Truth-telling and patient diagnoses

Sullivan, Robert; Menapace, Lawrence W; White, Royce M.

doi:10.1136/jme.27.3.192

Cited by 56 publications

(35 citation statements)

References 11 publications

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“…Consistent with previous studies, a physician-patient relationship of shorter duration was associated with less trust. 10,20,24,28,29 Overall, English-speaking Japanese American respondents were more trusting than Japanese-speaking Japanese American respondents, who were more trusting than Japanese respondents living in Japan. The more acculturated Japanese American respondents may trust their physicians more because of a greater ease in communicating with physicians in English and an increased comfort with American physicians' manner- * Independent variables have reference groups as follows: Group -Japanese living in Japan; female -male; age -per year; marital status -married; education -per year; religiosity -not religious; physical HRQOL score -per point on 100-point scale; mental HRQOL score -per point on 100-point scale; hospitalization in past 6 monthsno hospitalization; years with regular doctor -per year; Autonomy Preference Index -per point on 5-point scale.…”

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confidence: 99%

“…Based on the literature and clinical experience, we specifi ed a priori a set of predisposing patient variables that we expected would be related to trust. We hypothesized that persons desiring more autonomy 3,29,30 would be less trusting of physicians. We also anticipated that married persons and those with greater religiosity would have greater trust.…”

Section: Introductionmentioning

confidence: 99%

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Trust in One's Physician: The Role of Ethnic Match, Autonomy, Acculturation, and Religiosity Among Japanese and Japanese Americans

Tarn

Meredith²,

Kagawa‐Singer³

et al. 2005

The Annals of Family Medicine

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PURPOSE Trust is a cornerstone of the physician-patient relationship. We investigated the relation of patient characteristics, religiosity, acculturation, physician ethnicity, and insurance-mandated physician change to levels of trust in Japanese American and Japanese patients.METHODS A self-administered, cross-sectional questionnaire in English and Japanese (completed in the language of their choice) was given to community-based samples of 539 English-speaking Japanese Americans, 340 Japanese-speaking Japanese Americans, and 304 Japanese living in Japan.RESULTS Eighty-seven percent of English-speaking Japanese Americans, 93% of Japanese-speaking Japanese Americans, and 58% of Japanese living in Japan responded to trust items and reported mean trust scores of 83, 80, and 68, respectively, on a scale ranging from 0 to 100. In multivariate analyses, Englishspeaking and Japanese-speaking Japanese American respondents reported more trust than Japanese respondents living in Japan (P values <.001). Greater religiosity (P <.001), less desire for autonomy (P <.001), and physician-patient relationships of longer duration (P <.001) were related to increased trust. Among Japanese Americans, more acculturated respondents reported more trust (P <.001), and Japanese physicians were trusted more than physicians of another ethnicity. Among respondents prompted to change physicians because of insurance coverage, the 48% who did not want to switch reported less trust in their current physician than in their former physician (mean score of 82 vs 89, P <.001).CONCLUSIONS Religiosity, autonomy preference, and acculturation were strongly related to trust in one's physician among the Japanese American and Japanese samples studied and may provide avenues to enhance the physician-patient relationship. The strong relationship of trust with patient-physician ethnic match and the loss of trust when patients, in retrospect, report leaving a preferred physician suggest unintended consequences to patients not able to continue with their preferred physicians. INTRODUCTIONT rust between a patient and physician is a cornerstone of the patientphysician relationship.1,2 Trust can facilitate health information exchange, 3 as well as determine a patient' s willingness to seek care, 3,4 receptivity to health promotion counseling, 5-7 openness to examination and treatment, 4,5,[7][8][9][10][11] and likelihood of return for follow-up care. 5,10 Patients with more trust in their physician are likely to be more satisfi ed with care 5,[11][12][13][14] and to have positive clinical outcomes. 5,9,11 In recent years, patient trust has been challenged by perceived confl icts of interest inherent in managed Derjung M. Tarn, MD, MS 1 Lisa S. Meredith, PhD 2 Marjorie Kagawa-Singer, RN, PhD 3 Shinji Matsumura, MD, MSHS 4 Seiji Bito, MD, MSHS 5 Robert K. Oye, MD 6 Honghu Liu, PhD 6 Katherine L. Kahn, MD 6 Shunichi Fukuhara, MD 7 Neil S. Wenger, MD, MPH 8,[15][16][17][18][19][20] and by societal changes lea...

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mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Trust in One's Physician: The Role of Ethnic Match, Autonomy, Acculturation, and Religiosity Among Japanese and Japanese Americans

Tarn

Meredith²,

Kagawa‐Singer³

et al. 2005

The Annals of Family Medicine

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“…Para la mayoría de los padres los resultados se acompañan de felicidad. Otras veces, afortunadamente las menos, el niño nace con problemas, dañado, o muerto (5) .…”

Section: ¿Qué Es La Verdad?unclassified

Comunicación de la verdad en neonatología

Donohue

2018

Rev peru ginecol obstet.

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“…En primer lugar, la literatura muestra que la mayoría de los pacientes desean saber la verdad y que los beneficios para un paciente adecuadamente informado son mayores que los riesgos temidos 5,6 . Diversos estudios, incluyendo aquellos con pacientes terminales, muestran los beneficios psicológicos que posee la comunicación de la verdad para el proceso emocional de aceptación de la enfermedad y muerte 4 .…”

Section: ¿Quién Es Responsable De Comunicar La Verdad?unclassified

Comunicación de la verdad en medicina: contribuciones desde una perspectiva psicológica

Luz²

2005

Rev. méd. Chile

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Truth telling in medicine isL a "comunicación de la verdad", particularmente cuando se trata de informar "malas noticias" es una situación estresante y difícil para los médicos. Por "mala noticia" entendemos cualquier información que altera negativamente la visión que el paciente tiene de su futuro. De allí que su impacto dependa de la brecha entre las expectativas del paciente y su condición, incluyendo una amplia variedad de casos (desde el resultado de un examen hasta un diagnóstico terminal).El propósito de este trabajo es reflexionar sobre el proceso de comunicación de la verdad en medicina, sus dificultades y conveniencias, desde un punto de vista tanto ético como técnico, mostrando la necesaria vinculación (pero escasamente explicitada) entre la reflexión bioética y la literatura e investigación sobre comunicación y psicología médica.

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Truth-telling and patient diagnoses

Abstract: Abstract

Cited by 56 publications

References 11 publications

Trust in One's Physician: The Role of Ethnic Match, Autonomy, Acculturation, and Religiosity Among Japanese and Japanese Americans

Trust in One's Physician: The Role of Ethnic Match, Autonomy, Acculturation, and Religiosity Among Japanese and Japanese Americans

Comunicación de la verdad en neonatología

Comunicación de la verdad en medicina: contribuciones desde una perspectiva psicológica

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