Patient Perception of Physician Compassion After a More Optimistic vs a Less Optimistic Message

Tanco, Kimberson; Rhondali, Wadih; Perez‐Cruz, Pedro Emilio; Tanzi, Silvia; Chisholm, Gary B.; Baile, Walter F.; Frisbee-Hume, Susan; Williams, Janet L.; Masino, Charles; Cantu, Hilda; Sisson, Amy; Arthur, Joseph; Bruera, Éduardo

doi:10.1001/jamaoncol.2014.297

Cited by 93 publications

(102 citation statements)

References 41 publications

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“…15 One hundred patients' data were analyzed for trust scores and correlated with data of the patient's age, gender, ethnicity, educational level, anxiety, depression, and hopefulness. Anxiety and depression were measured using the Hospital Anxiety and Depression scale (cutoff ‡8), 16 whereas hopefulness was measured using the Herth Hope Index 17 (total hopefulness, 12 best hope to 48 worst hope) and a 10-point Degree of Hopefulness scale (0 best hope to 10 worst hope).…”

Section: Methodsmentioning

confidence: 99%

“…15 As part of the clinical trial, this is a secondary analysis we conducted to determine predictors of trust in the medical profession among advanced cancer patients, including patient's age, gender, ethnicity, educational level, anxiety, depression, and hopefulness. This may provide further knowledge of the influence of these factors on trust in the medical profession and, in turn, on patient-physician relationship, particularly in those with more serious medical conditions and end of life.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of trust in the medical profession among cancer patients receiving palliative care: A preliminary study.

Tanco

Rhondali²,

Park

et al. 2015

JCO

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Background: Trust influences healthcare through the willingness to seek care, disclose sensitive information, adhere to treatment, and satisfaction with care. Understanding factors that influence trust may help in physician-patient relationship particularly at end of life. Objectives: We explored the association between trust and other demographic and psychosocial factors. We also explored the performance of the single-item Degree of Trust scale (0 best to 10 worst) compared with the validated five-item Trust in Medical Profession scale (5 best to 25 worst). Design: A secondary analysis of prospectively collected data was performed. Trust scores completed by 100 patients were correlated with age, gender, ethnicity, educational level, anxiety, depression, and hopefulness (Herth Hope Index [12 best to 48 worst]). Setting/Subjects: The study was conducted on 100 patients in an outpatient Supportive Care Center in a cancer center in Houston, Texas. Results: Median age was 57 years (49-65), depression was 6 (3-9), and hopefulness was 22 (20-25). Trust in Medical Profession score was 13, 11-14 (median, IQR) and Degree of Trust score was 2, 1-4 (median, IQR) with moderate correlation (r = 0.587, p < 0.001). On evaluating performance of Degree of Trust scale to the validated Trust in Medical Profession scale, a moderately high performance was found (Youden's J = 0.73; Topleft = 0.21). Older age ( p = 0.02) lower depression scores ( p < 0.01) and more hopefulness ( p = 0.01) were associated with higher levels of trust. Conclusions: Trust was associated with older age, less depressed, and more hopeful patients. A single 0-10 item trust scale was found to perform adequately compared with a multiple-item questionnaire.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predictors of trust in the medical profession among cancer patients receiving palliative care: A preliminary study.

Tanco

Rhondali²,

Park

et al. 2015

JCO

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“…Oncologists have a critical role in providing supportive care in the front lines; however, expecting these professionals to fully address all the patient’s personal care needs is unrealistic because of time constraints, limited experience with or access to psychosocial resources, variable interest in this aspect of care, and the need for specialized training. Indeed, patients have been reported to prefer their oncologists to be optimistic about treatment options and to avoid pessimistic discussions about end-of-life care, 37 suggesting the focus of oncologists on cancer treatment and physiological symptom relief, rather than psychosocial or existential issues, may be desired. Consistent with this observation, several studies have shown that patients with cancer often prefer to discuss advance care planning with a physician who they have never met, rather than their own clinical oncologist.…”

Section: Introductionmentioning

confidence: 99%

Integrating palliative care into the trajectory of cancer care

2015

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Over the past five decades, palliative care has evolved from serving patients at the end of life into a highly specialized discipline focused on delivering supportive care to patients with life-limiting illnesses throughout the disease trajectory. A growing body of evidence is now available to inform the key domains in the practice of palliative care, including symptom management, psychosocial care, communication, decision-making, and end-of-life care. Findings from multiple studies indicate that integrating palliative care early in the disease trajectory can result in improvements in quality of life, symptom control, patient and caregiver satisfaction, quality of end-of-life care, survival, and costs of care. In this narrative Review, we discuss various strategies to integrate oncology and palliative care by optimizing clinical infrastructures, processes, education, and research. The goal of integration is to maximize patient access to palliative care and, ultimately, to improve patient outcomes. We provide a conceptual model for the integration of supportive and/or palliative care with primary and oncological care. We end by discussing how health-care systems and institutions need to tailor integration based on their resources, size, and the level of primary palliative care available.

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“…6–8 Thus, we hypothesized that poor patient–physician communication would be associated with worse patient-reported quality of care. 6,9 Furthermore, we sought to identify sociodemographic, clinical, and decision-making/communication factors that were associated with excellent patient-reported quality of overall and surgical care among patients with lung and colorectal cancer undergoing surgery.…”

Section: Introductionmentioning

confidence: 99%

Associations Between Patient Perceptions of Communication, Cure, and Other Patient-Related Factors Regarding Patient-Reported Quality of Care Following Surgical Resection of Lung and Colorectal Cancer

Ejaz

Kim

Winner

et al. 2016

Journal of Gastrointestinal Surgery

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Background The objective of the current study was to analyze various patient-related factors related to patient-reported quality of overall and surgical care following surgical resection of lung or colorectal cancer. Methods Between 2003 and 2005, 3,954 patients who underwent cancer-directed surgery for newly diagnosed lung (30.3 %) or colorectal (69.7 %) cancer were identified from a population- and health system-based survey of participants from multiple US regions. Factors associated with patient-perceived quality of overall and surgical care were analyzed with multivariable logistic regression models. Results Overall, 56.7 % of patients reported excellent quality of overall care and 67.9 % of patients reported excellent quality of surgical care; there was no difference by cancer type (P>0.05). Factors associated with lower likelihood to report excellent quality of overall and surgical care included female sex, minority race, and the presence of multiple comorbidities (all odds ratio [OR] <1, all P<0.05). Patients who had higher levels of education (overall quality: OR 1.62; surgical quality: OR 1.26), higher annual income (overall quality: OR 1.29; surgical quality: OR 1.23), and good physical function (overall quality: OR 1.35; surgical quality: OR 1.24) were all more likely to report excellent quality of overall and surgical care (all P<0.05). Furthermore, patients who reported their physician as having excellent communication skills (overall quality: OR 6.49; surgical quality: OR 3.74) as well as patients who perceived their cancer as likely curable (overall quality: OR 1.17; surgical quality: OR 1.11) were more likely to report excellent quality of overall and surgical care (all P<0.05). Conclusion Patient-reported quality of care is associated with several factors including race, income, and educational status, as well as physician communication and patient perception of likelihood of cure. Future studies are needed to more closely examine patient–physician relationships and communication barriers, particularly among minority patients and those with lower income and educational status.

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Patient Perception of Physician Compassion After a More Optimistic vs a Less Optimistic Message

Abstract: clinicaltrials.gov Identifier: NCT02357108.

Cited by 93 publications

References 41 publications

Predictors of trust in the medical profession among cancer patients receiving palliative care: A preliminary study.

Predictors of trust in the medical profession among cancer patients receiving palliative care: A preliminary study.

Integrating palliative care into the trajectory of cancer care

Associations Between Patient Perceptions of Communication, Cure, and Other Patient-Related Factors Regarding Patient-Reported Quality of Care Following Surgical Resection of Lung and Colorectal Cancer

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