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Patient-Provider Communication and Treatment Decision-Making among Latino Men with Prostate Cancer: A Qualitative
Victoria E Rodriguez1, Briseyda Mendoza-Aguayo2, Janet Rodriguez3
1Department of Obstetrics & Gynecology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
Patient-provider communication significantly impacts prostate cancer treatment decisions for Hispanic/Latino men. Strong relationships foster shared decision-making, while poor communication leads to deference to authority.
Area of Science:
- Oncology
- Health Services Research
- Health Communication
Background:
- Prostate cancer is the most frequent cancer diagnosis in U.S. Hispanic/Latino men.
- Limited understanding exists regarding patient-provider communication's role in prostate cancer knowledge and treatment decisions among this demographic.
Purpose of the Study:
- To explore how patient-provider communication influences prostate cancer knowledge and treatment decision-making among Hispanic/Latino prostate cancer patients.
- Focus on experiences within Los Angeles County.
Main Methods:
- Conducted semi-structured focus groups and individual interviews.
- Included 26 Hispanic/Latino men recently diagnosed with prostate cancer.
- Data collected from Urology clinics at USC Norris Comprehensive Cancer Center and Los Angeles General Medical Center (May 2020 - October 2022).
Main Results:
- Patient-provider relationships and communication critically shape prostate cancer treatment decisions.
- Positive relationships (attentiveness, clear information, resources) promote shared decision-making and trust-based deference.
- Negative relationships (inattentiveness, lack of information, poor tone) result in authority-based deference.
Conclusions:
- Emphasizes the crucial role of patient-provider relationships in enhancing care experiences.
- Highlights the importance of these relationships for facilitating shared decision-making among Latino prostate cancer patients.
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