Brédart Anne, Bouleuc Carole, Dolbeault Sylvie
Inter-Disciplinary Supportive Care Department for the Oncology Patient, Institut Curie, Paris, France.
Curr Opin Oncol. 2005 Jul;17(4):351-4. doi: 10.1097/01.cco.0000167734.26454.30.
This review summarises current knowledge on the impact on patient satisfaction of initiatives undertaken to enhance the communication between doctors and their patients in oncology.
Recent studies have assessed the effectiveness of different approaches aimed at improving doctor-patient communication in oncology. These have been assessed on outcomes related to the patient (e.g., anxiety, quality of life, medical knowledge, satisfaction) or to the doctor (e.g., communication behaviour, attitudes). Patient satisfaction has been recognised as a particularly relevant outcome, and a positive effect of recent initiatives to improve the interaction between cancer patients and their doctors on patient satisfaction has been suggested.
To better respond to cancer patients' health care needs, various strategies focusing on doctor-patient communication have been developed. Addressing patients' overall needs and sharing complex information in an emotionally charged context and under time constraints is a daily challenge for the oncology clinician, resulting often in cancer patients' dissatisfaction. Recent interventions elaborated to facilitate doctor-patient communication in oncology focus on patients, such as handing out of videos or written preparatory information; on doctors, such as patients' self-rating feedback to doctors or communication skills trainings; or on both, such as the audiotaping of the consultation or the provision of decision aids. Although these strategies offer promising results, further research should be implemented to assess their appropriateness across sociocultural contexts and their long-term effectiveness in clinical practice.
本综述总结了当前关于肿瘤学领域为加强医患沟通所采取的举措对患者满意度影响的相关知识。
近期研究评估了旨在改善肿瘤医患沟通的不同方法的有效性。这些方法根据与患者相关的结果（如焦虑、生活质量、医学知识、满意度）或与医生相关的结果（如沟通行为、态度）进行了评估。患者满意度已被视为一个特别相关的结果，并且有研究表明近期改善癌症患者与医生互动的举措对患者满意度有积极影响。
为了更好地满足癌症患者的医疗保健需求，已制定了各种侧重于医患沟通的策略。在充满情感的背景下且时间有限的情况下满足患者的整体需求并分享复杂信息，这对肿瘤临床医生来说是一项日常挑战，常常导致癌症患者不满。近期为促进肿瘤医患沟通而精心设计的干预措施，有的侧重于患者，如发放视频或书面准备信息；有的侧重于医生，如患者给医生的自评反馈或沟通技能培训；还有的兼顾两者，如会诊录音或提供决策辅助工具。尽管这些策略取得了有前景的结果，但仍应开展进一步研究，以评估它们在不同社会文化背景下的适用性及其在临床实践中的长期效果。
