Initial evaluation of quality indicators for psychosocial care of adults with cancer

Paul B. Jacobsen, David Shibata, Erin M. Siegel, Ji Hyun Lee, Carlos A. Alemany, Richard Brown, Thomas H. Cartwright, Richard M. Levine, Jesusa Corazon R. Smith, Guillermo Abesada-Terk, Mokenge P. Malafa

Research output: Contribution to journalArticle

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Abstract

Background: The American Psychosocial Oncology Society has developed the first indicators of the quality of psychosocial care for cancer patients. This report describes the initial evaluation of these indicators. Methods: Medical records of 388 colorectal cancer patients first seen by a medical oncologist in 2006 at seven practice sites were reviewed by trained abstractors whose accuracy was documented by periodic checks. Results: Rates of assessment of emotional well-being within 1 month of a patient's first visit with a medical oncologist ranged from 6% to 84% (mean = 60%; P < .001). Among the 45 patients identified as having a problem with emotional well-being, rates of evidence of action taken (or explanation for no action) ranged from 0% to 100% (mean = 51%; P = .85). A direct comparison showed that pain was assessed more often than emotional well-being in these patients (87% vs 60%, P < .001). Conclusions: Findings show these indicators can be measured easily and reliably, demonstrate variability across practices that suggests potential for improvement, and yield information that can be used to take actions to improve quality. Additional findings suggest that, to date, efforts to promote routine symptom assessment have been more successful for pain than for emotional well-being.

Original languageEnglish (US)
Pages (from-to)328-334
Number of pages7
JournalCancer Control
Volume16
Issue number4
DOIs
StatePublished - Jan 1 2009

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Neoplasms
Pain
Symptom Assessment
Quality of Health Care
Medical Records
Colorectal Neoplasms
Oncologists

All Science Journal Classification (ASJC) codes

  • Hematology
  • Oncology

Cite this

Jacobsen, P. B., Shibata, D., Siegel, E. M., Lee, J. H., Alemany, C. A., Brown, R., ... Malafa, M. P. (2009). Initial evaluation of quality indicators for psychosocial care of adults with cancer. Cancer Control, 16(4), 328-334. https://doi.org/10.1177/107327480901600407

Initial evaluation of quality indicators for psychosocial care of adults with cancer. / Jacobsen, Paul B.; Shibata, David; Siegel, Erin M.; Lee, Ji Hyun; Alemany, Carlos A.; Brown, Richard; Cartwright, Thomas H.; Levine, Richard M.; Smith, Jesusa Corazon R.; Abesada-Terk, Guillermo; Malafa, Mokenge P.

In: Cancer Control, Vol. 16, No. 4, 01.01.2009, p. 328-334.

Research output: Contribution to journalArticle

Jacobsen, PB, Shibata, D, Siegel, EM, Lee, JH, Alemany, CA, Brown, R, Cartwright, TH, Levine, RM, Smith, JCR, Abesada-Terk, G & Malafa, MP 2009, 'Initial evaluation of quality indicators for psychosocial care of adults with cancer', Cancer Control, vol. 16, no. 4, pp. 328-334. https://doi.org/10.1177/107327480901600407
Jacobsen, Paul B. ; Shibata, David ; Siegel, Erin M. ; Lee, Ji Hyun ; Alemany, Carlos A. ; Brown, Richard ; Cartwright, Thomas H. ; Levine, Richard M. ; Smith, Jesusa Corazon R. ; Abesada-Terk, Guillermo ; Malafa, Mokenge P. / Initial evaluation of quality indicators for psychosocial care of adults with cancer. In: Cancer Control. 2009 ; Vol. 16, No. 4. pp. 328-334.
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