Patient-health care provider communication among patients with newly diagnosed prostate cancer: Findings from a population-based survey

Abstract

Objective To examine the multidimensional concept of patient-health care provider (HCP) communication, its effects on patient satisfaction with oncology care services, and related racial differences. Methods The current analysis draws from a population-based survey sample of 1011 African American and 1034 Caucasian American men with newly diagnosed prostate cancer. The variables of satisfaction with health care services, interpersonal treatment, contextual knowledge of the patient, and prostate cancer communication were analyzed using multiple-group structural equation modeling. Results Regardless of race, patient-HCP communication was related positively to interpersonal treatment by the HCP, HCP’s contextual knowledge of the patient, and prostate cancer communication. More positive patient-HCP communication was related to more satisfaction with health care services. Racial differences were significant in the relationships between patient- HCP communication and prostate cancer communication. Conclusion Content and interpersonal relationships are important aspects of patient-HCP communication and affect patient satisfaction with oncologic care for prostate cancer. Practice Implications: HCPs need to integrate the transfer of information with emotional support and interpersonal connection when they communicate with men with newly diagnosed prostate cancer.

Associations between patient–provider communication and socio-cultural factors in prostate cancer patients: A cross-sectional evaluation of racial differences

“…The measurement model presented in the previously published paper 37 fit the reduced dataset for this analysis (Chi-square = 4.294, df = 2, p = 0.1169; RMSEA = 0.035, 90%CI = (0.000, 0.082); CFI / TLI = 0.999 / 0.997). No modification indices indicated that the model could be improved by relaxing restrictions (data not shown).…”

“…37 Prostate cancer communication refers to the instructions and advice about prostate cancer symptoms, treatment, decision-making about care, and treatment-related side-effects. 38 Contextual knowledge of the patient refers to the patient’s evaluation of the degree to which health care providers have knowledge of the participant’s general life.…”

“…The model restricted paths for interpersonal treatment and contextual knowledge to be the same for Caucasian Americans and African Americans, but did not restrict paths for prostate cancer communication. 37 The structural model was then fit in four different ways; 1) completely unrestricted, allowing the measurement model to vary by race, as a baseline, 2) partially unrestricted, except for the restrictions on the measurement model noted above, 3) restricting the measurement model and the coefficients of all structural paths from the socio-cultural factors to patient-provider communication to be equal across races, and 4) restricting all structural paths and all covariances between the exogenous variables (all socio-cultural factors plus the covariate) to be equal across races. Nested models were compared using chi-squared difference tests conducted at the 5% significance level.…”

Quality of life during chemotherapy and satisfaction with nursing care in Turkish breast cancer patients

“…; Song et al . ). This is especially true for oncology nursing, a highly demanding nursing subfield that requires up‐to‐date knowledge, good interpersonal and problem‐solving skills, and superb primary care skills (Akin & Erdogan ; Granda‐Cameron et al .…”

Patient and family communication during consultation visits: The effects of a decision aid for treatment decision-making for localized prostate cancer

“…Research-to-date has analyzed real time recordings of medical encounters about physicians’ communication behaviors and the clinical visit structure within the context of treatment decision-making for prostate cancer [26,27] or used self-reported data collected from patients after treatment decisions were made [16,28–31]. Effective and competent physician-directed communication constitutes only one of the core communication dimensions in cancer care [32]; patients and their family members also participate in the consultation and play a role in communication that is equally important to that of the providers.…”