Universität zu Köln

Kowalski, Christoph, Lee, Shoou-Yih D., Ansmann, Lena ORCID: 0000-0002-8628-7166, Wesselmann, Simone and Pfaff, Holger ORCID: 0000-0001-9154-6575 (2014). Meeting patients' health information needs in breast cancer center hospitals - a multilevel analysis. BMC Health Serv. Res., 14. LONDON: BMC. ISSN 1472-6963

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Abstract

Background: Breast cancer patients are confronted with a serious diagnosis that requires them to make important decisions throughout the journey of the disease. For these decisions to be made it is critical that the patients be well informed. Previous studies have been consistent in their findings that breast cancer patients have a high need for information on a wide range of topics. This paper investigates (1) how many patients feel they have unmet information needs after initial surgery, (2) whether the proportion of patients with unmet information needs varies between hospitals where they were treated and (3) whether differences between the hospitals account for some of these variation. Methods: Data from 5,024 newly-diagnosed breast cancer patients treated in 111 breast center hospitals in Germany were analyzed and combined with data on hospital characteristics. Multilevel linear regression models were calculated taking into account hospital characteristics and adjusting for patient case mix. Results: Younger patients, those receiving mastectomy, having statutory health insurance, not living with a partner and having a foreign native language report higher unmet information needs. The data demonstrate small between-hospital variation in unmet information needs. In hospitals that provide patient-specific information material and that offer health fairs as well as those that are non-teaching or have lower patient-volume, patients are less likely to report unmet information needs. Conclusion: We found differences in proportions of patients with unmet information needs between hospitals and that hospitals' structure and process-related attributes of the hospitals were associated with these differences to some extent. Hospitals may contribute to reducing the patients' information needs by means that are not necessarily resource-intensive.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kowalski, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Lee, Shoou-Yih D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ansmann, Lena UNSPECIFIED orcid.org/0000-0002-8628-7166 UNSPECIFIED Wesselmann, Simone UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-422995
DOI:	10.1186/s12913-014-0601-6
Journal or Publication Title:	BMC Health Serv. Res.
Volume:	14
Date:	2014
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1472-6963
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-CARE; DECISION-MAKING; TEACHING HOSPITALS; COMMUNICATION; OUTCOMES; BEHAVIOR; PREFERENCES; MANAGEMENT; PHYSICIANS; SUPPORT Multiple languages Health Care Sciences & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42299