Hampton University School of Nursing, E. Tyler St. & Emancipation Drive, William Freeman Hall, Room 110, Hampton, VA, 23668, USA.
University of Pittsburgh School of Nursing, 3500 Victoria St, Pittsburgh, PA, 15261, USA.
J Racial Ethn Health Disparities. 2019 Feb;6(1):94-100. doi: 10.1007/s40615-018-0503-0. Epub 2018 Jul 3.
The communication patterns between clinician and patient, described as the patient centeredness of care (PCC), may be a critically important etiology of breast cancer (BC) racial disparity. The purpose of this prospective, comparative pilot study was to qualitatively explore and code for PCC during the clinical visit of women undergoing BC chemotherapy and compare by race.
Age-matched Black and White women were recruited. Audio recordings of clinical visits conducted prior to any cycle (except first) chemotherapy infusion were obtained and transcribed. Transcripts were blindly reviewed by three independent coders assigning PCC scores, ranging from 1 to 5, with lower scores indicating better PCC. Consensus was reached among reviewers via discussion.
Dyads consisted of five Black (mean age 47) and five White (mean age 45) women undergoing BC chemotherapy. Twenty-four recordings were analyzed, 13 White and 11 Black. For all 22 PCC items, the mean scores were worse for Black women with significant differences (compared by chi-square analysis) noted for 6/22 items (27%).
Qualitatively exploring clinician and patient communication patterns during the chemotherapy clinical visits informs the understanding of racial differences for symptom assessment, reporting, and management. These pilot findings inform future research exploring racial disparity in cancer treatment dose intensity.
医患沟通模式，即以患者为中心的护理（PCC），可能是乳腺癌（BC）种族差异的一个重要病因。本前瞻性、对比性的初步研究旨在定性探讨和编码 BC 化疗患者就诊时的 PCC，并按种族进行比较。
招募年龄匹配的黑人和白人女性。获取并转录化疗前（除第一次外）任何周期前的临床就诊的音频记录。由三名独立编码员对记录进行盲审，分配 PCC 评分，范围为 1 到 5，得分越低表示 PCC 越好。通过讨论达成评审员之间的共识。
共纳入 5 名接受 BC 化疗的黑人（平均年龄 47 岁）和 5 名白人（平均年龄 45 岁）女性。共分析了 24 个记录，其中白人 13 个，黑人 11 个。对于所有 22 个 PCC 项目，黑人女性的平均得分更差，且有 6/22 个项目（27%）存在显著差异（通过卡方分析）。
对化疗临床就诊时临床医生和患者沟通模式进行定性探讨，有助于了解症状评估、报告和管理方面的种族差异。这些初步研究结果为探索癌症治疗剂量强度方面的种族差异提供了信息。
