Does being informed and feeling informed affect patients¡¯ trust in their radiation oncologist?

详细信息    查看全文

• 作者：Ellen M.A. Smets^a ; ^{e.m.smets@amc.uva.nl} ; Marij A. Hillen^a ; Kirsten F.L. Douma^a ; Lukas J.A. Stalpers^b ; Caro C.E. Koning^b ; Hanneke C.J.M. de Haes^a
• 关键词：Trust ; Doctor&ndash ; patient communication ; Information giving ; Anxiety ; Cancer ; Radiotherapy
• 刊名：Patient Education and Counseling
• 出版年：2013
• 出版时间：March, 2013
• 年：2013
• 卷：90
• 期：3
• 页码：330-337
• 全文大小：347 K

文摘

ass=""h4"">Objective

We investigated whether the content of information provided by radiation oncologists and their information giving performance increase patients¡¯ trust in them.

ass=""h4"">Methods

Questionnaires were used to assess radiotherapy patients (n = 111) characteristics before their first consultation, perception of information giving after the first consultation and trust before the follow-up consultation. Videotaped consultations were scored for the content of the information provided and information giving performance.

ass=""h4"">Results

Patients mean trust score was 4.5 (sd = 0.77). The more anxious patients were, the less they tended to fully trust their radiation oncologist (p = 0.03). Patients¡¯ age, gender, educational attainment and anxious disposition together explained 7 % ; radiation oncologists¡¯ information giving (content and performance) explained 3 % , and patients¡¯ perception of radiation oncologists¡¯ information-giving explained an additional 4 % of the variance in trust scores.

ass=""h4"">Conclusion

It can be questioned whether trust is a sensitive patient reported outcome of quality of communication in highly vulnerable patients.

ass=""h4"">Practice implications

It is important to note that trust may not be a good patient reported outcome of quality of care. Concerning radiation oncologists¡¯ information giving performance, our data suggest that they can particularly improve their assessments of patients¡¯ understanding.