Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
J Psychosoc Oncol. 2010;28(2):127-42. doi: 10.1080/07347330903570495.
This article explores the effect of doctor-patient communication about cancer-related Internet information on self-reported outcomes. Two hundred and thirty cancer patients and caregivers completed an online survey regarding their experiences searching for and discussing with their doctors cancer-related Internet information. Participants who assertively introduced the Internet information in a consultation were more likely to have their doctor agree with the information. When doctors showed interest and involvement and took the information seriously, participants were less likely to report a desire to change the doctor's response. Taking the information seriously was also associated with greater satisfaction. This preliminary evidence that the doctor's response is associated with patient outcomes indicates the potential for improving patient-centered communication. In an effort to maximize patient-centered communication, doctors should be encouraged to take their patients and the information they present seriously, as well as show their patients that they are interested and involved.
本文探讨了医患之间关于癌症相关网络信息的沟通对自我报告结果的影响。230 名癌症患者及其护理人员完成了一项关于他们搜索和与医生讨论癌症相关网络信息的在线调查。在咨询中积极介绍网络信息的参与者更有可能让他们的医生认同该信息。当医生表现出兴趣和投入并认真对待这些信息时,参与者报告希望改变医生反应的可能性就会降低。认真对待这些信息也与更高的满意度相关。这初步表明医生的反应与患者的结果有关,这表明改善以患者为中心的沟通是可能的。为了最大程度地实现以患者为中心的沟通,应该鼓励医生认真对待患者及其提供的信息,并向患者表明他们感兴趣并参与其中。