Perception of Breast Cancer Care Differs From Actual Care Quality

Study focuses on women from inner cities with newly diagnosed, early-stage breast cancer

WEDNESDAY, April 11 (HealthDay News) -- The perception of care for women living in inner cities with newly diagnosed, early-stage breast cancer is dependent, in large part, on factors other than the actual quality of care provided, including the quality of the process of getting care, trust in the physician, and perceptions of racism, according to research published online April 9 in the Journal of Clinical Oncology.

In an effort to identify key predictors of women's perceived quality of breast cancer care, Nina A. Bickell, M.D., M.P.H., of the Mount Sinai School of Medicine in New York City, and colleagues conducted a descriptive cohort study of 374 women living in inner city areas with newly diagnosed and surgically treated early-stage breast cancer.

The researchers found that, overall, 55 percent of participants perceived the quality of their breast cancer care to be excellent, even though 88 percent received care of good quality that was consistent with treatment guidelines. The perceived quality of the process of getting care was highly associated with a patient having a perceived quality of care of excellent. A woman's trust in her physician and, for black women especially, her perception of racism significantly affected her perception of care received. The actual quality of care provided did not affect the perception of the quality of care that was received.

"In this study, women's perceived quality of care was not associated with national metrics of good-quality breast cancer care. The processes of getting care, gaining physician trust, and patients' perceived racism independently predicted excellent ratings for quality of care," the authors write. "As physicians and office staff strive to provide excellent patient-centered cancer care, they must improve the way they talk with, treat, and enable patients to help coordinate their own cancer care."

Abstract
Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

What internal motivators drive RNs to pursue a BSN?
Nursing2014 , October 2014
Free access will expire on November 24, 2014.


Breast Cancer Risk Assessment in Primary Care
MCN, The American Journal of Maternal/Child Nursing, September/October 2014
Free access will expire on November 10, 2014.


Nurses spurring innovation
Nursing Management, October 2014
Free access will expire on November 10, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events