Impact of COVID-19 on patient-doctor interaction in a complex radiation therapy facility

被引:17
作者
Desideri, Isacco [1 ]
Francolini, G. [2 ,3 ,4 ]
Ciccone, L. P. [1 ]
Stocchi, G. [1 ]
Salvestrini, V [1 ]
Aquilano, M. [1 ]
Greto, D. [4 ]
Bonomo, P. [4 ]
Meattini, I [1 ,4 ]
Scotti, V [4 ]
Scoccianti, S. [4 ]
Simontacchi, G. [4 ]
Livi, L. [1 ]
机构
[1] Univ Florence, Dept Biomed Expt & Clin Sci Mario Serie, Viale Morgagni 85, I-50134 Florence, Italy
[2] Univ Florence, Radiat Oncol Unit, Florence, Italy
[3] Ist Fiorentino Cura & Assistenza, CyberKnife Ctr, Florence, Italy
[4] Azienda Osped Univ Careggi, Radiat Oncol Unit, Florence, Italy
关键词
COVID-19; Radiotherapy; QoL; Patient satisfaction; SATISFACTION;
D O I
10.1007/s00520-020-05793-3
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose In the last months, Italy faced a COVID-19 emergency and implemented preventive measures in order to protect patients and healthcare providers from a disease outbreak. The pandemic control strategies impacted patient experience directly. Questionnaires evaluating patients reported measures (PREMs) may assess critical issues and represent a helpful tool to measure the patient perception of healthcare service. Our aim was to prospectively assess patient satisfaction about doctor-patient interaction in a high-volume radiation therapy and oncology center during the COVID-19 pandemic. Methods Cancer patients receiving either systemic and/or radiation treatment underwent a survey. Two validated questionnaires (EORTC QLQ-C30, FACIT-TS-G version 1) and 14 specific questions evaluating patients' perception of COVID-19 measures were administered. Results One hundred twenty-five patients admitted to our department from 1-30 April 2020 completed the questionnaires. The majority (66.4%) of patients were women and the most common disease was breast cancer (40%). The average Global Health Status (GHS) of EORTC QLQ-C30 was 61.67. Emotional functioning, social, and cognitive domains obtained scores of 75.48, 80.13, and 84.67, respectively. FACIT-TS-G results revealed 120 patients rated the treatments effective and 108 patients thought the side effects were the same as expected or better. Most (89.6%) rated their treatment good, very good, or excellent. Concerning COVID-19-related questions, patients reported overall very good level of information. Conclusions Despite the introduction of strict COVID-19 control measures, there was a high level of cancer outpatient satisfaction. The satisfaction levels may influence compliance, continuity of treatments, and patient-doctor communication, impacting the quality of clinical care in the next phases of the pandemic.
引用
收藏
页码:2931 / 2937
页数:7
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