Table 3.
Predictors of Patient Dissatisfaction With Cancer Care
| Predictive Factor | Instrument | Reference Source |
|---|---|---|
| Poor global health in patients with head-and-neck cancer | EORTC QLQ-C30 for sociodemographic, clinical characteristics, and quality of life data; OUT-PATSAT35 for satisfaction with providers, care organization, and services | Nguyen 200943 |
| Receipt of radiotherapy in patients with head-and-neck cancer | ||
| Living alonea | ||
| Young age (<55 y vs >55 y; for physicians' availability) | ||
| High income (for provision of information from nurses) | ||
| African-American race (associated with less trust in physician, perception of greater difficulty with psychosocial care, care coordination, access to care, obtaining health information) | Five-item questionnaire assessing physician communication (Franco 200942); adapted Picker Institute survey (Ayanian 200510) | Ayanian 200510; Franco 200942 |
| Asian or Pacific Islander (associated with perception of greater difficulty with care coordination, access to care, obtaining health information) | Adapted Picker Institute survey | Ayanian 200510 |
| Nonwhiteb | ||
| Non–English-speakingb |
EORTC QLQ indicates European Organization for Research and Treatment of Cancer Quality of Life Questionnaire; OUT-PATSAT35, The EORTC Cancer Outpatient Satisfaction With Care Questionnaire.
a
For provision of information from physicians and nurses.
b
Less likely to rate overall quality of cancer care as excellent or very good.