Patient Satisfaction Following Multidisciplinary Cancer Care Assessment in Day Hospital: A Prospective Observational Study.

Cancer care requires a multidisciplinary and patient-centered approach to address the complex medical, psychological, and social needs of patients. In this context, a "complex assessment" program has been implemented in the Day Hospital (HDJ) of the Centre Hospitalier de Martigues for patients with various types of cancer (breast, gynecological, urological, digestive, hematological, and pulmonary) prior to initiation of injectable anticancer therapies.

This program involves coordinated consultations with multiple healthcare professionals, including a pharmacist, dietitian, psychologist, social worker, and supportive care providers. The aim is to identify vulnerabilities, optimize supportive care, and improve the overall patient care pathway.

This study is designed as a prospective observational study evaluating patient satisfaction with this multidisciplinary intervention. All eligible adult patients who undergo the Day Hospital complex assessment are invited to complete an anonymous satisfaction questionnaire. The questionnaire includes items related to the quality of care, interactions with healthcare professionals, organization of care, and overall satisfaction, as well as a Net Promoter Score (NPS).

The primary endpoint is the proportion of patients reporting high overall satisfaction. Secondary endpoints include satisfaction levels by healthcare professional category, identification of determinants associated with satisfaction, and evaluation of the NPS according to demographic and clinical characteristics.

Statistical analyses will include descriptive statistics, univariate and multivariate analyses to identify factors associated with patient satisfaction. Results from this study will provide valuable insights into patient experience and contribute to the continuous improvement of multidisciplinary oncology care in a non-university hospital setting.

Inclusion criteria

• Adult patients (≥ 18 years old)
• Patients undergoing a multidisciplinary "complex assessment" in a Day Hospital setting
• Patients diagnosed with cancer and scheduled to receive injectable anticancer treatment
• Ability to understand and complete the satisfaction questionnaire
• Patients who have been informed and have not opposed participation

Exclusion criteria

• Patients under 18 years of age
• Patients unable to complete the questionnaire (e.g., severe cognitive impairment or major language barrier)
• Patients who refuse participation
• Patients with incomplete Day Hospital complex assessment
• Patients under legal protection (guardianship or curatorship)

Patients under legal protection (guardianship or curatorship)