The Import of Trust in Regular Providers to Trust in Cancer Physicians among White, African American, and Hispanic Breast Cancer Patients

Kaiser, Karen; Rauscher, Garth H.; Jacobs, Elizabeth A.; Strenski, Teri A.; Ferrans, Carol Estwing; Warnecke, Richard B.

doi:10.1007/s11606-010-1489-4

Cited by 62 publications

(45 citation statements)

References 29 publications

(29 reference statements)

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“…Conversely, distrust in HCPs has been associated with poorer quality of patientprovider communication. 36,55 This is significant, because AAs report using religious beliefs to cope with illnesses. 56 In the current study, the positive association between family members' religious values and quality of communication may have occurred because most of the family members held strong religious beliefs.…”

Section: Discussionmentioning

confidence: 99%

End-of-Life Decision Making and Communication of Bereaved Family Members of African Americans with Serious Illness

Smith-Howell

Hickman

Meghani

et al. 2016

Journal of Palliative Medicine

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Objective: The study objective was to examine factors that influence African American (AA) family members' end-of-life care decision outcomes for a relative who recently died from serious illness. Methods: A cross-sectional descriptive study design was used. Binary logistic and linear regressions were used to identify factors associated with decision regret and decisional conflict. Forty-nine bereaved AA family members of AA decedents with serious illness who died two to six months prior to enrollment were recruited from the palliative care program in a safety net hospital and a metropolitan church in the Midwest. Measurements used were the Decisional Conflict, Decision Regret, Beliefs and Values, and Quality of Communication scales. Results: Family members who reported higher quality of communication with health care providers had lower decisional conflict. Family members of decedents who received comfort-focused care (CFC) had significantly less decision regret than family members of those who received life-prolonging treatment (LPT). Family members who reported stronger beliefs and values had higher quality of communication with providers and lower decisional conflict. Conclusions: This research adds to a small body of literature on correlates of end-of-life decision outcomes among AAs. Although AAs' preference for aggressive end-of-life care is well-documented, we found that receipt of CFC was associated with less decision regret. To reduce decisional conflict and decision regret at the end of life, future studies should identify strategies to improve family member-provider communication, while considering relevant family member and decedent characteristics.

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Section: Discussionmentioning

confidence: 99%

End-of-Life Decision Making and Communication of Bereaved Family Members of African Americans with Serious Illness

Smith-Howell

Hickman

Meghani

et al. 2016

Journal of Palliative Medicine

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“…It has been predicted that primary care clinicians will begin encountering more breast cancer survivors in their practice [23,24], and they are already considered a trusted source of health information among breast cancer patients [25]. Therefore, actively involving primary care providers, along with surgeons and oncologists, in survivorship care for BCRL is crucial to improve the long-term clinical management of breast cancer survivors [26][27][28][29].…”

Section: Discussionmentioning

confidence: 99%

Clinician awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery setting

Tam

Shen

Munneke

et al. 2011

Breast Cancer Res Treat

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Breast cancer survivors have reported dissatisfaction regarding their education on risk of breast cancer-related lymphedema (BCRL) from clinicians. We describe clinician knowledge and treatment referral of patients with BCRL among active oncologists, surgeons, and primary care physicians in the Kaiser Permanente Northern California Medical Care Program. A total of 887 oncologists, surgeons, and primary care clinicians completed a 10-minute web survey from May 2, 2010 to December 31, 2010 on BCRL knowledge, education, and referral patterns. A knowledge score of BCRL was calculated based on clinician responses. Multivariable regression models were used to determine the associations of selected covariates with BCRL knowledge score and clinician referral, respectively. Compared with primary care clinicians, oncologists had the highest mean score followed closely by surgeons (P < 0.0001). In multivariable analyses, being female, an oncologist or surgeon, and recently receiving BCRL materials were each significantly associated with higher BCRL knowledge scores. About 44% of clinicians (n = 381) indicated they had ever made a BCRL referral (100% oncologists, 79% surgeons, and 36% primary care clinicians). Clinicians with a higher knowledge score were more likely to make referrals. In stratified analyses by specialty, the significant associated factors remained for primary care but became non-significant for oncology and surgery. These results can inform educational interventions to strengthen clinician knowledge of the clinical management of BCRL, especially among primary care clinicians. With the growing number of breast cancer survivors, increasing clinician education about BCRL across all specialties is warranted.

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“…It may be argued that patient perception of thoroughness, similar to patient satisfaction, is a subjective judgment influenced by their general feelings about the provider, or the subjective gap between expected and actual level of service received [37][38][39], and perhaps not [4,40,41], compliance [38,42], and relationships with healthcare providers [39,43]. The literature suggests that dissatisfaction with care does in fact influence patient pursuit of healthcare, and many patients may 'vote with their feet' if their level of satisfaction is inadequate [44].…”

Section: Resultsmentioning

confidence: 99%

The Association between Patient-Centered Attributes of Care and Patient Satisfaction

Tak

Ruhnke

Shih

2014

Patient

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The Import of Trust in Regular Providers to Trust in Cancer Physicians among White, African American, and Hispanic Breast Cancer Patients

Cited by 62 publications

References 29 publications

End-of-Life Decision Making and Communication of Bereaved Family Members of African Americans with Serious Illness

End-of-Life Decision Making and Communication of Bereaved Family Members of African Americans with Serious Illness

Clinician awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery setting

The Association between Patient-Centered Attributes of Care and Patient Satisfaction

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