FROM PATIENT EXPERIENCE TO HEALTH OUTCOMES: UNDERSTANDING THE PATHWAYS IN CANCER CARE
Author(s)
Konstantina Briola, Phd (c)1, Athanassios Vozikis, Professor2.
1Economics, Laboratory of Health Economics and Management (LabHEM), University of Piraeus, Athens, Greece, 2Economics, Laboratory of Health Economics and Management (LabHEM), University of Piraeus, Piraeus, Greece.
1Economics, Laboratory of Health Economics and Management (LabHEM), University of Piraeus, Athens, Greece, 2Economics, Laboratory of Health Economics and Management (LabHEM), University of Piraeus, Piraeus, Greece.
OBJECTIVES: This study examines the relationship between cancer patients’ experiences with healthcare services and their perceived health status. Specifically, it explores how Patient-Reported Experience Measures (PREMs) relate to Patient-Reported Outcome Measures (PROMs), including indicators derived from the PaRIS Health Survey (Patient-Reported Indicator Survey) instrument and PROMIS Global Health-10.
METHODS: A cross-sectional survey was conducted among 205 cancer patients. Data were collected using PROMIS Global Health-10 questionnaire and selected items from the PaRIS Health Survey. Descriptive statistics were used, with continuous variables expressed as mean ±SD and categorical variables as frequencies and percentages. Associations between PREMs and PROMs were assessed using Spearman’s rank correlation coefficients, with statistical significance set at p < 0.05. Analyses were performed using IBM SPSS Statistics version 30.0.
RESULTS: The sample was predominantly female (80%), aged 50-59 years (40.9%), married (69.2%), employed (39.5%), with secondary education (39.5%) and mainly from Eastern Macedonia and Thrace (21.4%). Mean scores were 32.8 for Global 10 Sum, 13.2 for Global Physical Health, 13 for Global Mental Health, and 0.661 for EQ-5D. The strongest and most consistent associations were found for self-confidence in managing health and well-being (r = 0.345-0.437, p < 0.001) and for the perception of the effectiveness of the care plan (r = 0.304-0.382, p < 0.001-0.008) across all measures (except estimated EQ5D). For the estimated EQ5D, the strongest correlation was observed with participants' self-confidence in managing their health and well-being (r = 0.373, p < 0.001).
CONCLUSIONS: Patient experience was positively associated with physical health, mental health, and overall quality of life. The study highlights the importance of incorporating both patient experience and patient-reported outcomes into healthcare evaluation. Moving beyond purely clinical indicators can support the development of more patient-centered and value-based models of cancer care, ultimately improving healthcare quality for cancer patients.
METHODS: A cross-sectional survey was conducted among 205 cancer patients. Data were collected using PROMIS Global Health-10 questionnaire and selected items from the PaRIS Health Survey. Descriptive statistics were used, with continuous variables expressed as mean ±SD and categorical variables as frequencies and percentages. Associations between PREMs and PROMs were assessed using Spearman’s rank correlation coefficients, with statistical significance set at p < 0.05. Analyses were performed using IBM SPSS Statistics version 30.0.
RESULTS: The sample was predominantly female (80%), aged 50-59 years (40.9%), married (69.2%), employed (39.5%), with secondary education (39.5%) and mainly from Eastern Macedonia and Thrace (21.4%). Mean scores were 32.8 for Global 10 Sum, 13.2 for Global Physical Health, 13 for Global Mental Health, and 0.661 for EQ-5D. The strongest and most consistent associations were found for self-confidence in managing health and well-being (r = 0.345-0.437, p < 0.001) and for the perception of the effectiveness of the care plan (r = 0.304-0.382, p < 0.001-0.008) across all measures (except estimated EQ5D). For the estimated EQ5D, the strongest correlation was observed with participants' self-confidence in managing their health and well-being (r = 0.373, p < 0.001).
CONCLUSIONS: Patient experience was positively associated with physical health, mental health, and overall quality of life. The study highlights the importance of incorporating both patient experience and patient-reported outcomes into healthcare evaluation. Moving beyond purely clinical indicators can support the development of more patient-centered and value-based models of cancer care, ultimately improving healthcare quality for cancer patients.
Conference/Value in Health Info
2026-11, ISPOR Europe 2026, Vienna, Austria
Value in Health, Volume 29, Issue 12S
Code
PCR241
Topic
Clinical Outcomes, Health Service Delivery & Process of Care, Patient-Centered Research
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes
Disease
Oncology