Demand analysis of health care services for community-dwelling breast cancer survivors based on the Kano model: A cross-sectional study.
Maomao Zhang, Liuliu Zhang, Xiaoxu Zhi and 5 others
PMID 38707692WHAT IT FOUND
Community breast cancer survivors said body image care was essential, not optional.
Medical security and health guidance raised satisfaction when present and lowered it when absent. Door-to-door care was a welcome extra. These are service preferences, not treatment effects.
Key findings
01Body image management was the only service placed in the must-be category by the better-worse analysis.
02Medical security service had the highest better and worse values among the one-dimensional services.
03Door-to-door service had the highest satisfaction value among attractive services.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The survey used convenience sampling at a single tertiary cancer hospital in Nanjing, China, so survivors from other areas or health systems may want different services. The questionnaire was self-designed, although it was based on existing instruments, survivor and family interviews, and expert review. 20 participants returned incomplete questionnaires and 20 gave questionable answers, so the analysed sample was 296 of 336 distributed. The cross-sectional design measured preferences at a single time point, so it cannot show whether demands change over time. The paper reports service demand categories, not clinical outcomes, so it cannot tell whether any service improves survival, quality of life, function or symptom control.
Declared interests
This work was supported by the Nursing Project of Jiangsu Cancer Hospital, the General program of Jiangsu Provincial Health Commission Medical Research, and a Project of the Jiangsu Provincial Hospital Management Association. The authors declared no known competing financial interests or personal relationships that could have influenced the work.
The easy way to misread this
Do not read the must-be, one-dimensional or attractive labels as proof that these services work. The study asked how survivors felt about services being present or absent, not what happened to patients who received them.