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BACKGROUND: We have investigated cancer patient satisfaction with care and the extent to which it varies between and within hospitals. DESIGN AND METHODS: A national survey of cancer patients in England with questions in 10 different dimensions for four common cancers: breast, colorectal, lung and prostate (55,674 patients). We compared hospitals across tumour types, and against the national average. RESULTS: Dissatisfaction was greater (p<0.001) in younger, female patients. Breast cancer patients expressed least, and prostate cancer patients expressed greatest dissatisfaction. Breast, colorectal and prostate cancers showed significant (p<0.001) pair-wise correlations for standardised satisfaction scores, particularly for in-hospital care. Summed hospital satisfaction scores showed significant associations across different dimensions of care. CONCLUSIONS: Cancer patient satisfaction is measurably different between hospitals, as well as by tumour type. For many aspects of care there is evidence of systemic hospital-level factors that influence satisfaction as well as factors common to the care pathways experienced by individual patients. Factors amenable to clinical or managerial intervention deserve further investigation.

Original publication

DOI

10.1016/j.ejca.2008.03.023

Type

Journal article

Journal

European journal of cancer (Oxford, England : 1990)

Publication Date

07/2008

Volume

44

Pages

1559 - 1565

Addresses

UCL Clinical Operational Research Unit, Department of Mathematics, London, United Kingdom.

Keywords

Humans, Neoplasms, Breast Neoplasms, Colorectal Neoplasms, Lung Neoplasms, Prostatic Neoplasms, Hospitalization, Patient Satisfaction, Health Services Accessibility, Quality of Health Care, England, Female, Male