Universität zu Köln

Ansmann, Lena ORCID: 0000-0002-8628-7166, Kowalski, Christoph, Ernstmann, Nicole ORCID: 0000-0001-7685-6110, Ommen, Oliver and Pfaff, Holger ORCID: 0000-0001-9154-6575 (2012). Patients perceived support from physicians and the role of hospital characteristics. Int. J. Qual. Health Care, 24 (5). S. 501 - 509. OXFORD: OXFORD UNIV PRESS. ISSN 1464-3677

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Abstract

Through patient-physician communication, physicians can support breast cancer patients in coping with the diagnosis and treatment of their cancer. Research on the influence of hospital characteristics on patient-reported outcomes suggests that patient-physician communication may be shaped by the hospital environment. The aim of this study is to investigate the relationship between hospital characteristics and breast cancer patients perceptions of the support provided by physicians. Data from two cross-sectional surveys conducted in 2007 were combined and hierarchical logistic regression models were calculated. Newly diagnosed breast cancer patients treated in breast center hospitals in North Rhine-Westphalia and at least one key person from these hospitals were surveyed. Data from 3285 newly diagnosed breast cancer patients and 172 key persons from 87 breast center hospitals were used. The patients perceptions of support from physicians were measured with three items from the Cologne Patient Questionnaire. Physician support was studied in relation to patient characteristics as well as hospital structure and processes. The multilevel model showed that breast cancer patients perceived themselves as receiving less support from the physician when there were problems within the hospitals organization of care, independent of patient characteristics. This study provides preliminary evidence that the quality of patient-physician communication depends not only on the patient or physician but also on hospital organization. Further studies should be conducted to determine the extent to which interventions for improving quality at the hospital level can modify physician communication performance.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ansmann, Lena UNSPECIFIED orcid.org/0000-0002-8628-7166 UNSPECIFIED Kowalski, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Ernstmann, Nicole UNSPECIFIED orcid.org/0000-0001-7685-6110 UNSPECIFIED Ommen, Oliver UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-481916
DOI:	10.1093/intqhc/mzs048
Journal or Publication Title:	Int. J. Qual. Health Care
Volume:	24
Number:	5
Page Range:	S. 501 - 509
Date:	2012
Publisher:	OXFORD UNIV PRESS
Place of Publication:	OXFORD
ISSN:	1464-3677
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language REPORTED PSYCHOSOCIAL CARE; COMMUNICATION; SATISFACTION; QUALITY; EXPERIENCES; INSTRUMENT Multiple languages Health Care Sciences & Services; Health Policy & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48191