Ni Yi Hu, Alræk Terje
Department of Global Public Health and Primary Care, University of Bergen, Postboks 7804, Kalfarveien 31, 5020, Bergen, Norway.
National Research Center in Complementary and Alternative Medicine (NAFKAM), Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Support Care Cancer. 2017 Mar;25(3):811-816. doi: 10.1007/s00520-016-3464-z. Epub 2016 Nov 10.
Withholding information from cancer patients is a common practice in many Asian countries, including China, Japan, and Singapore, as well as in some Western countries, such as Spain, Greece, and Italy. Much research has investigated why doctors withhold information from cancer patients generally, both in the West and the East, but little research has been done on specifically why Chinese doctors withhold such information.
Three focus group interviews were conducted with a total of 16 oncologists in China. The interviews were recorded, transcribed, and translated. Qualitative data were analyzed using systematic text condensation.
The result of this study revealed numerous circumstances that can lead to non-disclosure of cancer-related information. Many of these circumstances have been described in previous studies about non-disclosure in other countries. We found two additional circumstances that have not been described in previous literature and might therefore expand our current knowledge about this phenomenon; they are contradiction between laws and fear for personal safety.
Numerous circumstances can lead to non-disclosure of cancer-related information. This study found two additional circumstances that might lead to non-disclosure. The findings of this study suggest further assessment and clarification about the laws that govern doctor-patient communication and that action should be taken to ensure safe working environments for Chinese oncologists.
在包括中国、日本和新加坡在内的许多亚洲国家，以及西班牙、希腊和意大利等一些西方国家，对癌症患者隐瞒病情是一种常见做法。在西方和东方，许多研究都调查了医生普遍对癌症患者隐瞒病情的原因，但关于中国医生具体为何隐瞒此类信息的研究却很少。
在中国对16名肿瘤学家进行了三次焦点小组访谈。访谈进行了录音、转录和翻译。使用系统文本浓缩法对定性数据进行了分析。
本研究结果揭示了许多可能导致不透露癌症相关信息的情况。其中许多情况在以往关于其他国家信息不披露的研究中已有描述。我们发现了另外两种以往文献中未描述的情况，因此可能会扩展我们目前对这一现象的认识；它们是法律矛盾和对人身安全的担忧。
许多情况可能导致不透露癌症相关信息。本研究发现了另外两种可能导致不透露的情况。本研究结果表明，应进一步评估和澄清管理医患沟通的法律，并应采取行动确保中国肿瘤学家有安全的工作环境。
