Roydhouse, J and Gutman, R and Keating, NL and Mor, V and Wilson, IB, The association of proxy care engagement with proxy reports of patient experience and quality of life, Health Services Research, 53, (5) pp. 3809-3824. ISSN 1475-6773 (2018) [Refereed Article]
Copyright 2018 Health Research and Educational Trust
Data Sources/Study Setting. Secondary analysis of data from the Cancer Care Outcomes Research and Surveillance (CanCORS) study. Study Design. Cross-sectional observational study. The respondents were proxies for patients with incident colorectal or lung cancer.
Data Collection/Extraction Methods. Analyses used linear regression models and adjusted for patient sociodemographic and clinical characteristics. Outcomes included patients’ experiences with medical care, nursing care, and care coordination, overall quality ratings, and physical and mental health, all scored on 0–100 scales (0 = worst, 100 = best). Independent variables included the proxy’s relationship with the patient and engagement in patient care.
Principal Findings. Of 1,011 proxies, most were the patient’s spouse (50 percent) or child (36 percent). Although most proxies (66 percent) always attended medical visits, 3 percent reported never attending. After adjustment, on average children reported worse experiences and poorer quality care than spouses (4–9 points lower across outcomes). Proxies who never attended medical visits reported significantly worse medical care (-11 points, 95 percent CI = -18 to -3) and care coordination (-13 points, 95 percent CI = -20 to -6).
Conclusions. Collecting data on proxy engagement in care is warranted if proxy responses are used.
|Item Type:||Refereed Article|
|Keywords:||cancer, survey, proxy-reported, quality of life, care experience|
|Research Division:||Health Sciences|
|Research Group:||Health services and systems|
|Research Field:||Health care administration|
|Objective Group:||Evaluation of health and support services|
|Objective Field:||Evaluation of health outcomes|
|UTAS Author:||Roydhouse, J (Dr Jessica Roydhouse)|
|Web of Science® Times Cited:||3|
|Deposited By:||Menzies Institute for Medical Research|
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