Albrecht Terrance L, Ruckdeschel John C, Riddle Dawn L, Blanchard Christina G, Penner Louis A, Coovert Michael D, Quinn Gwendolyn
Medical Interaction Research Group, Department of Interdisciplinary Oncology MDC-44, College of Medicine, H. Lee Moffitt Cancer Center and Research Institute at the University of South Florida, MRC-CANCONT, Tampa, FL 33612, USA.
Patient Educ Couns. 2003 May;50(1):39-42. doi: 10.1016/s0738-3991(03)00078-8.
Communication between patients and physicians likely mediates traditional patient and physician predispositions in determining patient outcomes, including perceptions and decision making. However, the extent to which a mediating effect occurs is unclear. The purpose of this essay is to outline the need for conceptualizing more holistic models of consumer-provider interaction that demonstrate the role of the therapeutic relationship in treatment outcomes. We focus on an important communicative context for exploring this question: the situation where patients, with the help of oncologists, are faced with making treatment choices, particularly whether to enroll in a clinical trial in response to their life-threatening cancer diagnosis. We explore the question from the perspectives of the medical provider, the patient, and the accompanying family member, in order to better frame the complex interactional dynamics occurring during the interaction.
患者与医生之间的沟通可能在决定患者治疗结果（包括认知和决策）方面调节传统的患者和医生倾向。然而，这种调节作用发生的程度尚不清楚。本文的目的是概述构建更全面的医患互动模型的必要性，这些模型能够展示治疗关系在治疗结果中的作用。我们聚焦于一个探索该问题的重要沟通情境：即患者在肿瘤学家的帮助下面临治疗选择的情况，尤其是在面对危及生命的癌症诊断时是否参加临床试验。我们从医疗服务提供者、患者及其陪同家属的角度探讨这个问题，以便更好地梳理互动过程中发生的复杂互动动态。
