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Background <p>Organizational and communication-related elements of outpatient hematology–oncology&#xa0;care may be associated with psychosocial distress and willingness to recommend. Patient-reported data remain limited.</p> Objective <p>This study aimed to examine patient-reported experience measures (PREMs) regarding practice structure, information/documentation quality, counseling services, and communication with nonmedical and medical staff, as well as to analyze associations with psychosocial distress (patient-reported outcome [PRO]) and willingness to recommend.</p> Materials and methods <p>The study comprised a nationwide paper-based&#xa0;Scientific Institute of Office-Based Haematologists and Oncologists (WINHO) cross-sectional survey performed in 2024. Eligible participants were adults with ≥ 1 practice visit in the past 6&#xa0;months, excluding first-time visits. Of 7200 distributed questionnaires, 5606 returned (77.9%), 5171 were completed, and 5155 analyzed. The PREMs (4-point Likert scales) and their associations with distress (Distress Thermometer) and willingness to recommend (dichotomous) were examined using multiple linear and logistic regression.</p> Results <p>The analyzed sample consisted predominantly of patients aged ≥ 60&#xa0;years (56% women). Higher ratings of practice structure (β = −0.43), information/documentation quality (β = −0.33), and communication with staff (β = −0.44) were associated with lower psychosocial distress. Women reported higher distress than men (4.85 vs. 4.36), and distress decreased with age (β = −0.59 for ages 70–79). Willingness to recommend was 92.7%; strongest predictors were practice structure (odds ratio, OR = 2.28) and physician communication (OR = 4.61).</p> Conclusion <p>Organizational and communication-related elements were associated with psychosocial distress and willingness to recommend. Differences by sex and age highlight the relevance of tailored communication. &#xa0;The cross-sectional nature of the data precludes causal inference.</p>

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Versorgungsqualität in der ambulanten Onkologie

  • 期刊论文

  • 发表日期：

    2026年7月22日

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  • M. Geist,
  • L. Michalske,
  • J. Heinz,
  • T. Illmer,
  • V. Maschke,
  • L. Monien,
  • T. Walz,
  • W. Knauf

摘要

Background

Organizational and communication-related elements of outpatient hematology–oncology care may be associated with psychosocial distress and willingness to recommend. Patient-reported data remain limited.

Objective

This study aimed to examine patient-reported experience measures (PREMs) regarding practice structure, information/documentation quality, counseling services, and communication with nonmedical and medical staff, as well as to analyze associations with psychosocial distress (patient-reported outcome [PRO]) and willingness to recommend.

Materials and methods

The study comprised a nationwide paper-based Scientific Institute of Office-Based Haematologists and Oncologists (WINHO) cross-sectional survey performed in 2024. Eligible participants were adults with ≥ 1 practice visit in the past 6 months, excluding first-time visits. Of 7200 distributed questionnaires, 5606 returned (77.9%), 5171 were completed, and 5155 analyzed. The PREMs (4-point Likert scales) and their associations with distress (Distress Thermometer) and willingness to recommend (dichotomous) were examined using multiple linear and logistic regression.

Results

The analyzed sample consisted predominantly of patients aged ≥ 60 years (56% women). Higher ratings of practice structure (β = −0.43), information/documentation quality (β = −0.33), and communication with staff (β = −0.44) were associated with lower psychosocial distress. Women reported higher distress than men (4.85 vs. 4.36), and distress decreased with age (β = −0.59 for ages 70–79). Willingness to recommend was 92.7%; strongest predictors were practice structure (odds ratio, OR = 2.28) and physician communication (OR = 4.61).

Conclusion

Organizational and communication-related elements were associated with psychosocial distress and willingness to recommend. Differences by sex and age highlight the relevance of tailored communication.  The cross-sectional nature of the data precludes causal inference.