Cohen Castel Orit, Alperin Mordechai, Ungar Lea, Kravtsov Ina, Amiel Gilad E, Karkabi Khaled
Department of Family Medicine, Clalit Health Services, Haifa and Western Galilee District, Rappaport Faculty of Medicine, Technion, Haifa, Israel.
J Cancer Educ. 2011 Jun;26(2):315-21. doi: 10.1007/s13187-010-0171-1.
Clinicians often fail to adequately meet prostate cancer patients' information needs, and patients may receive different kinds of information from their doctors. This study aims to describe urologists' attitudes regarding information sharing with prostate cancer patients and to compare these findings with the previously published attitudes of Israeli family physicians. A questionnaire (11 items) was mailed to 87 board-certified practicing urologists. Fifty-four physicians (66%) completed the questionnaires. Sixty-one percent of respondents stated that patients should be told the complete truth about their disease. Ninety-six percent of respondents felt competent at breaking bad news and stated they would discuss emotions with patients. The majority of physicians would provide general information when referring for a medical procedure, discussing treatment options or a patient's prognosis. Fifty-seven percent of respondents preferred that patients be autonomous in their decision making. Only 26% of respondents believed that family physicians should communicate medical information to patients at the preliminary diagnostic stages. There was no significant difference in the attitudes expressed by urologists and family physicians towards the amount of information they would share with prostate cancer patients and in their preferences regarding treatment decision making. Urologists in Israel recognize the importance of sharing information with prostate cancer patients. Although urologists share similar attitudes with family physicians, they do not recognize the role that family physicians play in caring for prostate cancer patients. Further studies are needed to design and implement effective ways to improve the communication and collaboration between urologists and family physicians for the benefit of prostate cancer patients.
临床医生常常未能充分满足前列腺癌患者的信息需求，而且患者可能会从医生那里获得不同种类的信息。本研究旨在描述泌尿科医生对于与前列腺癌患者分享信息的态度，并将这些结果与之前发表的以色列家庭医生的态度进行比较。一份包含11个项目的问卷被邮寄给87位获得委员会认证的执业泌尿科医生。54位医生（66%）完成了问卷。61%的受访者表示应该将疾病的全部真相告知患者。96%的受访者认为自己能够告知坏消息，并表示会与患者讨论情绪问题。大多数医生在提及医疗程序、讨论治疗方案或患者预后时会提供一般信息。57%的受访者更倾向于让患者自主做决定。只有26%的受访者认为家庭医生应该在初步诊断阶段就向患者传达医疗信息。泌尿科医生和家庭医生在与前列腺癌患者分享信息的数量以及在治疗决策偏好方面所表达的态度没有显著差异。以色列的泌尿科医生认识到与前列腺癌患者分享信息的重要性。尽管泌尿科医生与家庭医生态度相似，但他们没有认识到家庭医生在照顾前列腺癌患者中所起的作用。需要进一步开展研究，以设计并实施有效的方法，改善泌尿科医生和家庭医生之间的沟通与协作，从而造福前列腺癌患者。
