Advanced lung cancer patients' experience with continuity of care and supportive care needs

作者：Husain Amna^*; Barbera Lisa; Howell Doris; Moineddin Rahim; Bezjak Andrea; Sussman Jonathan

来源：Supportive Care in Cancer, 2013, 21(5): 1351-1358.

DOI：10.1007/s00520-012-1673-7

• Continuity of care
• Supportive care needs
• Coordination of care
• Communication
• Quality of care
• Lung cancer
• Palliative care
• Patient-reported outcomes

As cancer care becomes increasingly complex, the ability to coordinate this care is more difficult for health care providers, patients and their caregivers alike. Despite the widely recognized need for improving continuity and coordination of care, the relationship of continuity of care with patient outcomes has yet to be elucidated. Our study's main finding is that the Continuity and Coordination subscale of the widely used Picker System of Ambulatory Cancer Care Survey is able to distinguish between lung cancer patients with unmet supportive care needs and those without. Specifically, this study shows a new association between this widely implemented continuity and coordination survey and the 'psychological needs' domain, as well as the 'health system and information' domains of supportive care needs. The finding provides support for the idea that interventions to improve continuity may impact tangible indicators of patient care such as supportive care needs being met. The study focuses attention on continuity of care as an important aspect of optimizing outcomes in cancer care.

• 出版日期2013-5