医生主导的对话:对疾病的分析,了解晚期癌症患者之间的讨论
Brigitte N Durieux1, Samuel R Zverev2, Nicole D Agaronnik3
1Dana-Farber Cancer Institute, Boston, MA, USA.
医生与患者之间关于癌症的沟通往往不平衡,瘤学家主导讨论. 这种不对称的理解可能会导致癌症护理的差异,需要有针对性的沟通策略.
科学领域:
- 在瘤学瘤学.
- 卫生沟通健康沟通
- 健康差异 在健康上的差异
背景情况:
- 有效的瘤科医生-病人沟通对于理解严重疾病至关重要.
- 沟通不平衡会阻碍共享决策,导致更差的结果.
研究的目的:
- 在有关疾病理解的瘤学家和患者讨论中描述语音失衡.
- 探索患者的特征是否与这些沟通不对称相关.
主要方法:
- 分析了285个音频录音,记录了晚期癌症患者与瘤学家的接触.
- 手动注释以识别疾病理解沟通.
- 计算临床医生与患者的语音比率,将不对称性定义为一个当事人说话的时间>60%.
主要成果:
- 77%的疾病理解讨论是不对称的,临床医生主导.
- 89%的患者经历了不对称的沟通.
- 与其他种族/族群 (82%) 相比,非西班牙裔白人患者的不对称率较低 (73%).
结论:
- 临床医生主导的,不对称的沟通在瘤学家和患者之间的疾病理解讨论中很常见.
- 解决沟通失衡对于减少癌症护理差异至关重要.
- 需要加强临床医生的沟通教育.
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