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Health system and patient-level factors associated with multidisciplinary care and patient education among hospitalized, older cancer survivors.


ABSTRACT:

Objective

The purpose of this study was to examine system- and patient-level factors associated with the number of healthcare disciplines involved in delivery of patient education among hospitalized older cancer survivors.

Methods

We used electronic health record (EHR) data from a single institution documenting patient education among hospitalized older patients (≥65 years) with a history of cancer between 9/1/2018 and 10/1/2019. We used parametric ordinal logistic regression to assess the number of healthcare disciplines involved in documented education activities.

Results

The sample (n = 446) was predominantly male, White, and on average 74 years old. Adjusting for patient and system-level variables, men and larger department units had higher odds of receiving education from fewer healthcare disciplines. Patients with a history of breast or prostate cancer and longer lenths of stay had lower odds of receiving patient education from fewer healthcare disciplines.

Conclusion

Hospital size, severity of illness, and cancer type are associated with delivery of multidisciplinary education in this sample.

Innovation

EHR provides an opportunity to identify patterns in patient education among cancer survivors. Future research should investigate provider perspectives of the findings to inform provider- and system-level strategies to improve patient education.

SUBMITTER: Brick R 

PROVIDER: S-EPMC10369477 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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Publications

Health system and patient-level factors associated with multidisciplinary care and patient education among hospitalized, older cancer survivors.

Brick Rachelle R   Hekman Daniel J DJ   Werner Nicole E NE   Rodakowski Juleen J   Cadmus-Bertram Lisa L   Fields Beth B  

PEC innovation 20230719


<h4>Objective</h4>The purpose of this study was to examine system- and patient-level factors associated with the number of healthcare disciplines involved in delivery of patient education among hospitalized older cancer survivors.<h4>Methods</h4>We used electronic health record (EHR) data from a single institution documenting patient education among hospitalized older patients (≥65 years) with a history of cancer between 9/1/2018 and 10/1/2019. We used parametric ordinal logistic regression to a  ...[more]

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