Improving Care for Cancer Patients
Author Information
Author(s): King M, Jones L, McCarthy O, Rogers M, Richardson A, Williams R, Tookman A, Nazareth I
Primary Institution: Royal Free and University College Medical School
Hypothesis
Can a complex intervention improve experienced continuity of care in cancer patients?
Conclusion
The intervention aimed at improving continuity of care did not show statistically significant differences in experienced continuity but indicated trends towards reduced needs for care.
Supporting Evidence
- High experienced continuity of care is linked to lower needs for care and better psychological outcomes.
- Patients indicated areas of poor continuity but were hesitant to discuss them with staff.
- Feedback from patients to clinicians can potentially reduce unmet needs for care.
Takeaway
This study tried to help cancer patients feel more connected to their care team, which might help them need less help later on.
Methodology
The study involved a feasibility trial with a patient-completed continuity assessment and feedback to clinical staff.
Potential Biases
Staff may have felt overwhelmed by the additional responsibilities of the intervention.
Limitations
The trial had low statistical power and was conducted in only one network in London, limiting generalizability.
Participant Demographics
The mean age was 59 years, with 45% having breast cancer and 86% speaking English as a first language.
Statistical Information
P-Value
P=0.004 for dropout rates in intervention arms.
Digital Object Identifier (DOI)
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