Figure 1
Flow chart ICP.
Table 1
Demographic characteristics from OPTION and CPSET questionnaire.
| Characteristic | Patients n = 77 | Health care Professionals n = 38 | p-value |
|---|---|---|---|
| Gender, n (%) | 0.017 | ||
| Male | 30 (39.5) | 24 (63.2) | |
| Female | 46 (60.5) | 14 (36.8) | |
| Valid cases n (%) | 76 (98.7) | 38 (100.0) | |
| Age, mean ± SD (min–max) | |||
| Male | 67 ± 8 (50–79) | 52 ± 10 (29–65) | <0.001 |
| Female | 67 ± 10 (38–83) | 47 ± 10 (27–63) | <0.001 |
| Valid cases n (%) | 76 (98.7) | 36 (94.7) |
Table 2
Patient characteristics from OPTION questionnaire.
| Characteristic | Patients n = 77 |
|---|---|
| Marital status, n (%) | |
| Single | 11 (14.7) |
| Married or cohabiting | 52 (69.3) |
| Divorced | 3 (4.0) |
| Widowed | 9 (12.0) |
| Valid cases | 75 (97.4) |
| Education, n (%) | |
| No qualification | 0 (0) |
| Elementary school | 20 (26.7) |
| Middle school | 35 (46.7) |
| High school | 19 (25.3) |
| Degree | 1 (1.3) |
| Postgraduate | 0 (0) |
| Valid cases | 75 (97.4) |
| Time from diagnosis, n (%) | |
| Less than 1 year | 40 (52.6) |
| 1–2 years | 22 (28.9) |
| 3–4 years | 9 (11.8) |
| More than 5 years | 5 (6.7) |
| Valid cases | 76 (98.7) |
| Care coordinator, n (%) | |
| Yes | 41 (55.4) |
| No | 33 (44.6) |
| Valid cases | 74 (96.1) |
| Mode of ICP entry, n (%) | |
| Screening | 6 (8.0) |
| Illness | 31 (41.3) |
| Private testing | 22 (29.3) |
| Other | 16 (21.4) |
| Valid cases | 75 (97.4) |
Table 3
Frequency distribution items OPTION and CPSET.
| WORST SCORES (in descending order) | BEST SCORES (in descending order) | ||||||
|---|---|---|---|---|---|---|---|
| OPTION questionnaire 1–2 points on Likert scale | % | CPSET questionnaire 1–4 points on Likert scale | % | OPTION questionnaire 4–5 points on Likert scale | % | CPSET questionnaire 7–10 points on Likert scale | % |
| ITEM 9 – Information on social and personal changes | 26.0 | SE2 – Good cooperation exists between the hospital and primary care | 23.5 | ITEM 15 – Treated with respect by staff | 100 | PO1 – A patient focused vision exists within the organisation | 97.2 |
| ITEM 4 – Cooperation between hospital staff and GP | 17.6 | SE3 – In complex care situations consultation takes place between the physician/surgeon and general practitioner | 23.5 | ITEM 18 – Satisfied with care received | 98.7 | COM4 – The patient is explicitly asked for his consent with regard to the proposed care | 94.4 |
| ITEM 10 – Information on symptoms and lifestyle | 16.0 | PO6 – There is a clear vision of policy regarding care throughout the entire hospital | 14.3 | ITEM 13 – Trust in staff | 97.4 | PO3 – The care process coordinator has a patient focused vision | 94.3 |
| ITEM 11 – Requests for information missing from medical records | 12.0 | SE1 – Primary care is considered by the hospital to be an equal partner | 11.4 | ITEM 1 – Easy to get an appointment | 96.1 | PO4 – Patient communication is considered to be important within the organisation | 94.1 |
| ITEM 12 – Perceived familiarity of staff | 8.1 | PO5 – The organisational structure is patient focussed | 11.1 | ITEM 6 – Information on tests and examination | 95.9 | COR4 – Concrete agreements are made within the care process | 91.4 |
| ITEM 8 – Information on treatment side effects and physical changes | 8.0 | COM1 – Within the care process time is explicitly provided to listen to the patient and his family | 11.1 | ITEM 5 – Explanation of care pathway steps | 94.7 | PO2 – Quality of care is the priority within the organisation | 88.9 |
| ITEM 16 – Lack of identification of a personal care coordinator | 6.7 | OP2 – Whether the care provided is tailored to the patient’s needs is systematically monitored/followed-up | 8.6 | ITEM 3 – Cooperation among professionals | 94.6 | COR1 – Agreements are observed | 88.9 |
| ITEM 17 – Sense of physical and emotional abandonment | 6.7 | COM2 – Time is explicitly scheduled within the care process for communications between healthcare professional and patient | 8.3 | ITEM 14 – Listening and emotional support received | 92.1 | COR2 – All team members are familiar with the various steps in the care process | 88.9 |
| ITEM 19 – Involved in care-related decision-making | 5.2 | COR3 – There is an optimum timing of activities within the care process | 5.6 | ITEM 17 – Sense of physical and emotional abandonment | 88.0 | COR3 – There is an optimum timing of activities within the care process | 88.9 |
| ITEM 7 – Information on treatments | 1.4 | COR5 – Team members consider themselves to be engaged in the organisation of the care process | 5.6 | ITEM 8 – Information on treatment side effects and physical changes | 86.7 | COR6 – Patients/family are provided with candid (frank; open; straightforward) information regarding their health | 88.9 |
| ITEM 3 – Cooperation among professionals | 1.4 | COM3 – Within the care process there is provision for sufficient time to provide information | 5.6 | ITEM 12 – Perceived familiarity of staff | 86.5 | COR7 – Discharge is communicated in a timely manner to the patient and family so that they can take necessary measures | 88.9 |
| ITEM 6 – Information on tests and examination | 1.4 | OP9 – The progress in the care process is continuously monitored/followed-up and adjusted | 5.6 | ITEM 7 – Information on treatments | 86.3 | OP1 – When (re)designing the care process quality indicators are formulated | 88.9 |
| ITEM 5 – Explanation of care pathway steps | 1.3 | PO4 – Patient communication is considered to be important within the organisation | 2.9 | ITEM 16 – Lack of identification of a personal care coordinator | 85.3 | OP4 – The goals of the care process are described explicitly | 88.9 |
| ITEM 1 – Easy to get an appointment | 1.3 | OP3 – Within the care process patient satisfaction is monitored/followed-up systematically | 2.8 | ITEM 19 – Involved in care-related decision-making | 84.4 | COR5 – Team members consider themselves to be engaged in the organisation of the care process | 83.3 |
| OP5 – Within the care process monitoring/follow-up is performed to verify whether planned activities are actually performed | 2.8 | ITEM 11 – Requests for information missing from medical records | 78.7 | COM3 – Within the care process there is provision for sufficient time to provide information | 83.3 | ||
| OP7 – Variances can be monitored within the care process | 2.8 | ITEM 10 – Information on symptoms and lifestyle | 72.0 | OP2 – Whether the care provided is tailored to the patient’s needs is systematically monitored/followed-up | 82.9 | ||
| OP8 – Within the care process risks of complications are monitored/followed-up systematically | 2.8 | ITEM 4 – Cooperation between hospital staff and GP | 71.6 | PO5 – The organisational structure is patient focussed | 80.6 | ||
| ITEM 9 – Information on social and personal changes | 64.4 | OP6 – Outcomes are systematically monitored/followed-up | 80.6 | ||||
| OP9 – The progress in the care process is continuously monitored/followed-up and adjusted | 80.6 | ||||||
| OP5 – Within the care process monitoring/follow-up is performed to verify whether planned activities are actually performed | 75.0 | ||||||
| OP8 – Within the care process risks of complications are monitored/followed-up systematically | 75.0 | ||||||
| COM2 – Time is explicitly scheduled within the care process for communications between healthcare professional and patient | 72.2 | ||||||
| OP7 – Variances can be monitored within the care process | 72.2 | ||||||
| OP3 – Within the care process patient satisfaction is monitored/followed-up systematically | 63.9 | ||||||
| PO6 – There is a clear vision of policy regarding care throughout the entire hospital | 60.0 | ||||||
| COM1 – Within the care process time is explicitly provided to listen to the patient and his family | 58.3 | ||||||
| SE1 – Primary care is considered by the hospital to be an equal partner | 57.1 | ||||||
| SE2 – Good cooperation exists between the hospital and primary care | 44.1 | ||||||
| SE3 – In complex care situations consultation takes place between the physician/surgeon and general practitioner | 35.3 | ||||||
[i] Four items (ITEM 13 – Trust in staff, ITEM 14 – Listening and emotional support received, ITEM 15 – Treated with respect by staff, ITEM 18 – Satisfied with care received) from OPTION questionnaire and twelve items (PO1 – A patient focused vision exists within the organisation, PO2 – Quality of care is the priority within the organisation, PO3 – The care process coordinator has a patient focused vision, COR1 – Agreements are observed, COR2 – All team members are familiar with the various steps in the care process, COR4 – Concrete agreements are made within the care process, COR6 – Patients/family are provided with candid (frank; open; straightforward) information regarding their health, COR7 – Discharge is communicated in a timely manner to the patient and family so that they can take necessary measures, COM4 – The patient is explicitly asked for his consent with regard to the proposed care, OP1 – When (re)designing the care process quality indicators are formulated, OP4 – The goals of the care process are described explicitly, OP6 – Outcomes are systematically monitored/followed-up) from CPSET questionnaire are not listed in Table 3 because they have zero response rates.
Figure 2
High and low scores for OPTION and CPSET questionnaire.
Figure 3
Lung cancer surgery volume.
Figure 4
Lung cancer: 30-day mortality.