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Related Experiment Videos

Telling the patient.

A W Ward

    The Journal of the Royal College of General Practitioners
    |July 1, 1974
    PubMed
    Summary
    This summary is machine-generated.

    Most general practitioners rarely discussed malignant disease diagnoses or prognoses with patients. Discussions were more common with women and higher social classes, yet many patients knew their condition regardless.

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    Area of Science:

    • Oncology
    • Palliative Care
    • Medical Ethics

    Background:

    • Effective communication regarding cancer diagnosis and prognosis is crucial in patient care.
    • Understanding patient awareness of their condition impacts treatment decisions and quality of life.
    • Physician-patient communication patterns in terminal illness are an important area of medical research.

    Purpose of the Study:

    • To investigate the extent to which general practitioners discussed malignant disease diagnoses and prognoses with their patients.
    • To identify factors influencing these discussions, such as patient gender and social class.
    • To compare physician and caregiver perceptions of patient awareness of their condition.

    Main Methods:

    • Survey of general practitioners (GPs) for 279 deceased patients with malignant disease.
    Keywords:
    Empirical Approach

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  • Inquiry into whether GPs discussed diagnosis and prognosis with patients.
  • Data collection on patient demographics (gender, social class) and caregiver-reported patient awareness.
  • Main Results:

    • Only 13% of GPs reported discussing malignant disease diagnosis and prognosis with patients.
    • Discussions were more frequent with female patients and those from higher social classes (1 and 2).
    • GPs estimated 46% of patients knew their diagnosis, while caregivers estimated 54% knew.

    Conclusions:

    • There is a significant deficit in communication between GPs and patients regarding malignant disease.
    • Patient gender and social class appear to influence the likelihood of these sensitive discussions.
    • Discrepancies exist between physician and caregiver perceptions of patient awareness, highlighting communication challenges.