PATIENTS’ PERCEPTIONS OF THE QUALITY AND ACCESSIBILITY OF REHABILITATION SERVICES FOR LUNG CANCER: A CROSS-SECTIONAL STUDY
Background. Rehabilitation is a crucial component of comprehensive oncological care, aimed at restoring functional capacity, improving quality of life, and supporting social reintegration in lung cancer patients. Despite significant progress in cancer management, access to rehabilitation services remains uneven, particularly between urban and rural populations.
Aim: to assess perceptions of patients with lung cancer regarding the quality, organization, and accessibility of rehabilitation services across different levels of healthcare in Kazakhstan.
Materials and Methods. A descriptive cross-sectional study was conducted from November 4, 2024 to February 4, 2025 in the Abay region of the Republic of Kazakhstan. The study included 124 patients diagnosed with lung cancer who had received or were undergoing medical rehabilitation. Data were collected through structured interviews and questionnaires assessing socio-demographic characteristics, satisfaction with rehabilitation, and perceptions of service accessibility and quality.
Results. The mean age of participants was 61.6 ± 9.5 years; 70.2% were of Kazakh nationality, and 66.9% resided in urban areas. Most respondents rated the organization of rehabilitation as satisfactory (41.1%) or good (29.0%), while 16.9% described it as excellent and 12.9% as unsatisfactory. Overall, 75.8% of patients reported being satisfied with rehabilitation services. Gender differences were not statistically significant (p>0.05), whereas urban residents demonstrated higher satisfaction compared to rural respondents (p<0.05).
Conclusions. Gender did not significantly influence patients’ perceptions of rehabilitation quality or accessibility, while place of residence was identified as the main determinant. These results correspond with international data emphasizing spatial and systemic inequalities in rehabilitation access. Expanding patient-centered and digital rehabilitation programs, including tele-rehabilitation and regional service integration, may enhance equity, efficiency, and overall quality of oncological rehabilitation in Kazakhstan.
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Adilgazyuly Sh.., Bulegenov T.A., Mussakhanova A.K., Dzhusupov K.O., Tukusova A.K., Medeulova A.R., Tokenova Zh.N., Uruzbayeva G.A., Kussainova A.C., Ikhsanova A.N., Mussakhanova A.E. Patients’ perceptions of the quality and accessibility of rehabilitation services for lung cancer: a cross-sectional study // Nauka i Zdravookhranenie [Science & Healthcare]. 2025. Vol.27 (5), pp. 47-55. doi 10.34689/SH.2025.27.5.006Похожие публикации:
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