Different perspectives on communication quality and emotional functioning during routine oncology consultations

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• 作者：Hanna Fagerlind^a ; ^{hanna.fagerlind@farmaci.uu.se} ; Å ; sa Kettis^a ; ^b ; Ida Bergströ ; m^a ; Bengt Glimelius^c ; ^d ; Lena Ring^e
• 关键词：Oncology ; Communication ; Content analysis ; Emotional functioning ; Communication analysis ; Clinical practice
• 刊名：Patient Education and Counseling
• 出版年：2012
• 期刊代码：217_07383991
• 类别：med
• 出版时间：July, 2012
• 卷：88
• 期：1
• 页码：16-22
• 文件大小：307 K

摘要

Objective

To determine quality of communication in routine oncology consultations from patient, physician, and observer perspectives, and to determine agreement of emotional function content in consultations from these three perspectives.

Methods

In total, 69 consultations were included. Perceived quality of communication and whether or not emotional functioning had been discussed was evaluated with patient- and physician-reported questionnaires. Observer perspective was evaluated by content analysis of audio records of the consultations. Agreement between perspectives was analyzed and means compared using linear mixed models.

Results

The patients鈥?ratings of communication quality differed significantly from those of both the physician and observer. Observer and physician scores did not differ significantly. Physicians rated emotional functioning as discussed more often than was reported from patient and observer perspectives.

Conclusion

The patients鈥?view of the quality of communication differed from that of the physician and observer. Whether emotional functioning was discussed or not was also perceived differently by patients, physicians, and observer.

Practice implications

The underpinnings and implications of these results need to be further explored regarding how to move toward a higher degree of shared understanding, where different perspectives are more in alignment, and how to develop more valid methods for evaluating communication.