Care Evaluation Scale—Patient Version:
Measuring the Quality of the Structure and Process of Palliative Care From the Patient's Perspective
Journal of Pain and Symptom Management
Volume 48, Issue 1 , Pages 110-118, July 2014
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.
Key Words: Palliative care, quality of care, neoplasms, questionnaires, hospice
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