Inequalities in patients' experiences with cancer care: the role of economic and health literacy determinants.

Details

Serval ID
serval:BIB_A1886102DAFD
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Inequalities in patients' experiences with cancer care: the role of economic and health literacy determinants.
Journal
BMC health services research
Author(s)
Jolidon V., Eicher M., Peytremann-Bridevaux I., Arditi C.
ISSN
1472-6963 (Electronic)
ISSN-L
1472-6963
Publication state
Published
Issued date
14/06/2024
Peer-reviewed
Oui
Volume
24
Number
1
Pages
733
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Patients with fewer socioeconomic and health literacy resources are disadvantaged in their access and use of healthcare, which may give rise to worse experiences with care and thus inequalities in patient experiences. However, only a limited number of studies have examined how socioeconomic and health literacy factors shape inequalities in patients' experiences with cancer care.
To examine whether patients' experiences with cancer care differ according to their economic status and health literacy.
Secondary analysis of data on 2789 adult patients diagnosed with cancer from the Swiss Cancer Patient Experiences-2 (SCAPE-2) study, a cross-sectional survey conducted in eight hospitals across Switzerland from September 2021 to February 2022. Regression analysis was applied to examine the independent effect of patients' economic status and health literacy on various outcomes of experiences with cancer care, covering eight different dimensions of patient-centred care, controlling for confounding factors.
Adjusted regression analysis showed that patients with lower economic status reported significantly worse experiences with cancer care in 12 out of 29 specific care experiences, especially in the dimensions of 'respect for patients' preferences' and 'physical comfort' where all items of experiences were associated with economic status. Additionally, lower health literacy was associated with worse patient experiences in 23 specific care experiences. All items in the dimensions of 'respect for patients' preferences', 'physical comfort' and 'emotional support' were associated with health literacy.
This study revealed significant inequalities in experiences with cancer care shaped by the economic status and health literacy of patients across different dimensions of patient-centred care. It is essential to address the needs of more disadvantaged patients who face obstacles in their access and use of the healthcare system, not only to mitigate inequalities in cancer care but also to avoid inequalities in health outcomes.
Keywords
Humans, Health Literacy/statistics & numerical data, Neoplasms/therapy, Neoplasms/psychology, Female, Male, Cross-Sectional Studies, Middle Aged, Switzerland, Healthcare Disparities, Aged, Adult, Socioeconomic Factors, Patient Satisfaction/statistics & numerical data, Patient-Centered Care, Surveys and Questionnaires, Economic Status, Access, Cancer, Communication, Continuity, Coordination, Emotions, Health literacy, Information, Needs, Patient experience, Patient satisfaction, Patient survey, Quality of care, Socioeconomic status
Pubmed
Web of science
Open Access
Yes
Create date
21/06/2024 9:31
Last modification date
03/07/2024 6:59
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