Understanding the influences and impact of patient-clinician communication in cancer care.
Background Patient-clinician communication is thought to be central to care outcomes, but when and how communication affects patient outcomes is not well understood. Objective We propose a conceptual model and classification framework upon which the empirical evidence base for the impact of patient-...
| Published in: | Health Expectations Vol. 20; no. 6; pp. 1385 - 1393 |
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| Main Authors: | , , |
| Format: | tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Dec2017
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126261695&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 126261695 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Dec2017 vid: 20 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 126261695 126261695 126261695 10.1111/hex.12579 126261695 ppf: 1385 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Understanding the influences and impact of patient-clinician communication in cancer care. aug: au: Lafata, Jennifer Elston Shay, Laura A. Winship, Jodi M. affil: UNC Lineberger Comprehensive Cancer Center and UNC Eshelman School of Pharmacy, The University of North Carolina, Chapel Hill NC, USA sug: subj: Oncologic Care Physician-Patient Relations Communication Decision Making, Shared Cancer Screening Conceptual Framework Treatment Outcomes Communication Classification ab: Background Patient-clinician communication is thought to be central to care outcomes, but when and how communication affects patient outcomes is not well understood. Objective We propose a conceptual model and classification framework upon which the empirical evidence base for the impact of patient-clinician communication can be summarized and further built. Design We use the proposed model and framework to summarize findings from two recent systematic reviews, one evaluating the use of shared decision making (SDM) on cancer care outcomes and the other evaluating the role of physician recommendation in cancer screening use. Key results Using this approach, we identified clusters of studies with positive findings, including those relying on the measurement of SDM from the patients' perspective and affective-cognitive outcomes, particularly in the context of surgical treatment decision making. We also identify important gaps in the literature, including the role of SDM in post-surgical treatment and end-of-life care decisions, and those specifying particular physician communication strategies when recommending cancer screening. Conclusions Transparent linkages between key conceptual domains and the influence of methodological approaches on observed patient outcomes are needed to advance our understanding of how and when patient-clinician communication influences patient outcomes. The proposed conceptual model and classification framework can be used to facilitate the translation of empirical evidence into practice and to identify critical gaps in knowledge regarding how and when patient-clinician communication impacts care outcomes in the context of cancer and health care more broadly. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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