Effect of patient and patient-oncologist relationship characteristics on communication about health-related quality of life.
Effect of patient and patient-oncologist relationship characteristics on communication about health-related quality of life.
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DOI：
10.1002/pon.1829
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发表时间：
2011-09
期刊：
影响因子：
3.6
通讯作者：
Arnold, Robert M.
中科院分区：
文献类型：
--
作者：
Rodriguez, Keri L.;Bayliss, Nichole K.;Alexander, Stewart C.;Jeffreys, Amy S.;Olsen, Maren K.;Pollak, Kathryn I.;Garrigues, Sarah K.;Tulsky, James A.;Arnold, Robert M.
测试患者和患者-肿瘤科医生关系因素对肿瘤科医生与晚期癌症患者在门诊就诊期间就健康相关生活质量（HRQOL）进行沟通所花时间的影响。使用混合的方法，我们编码的HRQOL谈话的持续时间在一个子集的音频记录的对话，从研究沟通的肿瘤医生，病人的遭遇（范围）试验。多变量线性回归模型用于研究HRQOL谈话持续时间与性别一致性、种族一致性、患者教育状况、患者婚姻状况和患者-肿瘤学家关系长度（即既往访视次数）之间的关系。对66次接触进行了分析，涉及63名患者和34名肿瘤学家。患者更可能是女性（51%）、白色（86%）、已婚（78%）和拥有大学或更高学位（33%）。大多数肿瘤学家是男性（82%）和白色（82%）。患者的平均年龄为58.8岁，肿瘤学家为44.9岁。回归结果显示，患者以前与肿瘤科医生的就诊次数与其录音门诊访视期间HRQOL谈话的持续时间较长显著相关。其余的独立变量，性别一致性，种族一致性，患者的教育状况，和患者的婚姻状况没有显着的HRQOL谈话的持续时间的预测。我们的研究结果表明，患者与肿瘤学家关系的长度与HRQOL谈话的持续时间有关。HRQOL沟通的改善最好是通过针对那些在早期阶段的医患关系的努力来实现。
To test the effects of patient and patient–oncologist relationship factors on the time spent communicating about health-related quality of life (HRQOL) during outpatient clinic encounters between oncologists and their patients with advanced cancer. Using mixed methods, we coded for duration of HRQOL talk in a subset of audio-recorded conversations from the Study of Communication in Oncologist–Patient Encounters (SCOPE) Trial. Multivariable linear regression modeling was used to investigate the relationship between duration of HRQOL talk and gender concordance, race concordance, patient education status, patient marital status, and length of the patient–oncologist relationship (i.e. number of previous visits). Sixty-six encounters were analyzed that involved 63 patients and 34 oncologists. Patients were more likely to be female (51%), white (86%), married (78%), and possess a college or more advanced degree (33%). Most oncologists were male (82%) and white (82%). Mean ages were 58.8 years for patients and 44.9 years for oncologists. Regression results showed that the number of a patient’s previous visits with their oncologist was significantly associated with a longer duration of HRQOL talk during their audio-recorded clinic visit. The remaining independent variables, gender concordance, race concordance, patient education status, and patient marital status were not significant predictors of duration of HRQOL talk. Our findings suggest that length of the patient–oncologist relationship is related to duration of HRQOL talk. Improvements in HRQOL communication may best be achieved through efforts directed at those in earlier stages of the doctor–patient relationship.
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影响因子：
3.1
作者：
Meghani SH;Brooks JM;Gipson-Jones T;Waite R;Whitfield-Harris L;Deatrick JA
通讯作者：
Deatrick JA
影响因子：
8.4
作者：
Detmar, SB;Aaronson, NK
通讯作者：
Aaronson, NK
影响因子：
3.6
作者：
Rodriguez, Keri L.;Bayliss, Nichole;Arnold, Robert M.
通讯作者：
Arnold, Robert M.
影响因子：
45.3
作者：
COATES, A;GEBSKI, V;FORBES, JF
通讯作者：
FORBES, JF
影响因子：
5.7
作者：
Dugdale, DC;Epstein, R;Pantilat, SZ
通讯作者：
Pantilat, SZ