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The association of proxy care engagement with proxy reports of patient experience and quality of life

Citation

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]


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DOI: doi:10.1111/1475-6773.12980

Abstract

Objective. To assess the association of proxy-specific covariates with proxy-reported patient cancer care experience, quality rating, and quality of life.

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 Details

Item Type:Refereed Article
Keywords:cancer, survey, proxy-reported, quality of life, care experience
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Health Care Administration
Objective Division:Health
Objective Group:Health and Support Services
Objective Field:Evaluation of Health Outcomes
UTAS Author:Roydhouse, J (Dr Jessica Roydhouse)
ID Code:137361
Year Published:2018
Deposited By:Menzies Institute for Medical Research
Deposited On:2020-02-11
Last Modified:2020-02-18
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