ArticleBMC health services research2024
Inequalities in patients' experiences with cancer care: the role of economic and health literacy determinants.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Gender differences in cancer care experiences in Switzerland: a multicentre cross-sectional study.BMJ open · 2026Article
- Nutritional management practices and perspectives of Radiation Oncologists: outcomes of an International Atomic Energy Agency survey.Clinical and translational radiation oncology · 2026Article
- Digital and Navigational Health Literacy in Swiss Cancer Survivors Compared With the General Population: Cross-Sectional Questionnaire Study.Journal of medical Internet research · 2026Article
- Parent Perspectives on Physical Therapy for Their Child with Acute Lymphoblastic Leukemia:Current oncology (Toronto, Ont.) · 2026Article
- Socioeconomic disparities in patient-reported outcomes, health literacy, and access to care among patients with primary brain tumors: findings from the All of Us Research Program.Journal of neuro-oncology · 2025Article
- From 'Sovereign Self-Proclaimed Experts' to 'Impressionable Sceptics'-Developing a Patient Typology to Distinguish Patients' Interactions With Healthcare: A Qualitative Study in Germany.The International journal of health planning and management · 2025Article
- Beyond Barriers: Achieving True Equity in Cancer Care.Current oncology (Toronto, Ont.) · 2025Review
- Experiences and Needs of Swiss Cancer Survivors in the Domains of Health-Related Information and the Healthcare System.Cancers · 2024Article
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4 authors.
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Abstract
backgroundPatients with fewer socioeconomic and health literacy resources are disadvantaged in their access and use of healthcare, which may give rise to worse experiences with care and thus inequalities in patient experiences. However, only a limited number of studies have examined how socioeconomic and health literacy factors shape inequalities in patients' experiences with cancer care.
objectiveTo examine whether patients' experiences with cancer care differ according to their economic status and health literacy.
methodsSecondary analysis of data on 2789 adult patients diagnosed with cancer from the Swiss Cancer Patient Experiences-2 (SCAPE-2) study, a cross-sectional survey conducted in eight hospitals across Switzerland from September 2021 to February 2022. Regression analysis was applied to examine the independent effect of patients' economic status and health literacy on various outcomes of experiences with cancer care, covering eight different dimensions of patient-centred care, controlling for confounding factors.
resultsAdjusted regression analysis showed that patients with lower economic status reported significantly worse experiences with cancer care in 12 out of 29 specific care experiences, especially in the dimensions of 'respect for patients' preferences' and 'physical comfort' where all items of experiences were associated with economic status. Additionally, lower health literacy was associated with worse patient experiences in 23 specific care experiences. All items in the dimensions of 'respect for patients' preferences', 'physical comfort' and 'emotional support' were associated with health literacy. DISCUSSION: This study revealed significant inequalities in experiences with cancer care shaped by the economic status and health literacy of patients across different dimensions of patient-centred care. It is essential to address the needs of more disadvantaged patients who face obstacles in their access and use of the healthcare system, not only to mitigate inequalities in cancer care but also to avoid inequalities in health outcomes.
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