Does the mode of care delivery affect therapeutic alliance, patient care satisfaction or patient reported outcomes? Psycho-oncological care evaluation data collected during the COVID-19 pandemic

被引：1

作者：

Cecon-Stabel, Natalia ^{[1
,2
]}

Omairat, Meriam ^{[1
]}

Salm, Sandra ^{[3
,4
]}

Hagemeier, Anna ^{[5
,6
]}

Dresen, Antje ^{[1
]}

Krieger, Theresia ^{[1
,5
,6
]}

机构：

[1] Univ Cologne, Inst Med Sociol Hlth Serv Res & Rehabil Sci, Fac Human Sci, Fac Med,Univ Hosp, Cologne, Germany

[2] Heinrich Heine Univ Dusseldorf, Univ Hosp Dusseldorf, Med Fac,Clin Gen Pediat Neonatol & Pediat Cardiol, Unit Hlth Serv Res Childhood & Adolescence, Dusseldorf, Germany

[3] Goethe Univ, Inst Gen Practice, Frankfurt, Germany

[4] Univ Cologne, Univ Hosp Cologne, Med Fac, Inst Med Stat & Computat Biol, Cologne, Germany

[5] Univ Cologne, Fac Med, Ctr Neuropsychol Diagnost & Intervent CeNDI, Dept Med Psychol, Cologne, Germany

[6] Univ Hosp Cologne, Cologne, Germany

来源：

JOURNAL OF PSYCHOSOCIAL ONCOLOGY | 2024年 / 42卷 / 05期

关键词：

anxiety and depression; COVID-19; pandemic; global health status; mode of care delivery; patient reported outcomes; patient satisfaction; psycho-oncology; sense of coherence; telemedicine; therapeutic alliance; VIDEOCONFERENCING PSYCHOTHERAPY; HEALTH; INSTRUMENT; MANAGEMENT; COHERENCE; SENSE;

D O I：

10.1080/07347332.2024.2318224

中图分类号：

B84 [心理学];

学科分类号：

04 ; 0402 ;

摘要：

PurposeSince the COVID-19 pandemic, psycho-oncological care has increasingly been provided virtually and/or telephonically. We examined whether patients' therapeutic alliance (TA) - an essential processual outcome - differs due to altered modes of care delivery (MOCD) and assessed, if MOCD impacts patients' care satisfaction and patient reported outcomes.MethodsSurvey and documentation data from newly diagnosed cancer patients that were cared for in the new form of care 'isPO' in Germany, were analyzed. Patients were surveyed after completing the one-year psycho-oncological care program. MOCD was operationalized by the ratio of patients' face-to-face, telephonic or video-based consultations to all their consultations. Regression analyzes were conducted to determine a possible relationship between MOCD and TA, between MOCD and patients' care satisfaction ('subjective effectiveness' and 'satisfaction and needs-orientation') and patient reported outcomes (anxiety and depression, sense of coherence, global health status).FindingsMOCD does not significantly influence TA. Regression models on the possible effect on subjective effectiveness and satisfaction and needs-orientation do not show statistical significance with only MOCD as the predictor. MOCD does not predict any of the patient reported outcomes.ConclusionsDuring the pandemic, neither TA, care satisfaction nor patient reported outcomes were affected by the MOCD in the new form of care 'isPO'. Therefore, the MOCD didn't negatively affect quality of care, which indicates that telephone or video consultations seem to be useful alternatives for psycho-oncological care in Germany.

引用

页码：653 / 673

页数：21