Work

Empathy, access, and delays: determinants of oncology care satisfaction in Polish academic and nonacademic hospitals

Year: 2026

Type: article

Abstract: BACKGROUND: Patient satisfaction is a critical measure of healthcare quality, particularly in oncology, where treatment outcomes are deeply intertwined with patients' emotional and psychological experiences. This study assessed satisfaction levels among oncology patients treated in academic and nonacademic hospitals in Poland, identifying key determinants of satisfaction and disparities between these settings. MATERIALS AND METHODS: We conducted a cross-sectional study of 546 oncology patients using a structured survey that assessed demographic, clinical, and experiential variables. Comparative and regression analyses evaluated the impact of factors such as staff empathy, specialist accessibility, and treatment delays on satisfaction. Subgroup analyses explored demographic differences, including age and gender, and their influence on patient experiences. RESULTS: Patients treated in academic hospitals reported significantly higher satisfaction compared to those in nonacademic settings (P < .05). Key predictors of satisfaction included respect and empathy (coefficient = 0.338, P < .001), access to specialists (coefficient = 0.170, P < 0.001), and shorter treatment delays (coefficient = -0.426, P < .001). Younger patients and women exhibited greater emotional distress and financial concerns, with the <30-year age group reporting the highest financial fear (61.5%). Treatment delays in nonacademic hospitals were associated with a 42.6% reduction in the likelihood of satisfaction per additional month (P < .001). CONCLUSIONS: This study highlights the systemic and demographic disparities in oncology care satisfaction in Poland, with academic hospitals demonstrating superior outcomes. Addressing treatment delays, enhancing access to specialists, and prioritizing empathy in patient interactions are critical to improving satisfaction. Targeted support for younger patients and women, including psychological and financial interventions, is urgently needed to mitigate the disproportionate burden they face. These findings provide actionable insights to bridge gaps in oncology care quality and equity.

Source: The Oncologist

DOI: 10.1093/oncolo/oyag046