Care evaluation scale - Patient version: Measuring the quality of the structure and process of palliative care from the patient's perspective

Mitsunori Miyashita, Makoto Wada, Tatsuya Morita, Mayumi Ishida, Hideki Onishi, Satoru Tsuneto, Yasuo Shima

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

Context Recently, greater emphasis has been placed on patient-reported outcomes. However, there are only a few measures to evaluate the quality of care from the patient's perspective. Objectives To report the development of a scale to measure the quality of the structure and process in palliative care from the patient's perspective and examine the reliability and validity of the scale. Methods A cross-sectional anonymous questionnaire was administered to cancer patients who were being treated on an oncology inpatient ward, who visited an oncology outpatient clinic at Saitama Medical University International Medical Center, or who were in an inpatient palliative unit in Japan between August 2007 and March 2008. Results A total of 405 cancer patients participated in the study. Factor analysis revealed that the Care Evaluation Scale - Patient version (CES-P) consisted of 23 items with eight subscales: physical care by physicians, physical care by nurses, psychoexistential care, help with decision making for patients, environment, cost, availability, and coordination/ consistency. The total CES-P score was correlated with satisfaction (r = 0.63) but not with quality of life (r = 0.18). The Cronbach α coefficient of the total score was 0.97, and the intraclass correlation coefficient of the total score was 0.67. The CES-P total score was not significantly correlated with the self-reported Eastern Cooperative Oncology Group performance status (ρ = -0.05). Conclusion The CES-P has sufficient validity and reliability. In addition, this scale is independent of the general physical condition of the patient.

Original languageEnglish
Pages (from-to)110-118
Number of pages9
JournalJournal of Pain and Symptom Management
Volume48
Issue number1
DOIs
Publication statusPublished - 2014 Jul

Keywords

  • Palliative care
  • hospice
  • neoplasms
  • quality of care
  • questionnaires

ASJC Scopus subject areas

  • Nursing(all)
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Fingerprint Dive into the research topics of 'Care evaluation scale - Patient version: Measuring the quality of the structure and process of palliative care from the patient's perspective'. Together they form a unique fingerprint.

Cite this