Department of Medical Psychology, Academic Medical Centre, Amsterdam, The Netherlands.
Patient Educ Couns. 2013 Mar;90(3):330-7. doi: 10.1016/j.pec.2012.05.001. Epub 2012 Jun 12.
We investigated whether the content of information provided by radiation oncologists and their information giving performance increase patients' trust in them.
Questionnaires were used to assess radiotherapy patients (n=111) characteristics before their first consultation, perception of information giving after the first consultation and trust before the follow-up consultation. Videotaped consultations were scored for the content of the information provided and information giving performance.
Patients mean trust score was 4.5 (sd=0.77). The more anxious patients were, the less they tended to fully trust their radiation oncologist (p=0.03). Patients' age, gender, educational attainment and anxious disposition together explained 7%; radiation oncologists' information giving (content and performance) explained 3%, and patients' perception of radiation oncologists' information-giving explained an additional 4% of the variance in trust scores.
It can be questioned whether trust is a sensitive patient reported outcome of quality of communication in highly vulnerable patients.
It is important to note that trust may not be a good patient reported outcome of quality of care. Concerning radiation oncologists' information giving performance, our data suggest that they can particularly improve their assessments of patients' understanding.
我们研究了放射肿瘤学家提供的信息量及其信息传达表现是否会增加患者对他们的信任。
采用问卷调查的方式，在 111 名首次咨询前的放疗患者的特征、首次咨询后的信息感知以及随访前的信任程度进行了评估。对咨询的视频进行了信息提供内容和信息传达表现的评分。
患者的平均信任评分为 4.5（标准差=0.77）。患者越焦虑，就越倾向于不完全信任他们的放射肿瘤学家（p=0.03）。患者的年龄、性别、教育程度和焦虑倾向共同解释了 7%的差异，放射肿瘤学家的信息传达（内容和表现）解释了 3%，而患者对放射肿瘤学家信息传达的感知则额外解释了信任评分差异的 4%。
对于高度脆弱的患者，信任是否是沟通质量的敏感患者报告结果值得质疑。
需要注意的是，信任可能不是护理质量的良好患者报告结果。关于放射肿瘤学家的信息传达表现，我们的数据表明，他们可以特别提高对患者理解程度的评估。
