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Published on: May 26, 2018
Perceptions of Quality in Interventional Oncology
Eric J Keller1, Kristie Y Kennedy2, Akash P Patel3
1Center for Bioethics and Medical Humanities, Northwestern University Feinberg School of Medicine, 737 North Michigan Avenue, Suite 1600, Chicago, IL 60611.
Patient and provider experiences reveal that responsive communication and coordinated care are key to high-quality interventional oncology (IO) services, more so than technical skill alone.
Area of Science:
- Qualitative research
- Patient-centered care
- Interventional oncology
Background:
- Understanding patient and provider perspectives is crucial for improving interventional oncology (IO) services.
- Previous research has not fully captured the nuanced experiences and values influencing perceptions of IO quality.
Purpose of the Study:
- To inductively characterize perceptions of quality in interventional oncology (IO).
- To understand the values and experiences of patients and referring providers regarding IO services.
Main Methods:
- Brief ethnographic interviews were conducted with patients and referring providers.
- Constructivist grounded theory was employed for systematic analysis of interview transcripts.
- Thematic saturation was achieved, with excellent interreviewer agreement (Cohen κ = 0.78).
Main Results:
- High-quality IO care perceptions centered on interventional radiologists being responsive, friendly, and collaborative.
- Dedicated support staff and well-coordinated post-procedure care and follow-up were highly valued.
- While patient and provider perceptions varied, disjointed post-procedure care was a common critique.
Conclusions:
- An inductive qualitative approach effectively identified key aspects of high-quality IO care.
- Focusing on communication, collaboration, and care coordination can enhance patient and provider satisfaction in IO.
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