Thorne Sally E, Bultz Barry D, Baile Walter F
University of British Columbia School of Nursing, Vancouver, British Columbia, Canada.
Psychooncology. 2005 Oct;14(10):875-84; discussion 885-6. doi: 10.1002/pon.947.
In this paper, the authors engage in a critical analysis of the existing empirical literature which addresses the impact of ineffective communication between cancer patients and clinicians. It is increasingly accepted that communication plays a significant role in many aspects of the care experience, and that poor communication can have a significantly negative influence on the patient's psychosocial experience, symptom management, treatment decisions, and quality of life. However, scant attention has been given to the idea that poor communication may also have an economic impact worthy of attention. This area has not been the focus of systematic inquiry or substantive critical consideration. On the basis of critical analysis of the limited empirical evidence that exists across a wide range of studies in related areas, the authors propose that the existential and material costs associated with poor communication in cancer care may well be considerable, and conclude with a call to mobilize a heightened enthusiasm for addressing the research challenges in this field.
在本文中，作者对现有实证文献进行了批判性分析，这些文献探讨了癌症患者与临床医生之间无效沟通的影响。人们越来越认识到，沟通在护理体验的许多方面都起着重要作用，而沟通不畅会对患者的心理社会体验、症状管理、治疗决策和生活质量产生重大负面影响。然而，沟通不畅可能也会产生值得关注的经济影响这一观点却很少受到关注。这一领域尚未成为系统探究或实质性批判性思考的焦点。基于对相关领域广泛研究中存在的有限实证证据的批判性分析，作者提出，癌症护理中沟通不畅所带来的生存成本和物质成本很可能相当可观，并呼吁大家以更高的热情应对该领域的研究挑战。
