Perceptions of Quality in Interventional Oncology

Eric J. Keller*, Kristie Y. Kennedy, Akash P. Patel, Maja Ivanovic, Jeremy D Collins, Kent T Sato, Bartley Garver Thornburg, Ahsun Riaz, Albert A Nemcek Jr, Kush R Desai, Robert J Lewandowski, Riad Salem, Robert L Vogelzang, Ryan Hickey

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Purpose: To inductively characterize perceptions of quality in interventional oncology (IO) based on values and experiences of patients and referring providers. Materials and Methods: Brief ethnographic interviews were completed with referring providers and patients before and after a variety of liver-directed procedures about their experiences, concerns, and perceptions of IO services at a single institution. Constructivist grounded theory was used to systematically analyze interview transcripts for themes until thematic saturation was achieved. All transcripts were analyzed by a reviewer with 3-years of experience performing such analyses, and 50% were randomly selected to be coded by 2 additional blinded reviewers. Interreviewer agreement was assessed via Cohen κ. Results: Interviews with 22 patients (mean age, 65 y ± 13; 9 women) and 12 providers (mean age, 54 y ± 9; 6 women) were required to reach and confirm thematic saturation. Interreviewer agreement for interview themes was excellent (κ = 0.78; P <.001). Perceptions of high-quality IO care relied on interventional radiologists being responsive, friendly, and open; engaging in multidisciplinary collaboration; having thoughtful, dedicated support staff; and facilitating well-coordinated care after procedures and follow-up more than technical expertise and periprocedural comfort. Patient and provider perceptions of quality differed, but disjointed care after procedures was the most common critique among both groups. Conclusions: An inductive qualitative approach effectively characterized specific aspects of perceptions of high-quality IO care among patients and referring providers.

Original languageEnglish (US)
Pages (from-to)367-372.e1
JournalJournal of Vascular and Interventional Radiology
Volume29
Issue number3
DOIs
StatePublished - Mar 1 2018

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Interviews
Professional Competence
Patient Care
Liver
Grounded Theory
Radiologists

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Keller, E. J., Kennedy, K. Y., Patel, A. P., Ivanovic, M., Collins, J. D., Sato, K. T., ... Hickey, R. (2018). Perceptions of Quality in Interventional Oncology. Journal of Vascular and Interventional Radiology, 29(3), 367-372.e1. https://doi.org/10.1016/j.jvir.2017.10.033
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Perceptions of Quality in Interventional Oncology. / Keller, Eric J.; Kennedy, Kristie Y.; Patel, Akash P.; Ivanovic, Maja; Collins, Jeremy D; Sato, Kent T; Thornburg, Bartley Garver; Riaz, Ahsun; Nemcek Jr, Albert A; Desai, Kush R; Lewandowski, Robert J; Salem, Riad; Vogelzang, Robert L; Hickey, Ryan.

In: Journal of Vascular and Interventional Radiology, Vol. 29, No. 3, 01.03.2018, p. 367-372.e1.

Research output: Contribution to journalArticle

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AU - Keller, Eric J.

AU - Kennedy, Kristie Y.

AU - Patel, Akash P.

AU - Ivanovic, Maja

AU - Collins, Jeremy D

AU - Sato, Kent T

AU - Thornburg, Bartley Garver

AU - Riaz, Ahsun

AU - Nemcek Jr, Albert A

AU - Desai, Kush R

AU - Lewandowski, Robert J

AU - Salem, Riad

AU - Vogelzang, Robert L

AU - Hickey, Ryan

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N2 - Purpose: To inductively characterize perceptions of quality in interventional oncology (IO) based on values and experiences of patients and referring providers. Materials and Methods: Brief ethnographic interviews were completed with referring providers and patients before and after a variety of liver-directed procedures about their experiences, concerns, and perceptions of IO services at a single institution. Constructivist grounded theory was used to systematically analyze interview transcripts for themes until thematic saturation was achieved. All transcripts were analyzed by a reviewer with 3-years of experience performing such analyses, and 50% were randomly selected to be coded by 2 additional blinded reviewers. Interreviewer agreement was assessed via Cohen κ. Results: Interviews with 22 patients (mean age, 65 y ± 13; 9 women) and 12 providers (mean age, 54 y ± 9; 6 women) were required to reach and confirm thematic saturation. Interreviewer agreement for interview themes was excellent (κ = 0.78; P <.001). Perceptions of high-quality IO care relied on interventional radiologists being responsive, friendly, and open; engaging in multidisciplinary collaboration; having thoughtful, dedicated support staff; and facilitating well-coordinated care after procedures and follow-up more than technical expertise and periprocedural comfort. Patient and provider perceptions of quality differed, but disjointed care after procedures was the most common critique among both groups. Conclusions: An inductive qualitative approach effectively characterized specific aspects of perceptions of high-quality IO care among patients and referring providers.

AB - Purpose: To inductively characterize perceptions of quality in interventional oncology (IO) based on values and experiences of patients and referring providers. Materials and Methods: Brief ethnographic interviews were completed with referring providers and patients before and after a variety of liver-directed procedures about their experiences, concerns, and perceptions of IO services at a single institution. Constructivist grounded theory was used to systematically analyze interview transcripts for themes until thematic saturation was achieved. All transcripts were analyzed by a reviewer with 3-years of experience performing such analyses, and 50% were randomly selected to be coded by 2 additional blinded reviewers. Interreviewer agreement was assessed via Cohen κ. Results: Interviews with 22 patients (mean age, 65 y ± 13; 9 women) and 12 providers (mean age, 54 y ± 9; 6 women) were required to reach and confirm thematic saturation. Interreviewer agreement for interview themes was excellent (κ = 0.78; P <.001). Perceptions of high-quality IO care relied on interventional radiologists being responsive, friendly, and open; engaging in multidisciplinary collaboration; having thoughtful, dedicated support staff; and facilitating well-coordinated care after procedures and follow-up more than technical expertise and periprocedural comfort. Patient and provider perceptions of quality differed, but disjointed care after procedures was the most common critique among both groups. Conclusions: An inductive qualitative approach effectively characterized specific aspects of perceptions of high-quality IO care among patients and referring providers.

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