Socioeconomic disadvantage and its impact on patient satisfaction at a multi-site radiation oncology center
Purpose: Despite the importance of patient satisfaction (PS) on healthcare outcomes, the factors that influence PS in radiation oncology remain unexplored. This study assesses the influence of socioeconomic status (SES) on PS in radiation oncology, using the Area Deprivation Index (ADI) as a measure...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Technical Innovations & Patient Support in Radiation Oncology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S240563242400043X |
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| author | Bailey A. Loving Allison J. Hazy Kamran F. Salari Hong Ye Shaveena Sivapalan Jacob F. Oyeniyi Elizabeth Rutka John M. Robertson |
| author_facet | Bailey A. Loving Allison J. Hazy Kamran F. Salari Hong Ye Shaveena Sivapalan Jacob F. Oyeniyi Elizabeth Rutka John M. Robertson |
| author_sort | Bailey A. Loving |
| collection | DOAJ |
| description | Purpose: Despite the importance of patient satisfaction (PS) on healthcare outcomes, the factors that influence PS in radiation oncology remain unexplored. This study assesses the influence of socioeconomic status (SES) on PS in radiation oncology, using the Area Deprivation Index (ADI) as a measure of SES. Methods: This single-institution cross-sectional study used the National Research Council (NRC) PS survey at four radiation oncology sites from 2021 to 2023. SES was measured using ADI data from the Neighborhood Atlas. Univariate (UVA) and multivariable (MVA) logistic regression analyses were conducted on recommendation scores (0–10 scale, with 9 or higher indicating a likelihood to recommend). Results: In our analysis of 7,501 survey responses, most patients were female (55.3 %), had curative treatment intent (81.5 %), and were diagnosed with breast cancer (30.4 %), with most being follow-up visits (69.0 %). Average scores for state and national ADI were 3.94 and 50.75, respectively. UVA identified factors such as curative intent (OR 1.68, p < 0.001), follow-up visits (OR 1.69, p < 0.001), and breast cancer diagnosis (OR 1.42, p = 0.018) as enhancing the likelihood of recommending the facility or provider. Those with a national ADI above the mean showed lower propensity to recommend the facility (OR 0.81, p = 0.050) or provider (OR 0.71, p = 0.002). MVA confirmed the significance of national ADI on provider recommendations (OR 0.730, p = 0.005) but not facility recommendations (OR 0.832, p = 0.089). Conclusion: Patients facing higher SES disadvantages are less inclined to recommend their healthcare provider. These results highlight the role of SES in PS assessments and advocate for further investigation into how SES impacts PS and patient-provider relationships. |
| format | Article |
| id | doaj-art-e66c23c2792e4aa1a2f00c9be1f99098 |
| institution | DOAJ |
| issn | 2405-6324 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Technical Innovations & Patient Support in Radiation Oncology |
| spelling | doaj-art-e66c23c2792e4aa1a2f00c9be1f990982025-08-20T02:49:04ZengElsevierTechnical Innovations & Patient Support in Radiation Oncology2405-63242024-12-013210027610.1016/j.tipsro.2024.100276Socioeconomic disadvantage and its impact on patient satisfaction at a multi-site radiation oncology centerBailey A. Loving0Allison J. Hazy1Kamran F. Salari2Hong Ye3Shaveena Sivapalan4Jacob F. Oyeniyi5Elizabeth Rutka6John M. Robertson7Corresponding author.; Department of Radiation Oncology, Corewell Health William Beaumont University Hospital, 3581 W 13 Mile Rd, Royal Oak, MI 48073, USADepartment of Radiation Oncology, Corewell Health William Beaumont University Hospital, 3581 W 13 Mile Rd, Royal Oak, MI 48073, USADepartment of Radiation Oncology, Corewell Health William Beaumont University Hospital, 3581 W 13 Mile Rd, Royal Oak, MI 48073, USADepartment of Radiation Oncology, Corewell Health William Beaumont University Hospital, 3581 W 13 Mile Rd, Royal Oak, MI 48073, USADepartment of Radiation Oncology, Corewell Health William Beaumont University Hospital, 3581 W 13 Mile Rd, Royal Oak, MI 48073, USADepartment of Radiation Oncology, Corewell Health William Beaumont University Hospital, 3581 W 13 Mile Rd, Royal Oak, MI 48073, USADepartment of Radiation Oncology, Corewell Health William Beaumont University Hospital, 3581 W 13 Mile Rd, Royal Oak, MI 48073, USADepartment of Radiation Oncology, Corewell Health William Beaumont University Hospital, 3581 W 13 Mile Rd, Royal Oak, MI 48073, USAPurpose: Despite the importance of patient satisfaction (PS) on healthcare outcomes, the factors that influence PS in radiation oncology remain unexplored. This study assesses the influence of socioeconomic status (SES) on PS in radiation oncology, using the Area Deprivation Index (ADI) as a measure of SES. Methods: This single-institution cross-sectional study used the National Research Council (NRC) PS survey at four radiation oncology sites from 2021 to 2023. SES was measured using ADI data from the Neighborhood Atlas. Univariate (UVA) and multivariable (MVA) logistic regression analyses were conducted on recommendation scores (0–10 scale, with 9 or higher indicating a likelihood to recommend). Results: In our analysis of 7,501 survey responses, most patients were female (55.3 %), had curative treatment intent (81.5 %), and were diagnosed with breast cancer (30.4 %), with most being follow-up visits (69.0 %). Average scores for state and national ADI were 3.94 and 50.75, respectively. UVA identified factors such as curative intent (OR 1.68, p < 0.001), follow-up visits (OR 1.69, p < 0.001), and breast cancer diagnosis (OR 1.42, p = 0.018) as enhancing the likelihood of recommending the facility or provider. Those with a national ADI above the mean showed lower propensity to recommend the facility (OR 0.81, p = 0.050) or provider (OR 0.71, p = 0.002). MVA confirmed the significance of national ADI on provider recommendations (OR 0.730, p = 0.005) but not facility recommendations (OR 0.832, p = 0.089). Conclusion: Patients facing higher SES disadvantages are less inclined to recommend their healthcare provider. These results highlight the role of SES in PS assessments and advocate for further investigation into how SES impacts PS and patient-provider relationships.http://www.sciencedirect.com/science/article/pii/S240563242400043XSocioeconomic statusPatient satisfactionRadiation OncologyArea Deprivation IndexHealthcare disparitiesProvider recommendations |
| spellingShingle | Bailey A. Loving Allison J. Hazy Kamran F. Salari Hong Ye Shaveena Sivapalan Jacob F. Oyeniyi Elizabeth Rutka John M. Robertson Socioeconomic disadvantage and its impact on patient satisfaction at a multi-site radiation oncology center Technical Innovations & Patient Support in Radiation Oncology Socioeconomic status Patient satisfaction Radiation Oncology Area Deprivation Index Healthcare disparities Provider recommendations |
| title | Socioeconomic disadvantage and its impact on patient satisfaction at a multi-site radiation oncology center |
| title_full | Socioeconomic disadvantage and its impact on patient satisfaction at a multi-site radiation oncology center |
| title_fullStr | Socioeconomic disadvantage and its impact on patient satisfaction at a multi-site radiation oncology center |
| title_full_unstemmed | Socioeconomic disadvantage and its impact on patient satisfaction at a multi-site radiation oncology center |
| title_short | Socioeconomic disadvantage and its impact on patient satisfaction at a multi-site radiation oncology center |
| title_sort | socioeconomic disadvantage and its impact on patient satisfaction at a multi site radiation oncology center |
| topic | Socioeconomic status Patient satisfaction Radiation Oncology Area Deprivation Index Healthcare disparities Provider recommendations |
| url | http://www.sciencedirect.com/science/article/pii/S240563242400043X |
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