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Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease

Authors
Publisher
Nature Publishing Group
Publication Date
Identifiers
DOI: 10.1038/sj.bjc.6600798
Keywords
  • Clinical
Disciplines
  • Biology
  • Communication
  • Medicine

Abstract

Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease R Zachariae*,1,2, CG Pedersen1,2, AB Jensen2, E Ehrnrooth2, PB Rossen2 and H von der Maase2 1Psychooncology Research Unit, Aarhus University Hospital, Aarhus, Denmark; 2Department of Oncology, Aarhus University Hospital, Aarhus, Denmark The aim of the study was to investigate the association of physician communication behaviours as perceived by the patient with patient reported satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease in cancer patients. Questionnaires measuring distress, self-efficacy, and perceived control were completed prior to and after the consultation by 454 patients attending an oncology outpatient clinic. After the consultation, the patients also rated the physicians’ communicative behaviours by completing a patient–physician relationship inventory (PPRI), and the physicians were asked to estimate patient satisfaction. The overall results showed that higher PPRI scores of physician attentiveness and empathy were associated with greater patient satisfaction, increased self-efficacy, and reduced emotional distress following the consultation. In contrast, lower PPRI scores were associated with reduced ability of the physician to estimate patient satisfaction. The results confirm and expand previous findings, suggesting that communication is a core clinical skill in oncology. British Journal of Cancer (2003) 88, 658–665. doi:10.1038/sj.bjc.6600798 www.bjcancer.com & 2003 Cancer Research UK Keywords: patient–physician relationship; communication skills; self-efficacy ; anxiety ; depression; anger �� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � Patient dissatisfaction can lead to low understanding and recall of information, poor compliance, lengthier recovery periods, and increased complication rates (Fallowfield, 1992). Patients often do not r

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