Structured multi-disciplinary psychosocial care for cancer patients and the perceived quality of care from the patient perspective: a cluster-randomized trial.

摘要: We examined whether multi-disciplinary stepped psychosocial care for cancer patients improves quality of from the patient perspective. In a university hospital, wards were randomly allocated to either or standard care. Stepped comprised screening distress, consultation between doctor and patient, provision services. Quality was measured with Care Patient Perspective questionnaire. The analysis employed mixed-effects multivariate regression, adjusting age gender. Thirteen randomized, 1012 participated (n = 570 in n = 442 care). Patients who highly distressed at baseline had 2.3 times odds saying they possibility converse private doctors and/or psychologists/social workers when compared care, 1.3 reporting having experienced shared decision-making, 1.1 experiencing their as empathic personal, 0.6 ward be oriented. There no evidence an effect on perceived moderate low distress. can improve some aspects patients. http://www.clinicaltrials.gov . NCT01859429.