Breaking bad news in China – the dilemma of patients' autonomy and traditional norms. A first communication skills training for Chinese oncologists and caretakers

Wuensch, Alexander; Tang, Lilli; Goelz, Tanja; Zhang, Yening; Stubenrauch, Sara; Lili, Song; Hong, Ye; Zhang, Haiwei; Wirsching, Michael; Fritzsche, Kurt

doi:10.1002/pon.3112

Cited by 62 publications

(55 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…China is a prototypical collectivist culture where family and filial duty are highly valued (Hofstede, 2001;Leung, 2010;Schwartz, 1992). When it comes to health and cancer, it is often considered the responsibility of other family members to not only care for the patient, but sometimes also to shield the truth from the patient to reduce his or her suffering (Wuensch et al, 2013). In realms of preventive behaviors such as information seeking, the expectation is probably likewise for other members of the family to perform the behavior in order not to arouse anxiety for those at risk, who are often the elderly adults in the family.…”

Section: Discussionmentioning

confidence: 98%

Cancer Information Seekers in China: A Preliminary Profile

Zhao

Mao²,

Kreps

et al. 2015

Journal of Health Communication

View full text Add to dashboard Cite

Cancer is now the leading cause of death in China. Effective communication about cancer risk and prevention is an important component of cancer control. Yet, research in this area is very limited in China. This study used probability sample survey data from 2 Chinese cities (Beijing and Hefei, Anhui Province) to investigate potential predictors of self-initiated cancer information seeking. Analysis showed that cancer information seekers in China were likely to be married, relatively educated, earning modest incomes, living in rural areas, smoking occasionally, having a family cancer history, relatively trusting of the media for health information, somewhat knowledgeable about cancer, having nonfatalistic attitudes about cancer, and seeing a personal need for more cancer information. The pattern of results, particularly the lack of influence of personal health and risk perception factors, highlights the possibility that seeking for others might be more prevalent than seeking for self in China. Overall, findings suggest that emphasizing family need and mobilizing family support might be a productive approach to cancer communication interventions in China.

show abstract

Section: Discussionmentioning

confidence: 98%

Cancer Information Seekers in China: A Preliminary Profile

Zhao

Mao²,

Kreps

et al. 2015

Journal of Health Communication

View full text Add to dashboard Cite

show abstract

“…Medical theories were over-emphasized in past decades while communication skills between doctors and patients were neglected [31]. This bias is partially responsible for conflicts between doctors and patients in China [32].…”

Section: Discussionmentioning

confidence: 99%

Role-playing is an effective instructional strategy for genetic counseling training: an investigation and comparative study

Wang

et al. 2016

BMC Med Educ

View full text Add to dashboard Cite

Background: Genetic diseases represent a significant public health challenge in China that will need to be addressed by a correspondingly large number of professional genetic counselors. However, neither an official training program for genetic counseling, nor formal board certification, was available in China before 2015. In 2009, a genetic counseling training program based on role-playing was implemented as a pilot study at the Third Military Medical University to train third-year medical students. Methods: Questionnaires on participant attitudes to the program and role-playing were randomly administered to 324 students after they had finished their training. Pre-and post-training instructional tests, focusing on 42 key components of genetic counseling, were administered randomly to 200 participants to assess mastery of each component. Finally, scores in final examinations of 578 participants from 2009 to 2011 were compared to scores obtained by 614 non-participating students from 2006 to 2008 to further assess program efficacy.

show abstract

“…Over the past years, the Balint group method, offered within the framework of psychosomatic basic care, has spread across China [7]. Over time, training courses on the topic of ‘breaking bad news' have been offered by foreign experts in oncology [8] while the first course in psychocardiology is planned in Shanghai in November 2016.…”

Section: Current State Of Psychosomatic Medicine In Clinic and Researchmentioning

confidence: 99%