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Patient-centered Communication and Prognosis Discussions with Cancer Patients by Cleveland G. Shields; Casey J. Coker; Shruti S. Poulsen; Jennifer M. Doyle; Kevin Fiscella; Ronald M. Epstein; Jennifer J. Griggs is a Health Professions article available to read on EtoBox.

What is Patient-centered Communication and Prognosis Discussions with Cancer Patients about?

## Objective: To examine physician communication associated with prognosis discussion with cancer patients. ## Methods: We conducted a study of physician-patient communication using trained actors. thirty-nine physicians, including 19 oncologists and 20 family physicians participated in the study. actors carried two hidden digital recorders to unannounced visits. we coded recordings for eliciting and validating patient concerns, attentive voice tone, and prognosis talk. ## Results: Actor adherence to role averaged 92% and the suspected detection rate was 14%. in a multiple regression, eliciting and validating patient concerns (beta=.40, c.i.=0.11-0.68) attentiveness (beta=.32, c.i.=0.06-0.58) and being an oncologist vs. a family physician (beta=.33, c.i.=0.33-1.36) accounted for 46% of the variance in prognosis communication. ## Conclusion: Eliciting and validating patient concerns and attentiveness voice tone is associated with increased discussion of cancer patient prognosis as is physician specialty. ## Practice implications: Eliciting and validating patient concerns and attentive voice tone may be markers of physician willingness to discuss emotionally difficult topics. educati

Who reads Patient-centered Communication and Prognosis Discussions with Cancer Patients?

Author

Cleveland G. Shields; Casey J. Coker; Shruti S. Poulsen; Jennifer M. Doyle; Kevin Fiscella; Ronald M. Epstein; Jennifer J. Griggs

Publisher

Elsevier Science; Elsevier ; Elsevier BV (ISSN 0738-3991)

Published

2009

Language

EN

Field

Health Professions (Health Sciences)