Evaluating the quality of psychosocial care in outpatient medical oncology settings using performance indicators

Paul B. Jacobsen, David Shibata, Erin M. Siegel, Ji Hyun Lee, William J. Fulp, Carlos Alemany, Guillermo Abesada-Terk, Richard Brown, Thomas Cartwright, Douglas Faig, George Kim, Richard Levine, Merry Jennifer Markham, Fred Schreiber, Philip Sharp, Mokenge Malafa

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Objective: An American Psychosocial Oncology Society workgroup has developed indicators of the quality of psychosocial care that can be measured through review of medical records. The present report describes the first large-scale use of these indicators to evaluate psychosocial care in outpatient medical oncology settings. Methods: Medical records of 1660 colorectal, breast and non-small cell cancer patients first seen by a medical oncologist in 2006 at 11 practice sites in Florida were reviewed for performance on indicators of the quality of psychosocial care. Results: Assessment of emotional well-being was significantly less likely to be documented than assessment of pain (52 vs 87%, p<0.001). A problem with emotional well-being was documented in 13% of records and evidence of action taken was documented in 58% of these records. Ten of eleven practice sites performed below an 85% threshold on each indicator of psychosocial care. Variability in assessment of emotional-well being was associated (p<0.02) with practice site and patient gender and age while variability in assessment of pain was associated (p<0.001) with practice site and cancer type. Conclusions: Findings illustrate how use of the psychosocial care indicators permits identification of specific practice sites and processes of care that should be targeted for quality improvement efforts. Additionally, findings demonstrate the extent to which routine assessment of emotional well-being lags behind routine assessment of pain in cancer patients.

Original languageEnglish (US)
Pages (from-to)1221-1227
Number of pages7
JournalPsycho-Oncology
Volume20
Issue number11
DOIs
StatePublished - Nov 1 2011

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Medical Oncology
Quality of Health Care
Pain Measurement
Outpatients
Medical Records
Ambulatory Care
Quality Improvement
Neoplasms
Breast

All Science Journal Classification (ASJC) codes

  • Experimental and Cognitive Psychology
  • Oncology
  • Psychiatry and Mental health

Cite this

Jacobsen, P. B., Shibata, D., Siegel, E. M., Lee, J. H., Fulp, W. J., Alemany, C., ... Malafa, M. (2011). Evaluating the quality of psychosocial care in outpatient medical oncology settings using performance indicators. Psycho-Oncology, 20(11), 1221-1227. https://doi.org/10.1002/pon.1849

Evaluating the quality of psychosocial care in outpatient medical oncology settings using performance indicators. / Jacobsen, Paul B.; Shibata, David; Siegel, Erin M.; Lee, Ji Hyun; Fulp, William J.; Alemany, Carlos; Abesada-Terk, Guillermo; Brown, Richard; Cartwright, Thomas; Faig, Douglas; Kim, George; Levine, Richard; Markham, Merry Jennifer; Schreiber, Fred; Sharp, Philip; Malafa, Mokenge.

In: Psycho-Oncology, Vol. 20, No. 11, 01.11.2011, p. 1221-1227.

Research output: Contribution to journalArticle

Jacobsen, PB, Shibata, D, Siegel, EM, Lee, JH, Fulp, WJ, Alemany, C, Abesada-Terk, G, Brown, R, Cartwright, T, Faig, D, Kim, G, Levine, R, Markham, MJ, Schreiber, F, Sharp, P & Malafa, M 2011, 'Evaluating the quality of psychosocial care in outpatient medical oncology settings using performance indicators', Psycho-Oncology, vol. 20, no. 11, pp. 1221-1227. https://doi.org/10.1002/pon.1849
Jacobsen, Paul B. ; Shibata, David ; Siegel, Erin M. ; Lee, Ji Hyun ; Fulp, William J. ; Alemany, Carlos ; Abesada-Terk, Guillermo ; Brown, Richard ; Cartwright, Thomas ; Faig, Douglas ; Kim, George ; Levine, Richard ; Markham, Merry Jennifer ; Schreiber, Fred ; Sharp, Philip ; Malafa, Mokenge. / Evaluating the quality of psychosocial care in outpatient medical oncology settings using performance indicators. In: Psycho-Oncology. 2011 ; Vol. 20, No. 11. pp. 1221-1227.
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