Doctor-patient communication: the Toronto consensus statement.

Simpson, Matthew; Buckman, Robert; Stewart, Moira; Maguire, Peter; Lipkin, Mack; Novack, Dennis H.; Till, J. E.

doi:10.1136/bmj.303.6814.1385

Cited by 733 publications

(435 citation statements)

References 40 publications

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“…[17][18][19] Problems with communication may negatively affect patients' perceptions of illness, screening, and treatment. 20,21 Little is known about HBV knowledge and practices among different provider types. One study that targeted providers serving Asian American communities was a retrospective cohort study of health care providers' knowledge and practices regarding HBV in Chinese-speaking patients.…”

Section: Introductionmentioning

confidence: 99%

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Hwang

Roundtree

Engebretson³

et al. 2010

J GEN INTERN MED

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BACKGROUND: Physicians can play a significant role in helping to decrease the hepatitis B virus (HBV) burden among Asian Americans. Few studies have described knowledge and practice patterns in the medical community among different provider types regarding HBV and liver cancer.OBJECTIVE: Our study explores the HBV beliefs, attitudes and practice patterns of medical providers serving Asian American communities. DESIGN:We conducted three focus groups with primary care providers, liver specialists, and other providers predominantly serving Asian American community. We asked about practices and barriers to appropriate medical care and outreach. PARTICIPANTS:We moderated three focus groups with 23 participants, 18 of whom completed and returned demographic surveys. Twelve were of Asian ethnicity and 13 spoke English as a second language. Only eight screened at least half of their patients, most (72%) using the hepatitis B surface antigen test. APPROACH: We used grounded theory methods to analyze focus group transcripts.RESULTS: Participants frequently discussed cultural and financial barriers to hepatitis care. They admitted reluctance to screen for HBV because patients might be unwilling or unable to afford treatment. Cultural differences were discussed most by primary care providers; best methods of outreach were discussed most by liver specialists; and alternative medicine was discussed most by acupuncturists and other providers.CONCLUSIONS: More resources are needed to lower financial barriers complicating HBV care and encourage providing guideline-recommended screenings. Other providers can help promote HBV screening and increase community and cultural awareness.

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Section: Introductionmentioning

confidence: 99%

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Hwang

Roundtree

Engebretson³

et al. 2010

J GEN INTERN MED

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“…This allows to improve their mastery and to test their consequences. These methods are more likely to result in changes in attitudes and behaviors [1,3,25,27,47,48]. Finally, the affective approach allows participants to express attitudes, feelings, and perceived stress related with communication with cancer patients and their relatives [36].…”

Section: Objectives and Teaching Methodsmentioning

confidence: 99%

Teaching communication and stress management skills to junior physicians dealing with cancer patients: a Belgian Interuniversity Curriculum

Bragard

Razavi

Marchal

et al. 2006

Support Care Cancer

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“…Establishing communication about patient concerns, even when they cannot be resolved, can result in significantly improved levels of anxiety for both patients and staff [5]. Sensitive communication with caregivers can also help a patient to be "better able to cope with the disease and [to] live a more dynamic life."…”

Section: The Challenge Of Communicating About Sensitive Topicsmentioning

confidence: 99%

“…While health care providers are usually taught general tactics for communicating with patients, they are rarely taught how to discuss sensitive issues such as dying or spirituality, an interchange that patients greatly value and that may improve health outcomes [4,5]. Recent studies have shown that a significant number of health care professionals lack the psychosocial knowledge and communications skills needed to identify emotional problems [6,7], although most caregivers recognize the need to learn better communication techniques and are willing to sacrifice the time necessary to do so [8].…”

Section: The Challenge Of Communicating About Sensitive Topicsmentioning

confidence: 99%

A Staff Dialogue on Caring for an Intensely Spiritual Patient: Psychosocial Issues Faced By Patients, Their Families, and Caregivers

et al. 2002

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The Schwartz Center Rounds are a monthly multidisciplinary forum, at Massachusetts General Hospital (MGH), in which caregivers discuss a specific patient with cancer and the important psychosocial issues faced by the patient, family, and caregivers. This forum allows caregivers to reflect on their experiences with patients and to gain support and insight from their fellow staff members.The following case discussion was addressed at the September 1997 Schwartz Center Rounds. M.R. was a 45-year-old woman who developed ovarian carcinoma and was subsequently treated at MGH. She was a deeply religious woman and believed that God would cure her cancer. Her religious views profoundly influenced her decisions related to further care and her ability to accept what staff felt to be a realistic assessment of her condition and progress. At the rounds, staff members struggled with many issues, including whether M.R. should continue her treatment at MGH or return home to Puerto Rico. Staff found it challenging to discuss a sensitive topic-such as spirituality-with a patient, especially when the patient was from a different cultural background. One of the most striking outcomes of the rounds was the diversity of staff views regarding how they advocated addressing spirituality with a patient. Staff concluded that discussion of spirituality-while challenging-can meaningfully enhance the caregiver-patient relationship. The Oncologist 2002;7(suppl 2):16-22

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Doctor-patient communication: the Toronto consensus statement.

Cited by 733 publications

References 40 publications

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Teaching communication and stress management skills to junior physicians dealing with cancer patients: a Belgian Interuniversity Curriculum

A Staff Dialogue on Caring for an Intensely Spiritual Patient: Psychosocial Issues Faced By Patients, Their Families, and Caregivers

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