Demand analysis of home care services among breast cancer survivors based on the Kano model

Abstract Purpose Home-based nursing care services can effectively alleviate the pressure of medical and social services caused by the increasing number of breast cancer survivors. However, the precise definition and scope of home care services for breast cancer survivors remain unclear. The aim of this study was to explore the home care services for breast cancer survivors based on the Kano model to improve the quality of care services. Methods A convenience sampling was used to select breast cancer survivors from January 2023 to March 2023 in Jiangsu Cancer Hospital in Nanjing, Jiangsu Province, China. Participants completed a social demographic characteristics questionnaire, and their home nursing service needs were assessed using the Kano model. The home care attributes of the participants were categorized and described based on the Kano model. Results A total of 299 valid questionnaires (88.9%) were collected, evaluating 30 quality attributes of home care services. The findings revealed that 1 (3.3%) service was classified as "must-be quality" (body image management), 13 (43.33%) as "one-dimensional quality", 7 (23.33%) as "attractive quality" (focused on health management and guidance services), and 9 (30%) as "indifferent quality" (mainly in the area of psycho-social support). Conclusion Based on the Kano model, it was found that breast cancer survivors had different level of need for different home care service. Analyzing breast cancer survivors attitudes toward new service items for indifference quality will help service providers determine effective tactics in home care services.