
  • Male
  • Neoplasms / psychology*
  • Neoplasms / therapy
  • Patient Satisfaction*
  • Prostatic Neoplasms / psychology
  • Prostatic Neoplasms / therapy
  • Quality of Health Care