Exploration of the factors that influence perceived quality of patient centered care among cancer survivors: A systematic review

N Volakakis; M Pylli; V Raftopoulos; I Kyrkou; T Xanthos; A Deltsidou

doi:10.1016/j.ejon.2024.102503

Exploration of the factors that influence perceived quality of patient centered care among cancer survivors: A systematic review

Eur J Oncol Nurs. 2024 Feb:68:102503. doi: 10.1016/j.ejon.2024.102503. Epub 2024 Jan 9.

Authors

N Volakakis¹, M Pylli², V Raftopoulos³, I Kyrkou⁴, T Xanthos⁵, A Deltsidou⁶

Affiliations

¹ General Hospital of Athens ''HIPPOCRATIO'', 114 Vas. Sofias Avenue, Athens, Greece; University of West Attica, Department of Midwifery, Saint Spiridonos Str, Athens, Greece. Electronic address: nickvolakakis@yahoo.gr.
² National Public Health Organization of Greece, 3 Agrafon Str, Athens, Greece. Electronic address: magdapilli@hotmail.com.
³ National Public Health Organization of Greece, 3 Agrafon Str, Athens, Greece. Electronic address: v.raftopoulos@eody.gov.gr.
⁴ University of West Attica, Department of Midwifery, Saint Spiridonos Str, Athens, Greece. Electronic address: ikirkou@uniwa.gr.
⁵ University of West Attica, Department of Midwifery, Saint Spiridonos Str, Athens, Greece. Electronic address: txanthos@uniwa.gr.
⁶ University of West Attica, Department of Midwifery, Saint Spiridonos Str, Athens, Greece. Electronic address: adeltsidou@uniwa.gr.

PMID: 38219476
DOI: 10.1016/j.ejon.2024.102503

Abstract

Purpose: The purpose of this study was the estimation of the quality of patient centered care among cancer survivors.

Methods: Following the PRISMA guidelines, MEDLINE and Google Scholar were systematically searched using the keywords "quality of patient centered care" and "cancer" from 2012 to 2022.

Results: In this systematic review 7 articles were included, from which 5557 patients were derived, 3050 of them being females. The majority of them (2553 patients) suffered from haematological malignancies, while a considerable amount of them suffered from breast cancer. Three studies were conducted in Australia and four studies in Mexico. Factors, such as respect to patients' values and preferences, emotional support, management of psychological needs and integrated and coordinated care received a lower score. The characteristics that were statistically significantly related to the dimensions of person-centered care were numerous and were grouped into two major categories: a) socio-demographic such as gender, age, marital status, professional status, level of education, place of residence, type of insurance and b) clinical factors such as type of malignancy, psychiatric comorbidities, time interval of diagnosis, follow-up center, type of treatment.

Conclusions: The literature showed that there is a lack of comparative data regarding the perceived quality of patient centered care among cancer survivors. More psychometric tools of quality of patient centered care, or validation of the existed ones among all types of cancer survivors are needed, in order to identify and further improve the aspects of care that are not delivered successfully.

Keywords: Cancer patients; Cancer survivors; Clinical outcomes; Quality; Quality of patient centered care.

Publication types

Systematic Review
Review

MeSH terms

Australia
Breast Neoplasms* / therapy
Cancer Survivors*
Female
Hematologic Neoplasms* / therapy
Humans
Male
Patient-Centered Care / methods