کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3815117 1246059 2009 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Patients’ reflections on communication in the second-opinion hematology–oncology consultation
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
Patients’ reflections on communication in the second-opinion hematology–oncology consultation
چکیده انگلیسی

ObjectiveThe nature of communication between patients and their second-opinion hematology consultants may be very different in these one-time consultations than for those that are within long-term relationships. This study explored patients’ perceptions of their second-opinion hematology–oncology consultation to investigate physician–patient communication in malignant disease at a critical juncture in cancer patients’ care and decision-making.MethodsIn-depth telephone interviews with a subset of 20 patients from a larger study, following their subspecialty hematology consultations.ResultsMost patients wanted to contribute to the consultation agenda, but were unable to do so. Patients sought expert and honest advice delivered with empathy, though most did not expect the consultant to directly address their emotions. They wanted the physician to apply his/her knowledge to the specifics of their individual cases, and were disappointed and distrustful when physicians cited only general prognostic statistics. In contrast, physicians’ consideration of the unique elements of patients’ cases, and demonstrations of empathy and respect made patients’ feel positively about the encounter, regardless of the prognosis.ConclusionsPatients provided concrete recommendations for physician and patient behaviors to enhance the consultation.Practice implicationsConsideration of these recommendations may result in more effective communication and increased patient satisfaction with medical visits.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Patient Education and Counseling - Volume 76, Issue 1, July 2009, Pages 44–50
نویسندگان
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