| Titre : | Patient-provider communication during second opinion consultations in oncology (2021) |
| Auteurs : | Vicky Lehmann, Auteur ; Ellen M.A. Smets, Auteur ; Maxime de Jong, Auteur ; Filip Y.F. de Vos, Auteur |
| Type de document : | Article : texte imprimé |
| Dans : | Patient Education and Counseling (Vol. 104 n°10, October 2021) |
| Article en page(s) : | pp. 2490-2497 |
| Langues : | Anglais |
| Catégories : | |
| Résumé : |
"Abstract
Objective Providing a second opinion (SO) in oncology is complex, and communication during SOs remains poorly understood. This study aimed to systematically observe how patients and oncologists communicate about SO-specific topics (i.e., patient motivation, the referring oncologist, treatment transfer/back-referral), and how such communication affects patient satisfaction. Methods A prospective mixed-methods study of cancer patients seeking a SO (N = 69) and consulting oncologists was conducted. Before the SO, patients reported their expected place of future treatment. Following the SO, patients’ and oncologists’ satisfaction was assessed. All SOs were audio-recorded. Absolute and relative duration of SO-specific talk were calculated and specific events (e.g., questions/utterances) were coded (incl. valence, explicitness). Results SOs lasted 19–73 min, of which 3.7% was spent discussing motivations. Oncologists rarely explored patients’ motivations. Talk about referring oncologists (12.5% of consultation) was mostly critical by patients (M = 43.0%), but positive/confirming by consulting oncologists (M = 73.5%). Although 22.2% of patients expected a treatment transfer, this topic (3.3% of consultation time) was rarely explicitly discussed. Patients who were referred back were significantly less satisfied (d = 0.85). Conclusion Patient-provider communication in oncological SOs appears insufficiently aligned. Practice Implications Patients and oncologists need support to explicitly and productively communicate about SO-specific topics and to better manage expectations. Recommendations are provided." |
| Catalogueur : | RESOdoc |
Exemplaires (1)
| Cote | Code-barres | Support | Localisation | Disponibilité |
|---|---|---|---|---|
| RESO P.12 | RE65682421 | Bulletin | RESOdoc | Consultation sur place Disponible |
