Perception of care by cancer patients attending outpatient clinics in Trinidad and Tobago

ABSTRACT

OBJECTIVE: To analyze perceptions of the care by cancer patients towards improved oncology service delivery at outpatient clinics. DESIGN AND METHODS: This cross-sectional study collected and analyzed data on perception of care using a self-administered questionnaire from a convenience sample of cancer patients attending 6 public and private hospitals between June and December 2013 in Trinidad and Tobago. RESULTS: Over a third of the outpatients (720/2018), including 30 children participated. MF was 12.1. Most (91%) were >40 years old with peak age between 61-70 years. More than one half waited >1 month to seek medical attention and one fifth started treatment >3 months after diagnosis. About 75% rated their overall care as very good and attributed this to the warm and friendly staff, and 90% would recommend the institution to others. Respondents complained about long waiting times, late receipt of blood results, delayed treatment because of equipment breakdown and no drugs, being seen by a different doctor at each visit and cramped waiting room space. CONCLUSION: The authorities should address the complaints of respondents and maintain the friendliness and warmth of the staff. A public awareness communication strategy should be implemented to promote early detection of cancer and early referral for specialist medical attention.