患者感知的医患沟通和关系质量与结直肠癌筛查的关联。
The association of perceived provider-patient communication and relationship quality with colorectal cancer screening.
机构信息
Dana Farber Cancer Institute, Boston, MA 02115, USA.
出版信息
Health Educ Behav. 2012 Oct;39(5):555-63. doi: 10.1177/1090198111421800. Epub 2011 Oct 10.
Abstract
BACKGROUND
Two-thirds of adults aged 50 years and older are adherent to recommendations for colorectal cancer screening. Provider-patient communication and characteristics of the patient-provider relationship may relate to screening behavior.
METHODS
The association of provider communication quality, relationship, and colorectal cancer screening was examined within data from the 2007 Health Information National Trends Survey.
RESULTS
Perceived provider communication and relationship quality were associated with both adherence to colonoscopy and with ever having been screened. Predictive margins analyses indicated that increasing perceptions from lowest to highest levels of communication and relationship quality would be associated with increases in screening rates approaching 16 percentage points.
CONCLUSION
Improving provider-patient communication and relationship quality could potentially improve colorectal cancer screening behaviors among adults aged 50 years and older. Future research and clinical practice should focus on understanding the role of these factors in screening behavior and enhance the provider-patient interaction.
摘要
背景
三分之二的 50 岁及以上成年人遵循结直肠癌筛查建议。医患沟通和医患关系的特点可能与筛查行为有关。
方法
本研究利用 2007 年健康信息国家趋势调查的数据，探讨了提供者沟通质量、关系与结直肠癌筛查之间的关系。
结果
感知到的提供者沟通和关系质量与结肠镜检查的依从性和曾经接受过筛查均有关。预测边际分析表明，沟通和关系质量从最低水平到最高水平的感知提高，与筛查率的增加接近 16 个百分点有关。
结论
改善医患沟通和关系质量可能会提高 50 岁及以上成年人的结直肠癌筛查行为。未来的研究和临床实践应侧重于了解这些因素在筛查行为中的作用，并加强医患互动。
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