The Relationship of Patient-Provider Communication on Quality of Life among African-American and White Cancer Survivors
The Relationship of Patient-Provider Communication on Quality of Life among African-American and White Cancer Survivors
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DOI：
10.1080/10810730.2017.1324540
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发表时间：
2017-01-01
影响因子：
4.4
通讯作者：
Fullam, Francis
中科院分区：
文献类型：
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作者：
Li, Chien-Ching;Matthews, Alicia K.;Fullam, Francis
先前的研究表明，与白色患者相比，非裔美国人的患者-提供者沟通评级较差。患者与提供者之间的沟通质量已被证明会影响癌症患者的治疗结果。二次数据分析设计用于确定六个患者-提供者沟通变量对非裔美国人和白色癌症患者（N=479）的身体健康生活质量（PHQOL）和心理健康生活质量（MHQOL）的关系。我们还研究了沟通模式和生活质量之间的关系是否因种族/民族而异。样本的平均身体和心理健康QOL评分分别为69.8和77.6。在控制了显著的社会人口统计学、临床和医院变量后，结果显示，人际沟通障碍较少的患者对提供者提供的信息更满意，PHQOL和MHQOL评分更高。此外，在提问时感到更舒适或未满足信息需求较少的患者MHQOL较高。分层分析显示，非裔美国患者的总体满意度与MHQOL信息的关系比白色患者更强。未来的研究应侧重于干预措施的发展，以改善患者-提供者的沟通，作为提高癌症幸存者生活质量的一种手段。
Prior research has demonstrated poorer patient-provider communication ratings among African American compared to White patients. The quality of patient-provider communication has been shown to impact treatment outcomes among cancer patients. A secondary data analysis design was used to determine the relationship of six patient-provider communication variables on the physical health quality of life (PHQOL) and mental health quality of life (MHQOL) of African American and White cancer patients (N=479). We also examined whether the relationship between communication patterns and QOL differed based on race/ethnicity. Mean physical and mental health QOL scores for the sample were 69.8 and 77.6, respectively. After controlling for significant sociodemographic, clinical, and hospital variables, results showed that patients who experienced fewer interpersonal communication barriers who were more satisfied with the information given by providers had higher PHQOL and MHQOL scores. Additionally, patients who felt more comfort in asking questions or had fewer unmet information needs had higher MHQOL. A stratified analysis showed that the relationship of overall satisfaction with information on MHQOL was stronger among African American patients than White patients. Future research should focus on the development of interventions to improve patient-provider communication as a means for enhancing QOL outcomes among cancer survivors.