Andrzej Tarlowski
Ontological Constraints in Children's Inductive Inferences: Evidence From a Comparison of Inferences Within Animals and Vehicles
Frontiers in psychology
patientcentredness become central quality indicator oncology care elements include shared decisionmaking patient navigation integration psychosocial care impact patientreported clinical outcomes despite efforts promote patientcentred care germany recent decades implementation remains fragmented research patient experiences cancer care determinants limited therefore study examines patient facilityspecific factors associated patientcentred quality care delivery crosssectional study conducted among 1121 cancer patients acute treatment rehabilitation aftercare different cancer entities across germany participatory developed questionnaire used outcome measures quality physicianpatient interaction provision psychosocial care acute care predictors comprised patientspecific characteristics treatment facilityspecific factors multiple linear regression multivariate binary logistic regression analyses performed addition content analysis openended comments patients overall cancer care needs applied multiple linear regression analysis showed recent diagnosis 012 p 0001 male 011 p 0003 preference passive decisionmaking 010 p 0001 significantly associated higher interaction quality age education health insurance type overall low impact patient characteristics interaction quality revealed adj r2 003 binary logistic regression analysis demonstrated availability central contact persons 310 p 0001 followed recent diagnosis p 0001 breast cancer p 0001 female 168 p 005 significantly predict offering psychooncological counselling patients acute care facilities availability peer support visiting services 717 p 0001 central contact persons 187 p 0001 care facility breast cancer diagnosis p 0001 higher level education p 005 significantly increased odds patients receiving information peer support treatment facility despite relatively satisfactory quality physicianpatient interactions cancer care 35 11 many patients expressed better patientcentred communication coordinated comprehensive cancer care needed findings reflect effective developments improvements cancer care suggest patients social characteristics less decisive delivering patientcentred quality care systemic factors surrounding care facilities serve inform oncology care germany