Patient-centered communication in cancer care: Promoting healing and reducing suffering

Epstein, Ronald M.; Street, Richard L.

doi:10.1037/e481972008-001

Cited by 1,015 publications

(1,295 citation statements)

References 0 publications

Supporting

Mentioning

1,222

Contrasting

Unclassified

Order By: Relevance

“…This is a research agenda of growing interest given broadening recognition of the management of uncertainty as a core function of patient-centered communication. 8 …”

Section: Implications For Research and Clinical Practicementioning

confidence: 99%

Varieties of Uncertainty in Health Care: A Conceptual Taxonomy

Han

Klein

Arora

2011

Medical Decision Making

355

527

View full text Add to dashboard Cite

Uncertainty is a pervasive and important problem that has attracted increasing attention in health care, given the growing emphasis on evidence-based medicine, shared decision making, and patient-centered care. However, our understanding of this problem is limited, due in part to the absence of a unified, coherent concept of uncertainty. There are multiple meanings and varieties of uncertainty in health care, which are not often distinguished or acknowledged although each may have unique effects or warrant different courses of action. The literature on uncertainty in health care is thus fragmented, and existing insights have been incompletely translated to clinical practice. In this paper we attempt to address this problem by synthesizing diverse theoretical and empirical literature from the fields of communication, decision science, engineering, health services research, and psychology, and developing a new integrative conceptual taxonomy of uncertainty. We propose a three-dimensional taxonomy that characterizes uncertainty in health care according to its fundamental sources, issues, and locus. We show how this new taxonomy facilitates an organized approach to the problem of uncertainty in health care by clarifying its nature and prognosis, and suggesting appropriate strategies for its analysis and management.

show abstract

“…This is a research agenda of growing interest given broadening recognition of the management of uncertainty as a core function of patient-centered communication. 8 …”

Section: Implications For Research and Clinical Practicementioning

confidence: 99%

Varieties of Uncertainty in Health Care: A Conceptual Taxonomy

Han

Klein

Arora

2011

Medical Decision Making

355

527

View full text Add to dashboard Cite

show abstract

“…Effective patient-clinician communication and shared decision making are key components of patient-centered care, 7 relying on informed, activated, and participatory patients and family members, patient-centered clinicians, and an accessible, well-organized, and responsive healthcare system. However, despite patients' desire for information, deficiencies persist in patient-centered communication While the responsibility for providing prognostic, treatment and cost information belongs to the oncology team, general internists may help patients and families understand the nature of their disease, and provide an overview of their treatment options and healthcare choices.…”

Section: Recommendations 1 and 2: Engaged Patientsmentioning

confidence: 99%

Institute of Medicine Recommendations for Improving the Quality of Cancer Care: What Do They Mean for the General Internist?

Nekhlyudov

Wenger

2014

J GEN INTERN MED

View full text Add to dashboard Cite

“…These skills have the potential to improve patient outcomes as well. These relationships are thoroughly reviewed in the recent monograph on patient-centered communication published by the National Cancer Institute [3]. For example, the Shared Decision-Making skills when applied in a context of communication about clinical trials have been showed to improve patient attitudes toward trial participation [63].…”

Section: Mskcc Comskil Training Programmentioning

confidence: 99%

“…Patient-centered communication can contribute to a decrease in patient anxiety [1,2], the building of therapeutic alliances [3], and the improvement of patient recall [4], satisfaction [2,5], and self-efficacy [3]. Patient-centered communication can also improve clinicians' satisfaction and decrease malpractice claims [6].…”

Section: Introductionmentioning

confidence: 99%

“…Patient-centered communication can also improve clinicians' satisfaction and decrease malpractice claims [6]. Indeed, a case can be made that communication is particularly important in oncology due to complicated treatments and considerable uncertainty [3,7]. However, communication between cancer patients and their clinicians is often not optimal.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The implementation and assessment of a comprehensive communication skills training curriculum for oncologists

et al. 2009

View full text Add to dashboard Cite

Objective: The objective of this paper is to report the implementation and assessment of the Comskil Training Curriculum at Memorial Sloan-Kettering Cancer Center.Method: Twenty-eight attending physicians and surgeons participated in communication skills training modules as part of a train-the-trainer program. Doctors were video recorded in clinical consultations with patients two times before training and two times after training, resulting in 112 video recordings for analysis. Recordings were coded using the Comskil Coding System.Results: Communication skills related to two of the six major skill sets, Establishing the Consultation Framework and Checking, increased following training. Limited changes emerged in three skill sets, while one skill set, Shared Decision Making, did not change. Doctors who attended more training modules had higher levels of change. Female participants demonstrated three skills more frequently than males post-training.Conclusions: The intervention produced significant communication skills uptake in a group of experienced attending clinicians, mediated by the amount of training. Future research should focus on the dose of training necessary to achieve skills uptake and the effect of skills training on patient outcomes.

show abstract

Patient-centered communication in cancer care: Promoting healing and reducing suffering

Cited by 1,015 publications

References 0 publications

Varieties of Uncertainty in Health Care: A Conceptual Taxonomy

Varieties of Uncertainty in Health Care: A Conceptual Taxonomy

Institute of Medicine Recommendations for Improving the Quality of Cancer Care: What Do They Mean for the General Internist?

The implementation and assessment of a comprehensive communication skills training curriculum for oncologists

Contact Info

Product

Resources

About