Impact of caregivers' unmet needs for supportive care on quality of terminal cancer care delivered and caregiver's workforce performance

Sang Min Park, Young Jin Kim, Samyong Kim, Jong Soo Choi, Ho Yeong Lim, Youn Seon Choi, Young Seon Hong, Si Young Kim, Dae Seog Heo, Ki Moon Kang, Hyun Sik Jeong, Chang Geol Lee, Do Ho Moon, Jin Young Choi, In Sik Kong, Young Ho Yun

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

Goals of work Family caregivers play an important role in caring for cancer patients, but the impact of caregivers' unmet needs on the quality of end-of-life (EOL) care they deliver and on their workplace performance are less understood. Patients and methods We identified 1,662 family care-givers of cancer patients who had died at any of 17 hospitals in Korea during 2004. The caregivers answered a telephone questionnaire about needs that were not met when they delivered terminal cancer care and how those unmet their needs affected their workplace performance; they also answered the Quality Care Questionnaire-End of Life (QCQ-EOL). Results Compared with caregivers who did not have unmet needs, caregivers who had unmet needs for symptom management, financial support, or community support showed poorer QCQ-EOL scores (P<0.01). Caregivers who had unmet needs for financial support (adjusted odds ratio (aOR)=7.55; 95% confidential interval (CI) 3.80-15.00), psychosocial support (aOR=6.24; 95% CI 2.95-13.05), symptom management (aOR=3.21; 95% CI 2.26-4.54), community support (aOR=3.82; 95% CI 2.38-6.11), or religious support (aOR=4.55; 95% CI 1.84-11.26) were more likely to experience work limitations. Caregivers of patients receiving conventional hospital care were more likely to have unmet needs for symptom management (aOR=1.21; 95% CI 1.00-1.47), psychosocial support (aOR=1.99; 95% CI 1.37-2.88), and religious support (aOR=1.73; 95% CI 1.08-2.78) than those of patients receiving palliative hospice care. Conclusions Caregivers' unmet needs negatively affected both the quality of EOL care they delivered and their workplace performance. More investment in caregiver support and public policies that meet caregiver needs are needed, and hospice use should be encouraged.

Original languageEnglish
Pages (from-to)699-706
Number of pages8
JournalSupportive Care in Cancer
Volume18
Issue number6
DOIs
Publication statusPublished - 2010 Jun 1

Fingerprint

Terminal Care
Quality of Health Care
Caregivers
Odds Ratio
Neoplasms
Workplace
Financial Support
Quality of Life
Hospice Care
Hospices
Public Policy
Korea
Palliative Care
Telephone

Keywords

  • Caregivers
  • Terminal cancer care
  • Unmet need
  • Workforce performance

ASJC Scopus subject areas

  • Oncology

Cite this

Impact of caregivers' unmet needs for supportive care on quality of terminal cancer care delivered and caregiver's workforce performance. / Park, Sang Min; Kim, Young Jin; Kim, Samyong; Choi, Jong Soo; Lim, Ho Yeong; Choi, Youn Seon; Hong, Young Seon; Kim, Si Young; Heo, Dae Seog; Kang, Ki Moon; Jeong, Hyun Sik; Lee, Chang Geol; Moon, Do Ho; Choi, Jin Young; Kong, In Sik; Yun, Young Ho.

In: Supportive Care in Cancer, Vol. 18, No. 6, 01.06.2010, p. 699-706.

Research output: Contribution to journalArticle

Park, SM, Kim, YJ, Kim, S, Choi, JS, Lim, HY, Choi, YS, Hong, YS, Kim, SY, Heo, DS, Kang, KM, Jeong, HS, Lee, CG, Moon, DH, Choi, JY, Kong, IS & Yun, YH 2010, 'Impact of caregivers' unmet needs for supportive care on quality of terminal cancer care delivered and caregiver's workforce performance', Supportive Care in Cancer, vol. 18, no. 6, pp. 699-706. https://doi.org/10.1007/s00520-009-0668-5
Park, Sang Min ; Kim, Young Jin ; Kim, Samyong ; Choi, Jong Soo ; Lim, Ho Yeong ; Choi, Youn Seon ; Hong, Young Seon ; Kim, Si Young ; Heo, Dae Seog ; Kang, Ki Moon ; Jeong, Hyun Sik ; Lee, Chang Geol ; Moon, Do Ho ; Choi, Jin Young ; Kong, In Sik ; Yun, Young Ho. / Impact of caregivers' unmet needs for supportive care on quality of terminal cancer care delivered and caregiver's workforce performance. In: Supportive Care in Cancer. 2010 ; Vol. 18, No. 6. pp. 699-706.
@article{4239c28edd664085b5738584ffc99535,
title = "Impact of caregivers' unmet needs for supportive care on quality of terminal cancer care delivered and caregiver's workforce performance",
abstract = "Goals of work Family caregivers play an important role in caring for cancer patients, but the impact of caregivers' unmet needs on the quality of end-of-life (EOL) care they deliver and on their workplace performance are less understood. Patients and methods We identified 1,662 family care-givers of cancer patients who had died at any of 17 hospitals in Korea during 2004. The caregivers answered a telephone questionnaire about needs that were not met when they delivered terminal cancer care and how those unmet their needs affected their workplace performance; they also answered the Quality Care Questionnaire-End of Life (QCQ-EOL). Results Compared with caregivers who did not have unmet needs, caregivers who had unmet needs for symptom management, financial support, or community support showed poorer QCQ-EOL scores (P<0.01). Caregivers who had unmet needs for financial support (adjusted odds ratio (aOR)=7.55; 95{\%} confidential interval (CI) 3.80-15.00), psychosocial support (aOR=6.24; 95{\%} CI 2.95-13.05), symptom management (aOR=3.21; 95{\%} CI 2.26-4.54), community support (aOR=3.82; 95{\%} CI 2.38-6.11), or religious support (aOR=4.55; 95{\%} CI 1.84-11.26) were more likely to experience work limitations. Caregivers of patients receiving conventional hospital care were more likely to have unmet needs for symptom management (aOR=1.21; 95{\%} CI 1.00-1.47), psychosocial support (aOR=1.99; 95{\%} CI 1.37-2.88), and religious support (aOR=1.73; 95{\%} CI 1.08-2.78) than those of patients receiving palliative hospice care. Conclusions Caregivers' unmet needs negatively affected both the quality of EOL care they delivered and their workplace performance. More investment in caregiver support and public policies that meet caregiver needs are needed, and hospice use should be encouraged.",
keywords = "Caregivers, Terminal cancer care, Unmet need, Workforce performance",
author = "Park, {Sang Min} and Kim, {Young Jin} and Samyong Kim and Choi, {Jong Soo} and Lim, {Ho Yeong} and Choi, {Youn Seon} and Hong, {Young Seon} and Kim, {Si Young} and Heo, {Dae Seog} and Kang, {Ki Moon} and Jeong, {Hyun Sik} and Lee, {Chang Geol} and Moon, {Do Ho} and Choi, {Jin Young} and Kong, {In Sik} and Yun, {Young Ho}",
year = "2010",
month = "6",
day = "1",
doi = "10.1007/s00520-009-0668-5",
language = "English",
volume = "18",
pages = "699--706",
journal = "Supportive Care in Cancer",
issn = "0941-4355",
publisher = "Springer Verlag",
number = "6",

}

TY - JOUR

T1 - Impact of caregivers' unmet needs for supportive care on quality of terminal cancer care delivered and caregiver's workforce performance

AU - Park, Sang Min

AU - Kim, Young Jin

AU - Kim, Samyong

AU - Choi, Jong Soo

AU - Lim, Ho Yeong

AU - Choi, Youn Seon

AU - Hong, Young Seon

AU - Kim, Si Young

AU - Heo, Dae Seog

AU - Kang, Ki Moon

AU - Jeong, Hyun Sik

AU - Lee, Chang Geol

AU - Moon, Do Ho

AU - Choi, Jin Young

AU - Kong, In Sik

AU - Yun, Young Ho

PY - 2010/6/1

Y1 - 2010/6/1

N2 - Goals of work Family caregivers play an important role in caring for cancer patients, but the impact of caregivers' unmet needs on the quality of end-of-life (EOL) care they deliver and on their workplace performance are less understood. Patients and methods We identified 1,662 family care-givers of cancer patients who had died at any of 17 hospitals in Korea during 2004. The caregivers answered a telephone questionnaire about needs that were not met when they delivered terminal cancer care and how those unmet their needs affected their workplace performance; they also answered the Quality Care Questionnaire-End of Life (QCQ-EOL). Results Compared with caregivers who did not have unmet needs, caregivers who had unmet needs for symptom management, financial support, or community support showed poorer QCQ-EOL scores (P<0.01). Caregivers who had unmet needs for financial support (adjusted odds ratio (aOR)=7.55; 95% confidential interval (CI) 3.80-15.00), psychosocial support (aOR=6.24; 95% CI 2.95-13.05), symptom management (aOR=3.21; 95% CI 2.26-4.54), community support (aOR=3.82; 95% CI 2.38-6.11), or religious support (aOR=4.55; 95% CI 1.84-11.26) were more likely to experience work limitations. Caregivers of patients receiving conventional hospital care were more likely to have unmet needs for symptom management (aOR=1.21; 95% CI 1.00-1.47), psychosocial support (aOR=1.99; 95% CI 1.37-2.88), and religious support (aOR=1.73; 95% CI 1.08-2.78) than those of patients receiving palliative hospice care. Conclusions Caregivers' unmet needs negatively affected both the quality of EOL care they delivered and their workplace performance. More investment in caregiver support and public policies that meet caregiver needs are needed, and hospice use should be encouraged.

AB - Goals of work Family caregivers play an important role in caring for cancer patients, but the impact of caregivers' unmet needs on the quality of end-of-life (EOL) care they deliver and on their workplace performance are less understood. Patients and methods We identified 1,662 family care-givers of cancer patients who had died at any of 17 hospitals in Korea during 2004. The caregivers answered a telephone questionnaire about needs that were not met when they delivered terminal cancer care and how those unmet their needs affected their workplace performance; they also answered the Quality Care Questionnaire-End of Life (QCQ-EOL). Results Compared with caregivers who did not have unmet needs, caregivers who had unmet needs for symptom management, financial support, or community support showed poorer QCQ-EOL scores (P<0.01). Caregivers who had unmet needs for financial support (adjusted odds ratio (aOR)=7.55; 95% confidential interval (CI) 3.80-15.00), psychosocial support (aOR=6.24; 95% CI 2.95-13.05), symptom management (aOR=3.21; 95% CI 2.26-4.54), community support (aOR=3.82; 95% CI 2.38-6.11), or religious support (aOR=4.55; 95% CI 1.84-11.26) were more likely to experience work limitations. Caregivers of patients receiving conventional hospital care were more likely to have unmet needs for symptom management (aOR=1.21; 95% CI 1.00-1.47), psychosocial support (aOR=1.99; 95% CI 1.37-2.88), and religious support (aOR=1.73; 95% CI 1.08-2.78) than those of patients receiving palliative hospice care. Conclusions Caregivers' unmet needs negatively affected both the quality of EOL care they delivered and their workplace performance. More investment in caregiver support and public policies that meet caregiver needs are needed, and hospice use should be encouraged.

KW - Caregivers

KW - Terminal cancer care

KW - Unmet need

KW - Workforce performance

UR - http://www.scopus.com/inward/record.url?scp=77953613911&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77953613911&partnerID=8YFLogxK

U2 - 10.1007/s00520-009-0668-5

DO - 10.1007/s00520-009-0668-5

M3 - Article

C2 - 19484480

AN - SCOPUS:77953613911

VL - 18

SP - 699

EP - 706

JO - Supportive Care in Cancer

JF - Supportive Care in Cancer

SN - 0941-4355

IS - 6

ER -