Kindratt Tiffany B, Atem Folefac, Dallo Florence J, Allicock Marlyn, Balasubramanian Bijal A
Public Health Program, Department of Kinesiology, College of Nursing and Health Innovation, University of Texas at Arlington, Arlington, TX, USA.
Department of Biostatistics and Data Science, UT Health, School of Public Health Dallas, The University of Texas Health Science Center at Houston, Houston, TX, USA.
J Patient Exp. 2020 Dec;7(6):1648-1657. doi: 10.1177/2374373520924993. Epub 2020 May 11.
Few studies have examined how different qualities and modes (face-to-face vs electronic) of patient-provider communication (PPC) influence cancer screening uptake. Our objective was to determine whether receiving a breast, cervical, and colorectal cancer screening is influenced by (1) qualities of face-to-face and (2) the use of e-mail PPC. We analyzed Health Information National Trends Survey 4, cycles 1 to 4 data. To assess qualities of face-to-face PPC, adults reported how often physicians spent enough time with them, explained so they understood, gave them a chance to ask questions, addressed feelings and emotions, involved them in decisions, confirmed understanding, and helped them with uncertainty. Adults reported whether they used e-mail PPC. We used multivariable logistic regression to evaluate the odds of receiving cancer screenings based on face-to-face and e-mail PPC. Adults whose health-care providers involved them in decision-making had highest odds of receiving breast (odds ratio [OR] = 1.38; 95% confidence interval [CI] = 1.11-1.71), cervical (OR = 1.30; 95% CI = 1.06-1.60), and colorectal (OR = 1.25; 95% CI = 1.03-1.51) cancer screenings. No significant associations were observed between e-mail PPC and cancer screenings. More research is needed to explore this association.
很少有研究探讨医患沟通（PPC）的不同质量和模式（面对面与电子方式）如何影响癌症筛查的接受率。我们的目标是确定接受乳腺癌、宫颈癌和结直肠癌筛查是否受以下因素影响：（1）面对面沟通的质量；（2）电子邮件医患沟通的使用情况。我们分析了《健康信息国家趋势调查4》第1至4轮的数据。为评估面对面医患沟通的质量，成年人报告医生与他们相处的时间是否充足、解释是否清晰易懂、是否给他们提问的机会、是否关注他们的感受、是否让他们参与决策、是否确认他们理解以及是否帮助他们消除疑虑。成年人报告他们是否使用电子邮件医患沟通。我们使用多变量逻辑回归来评估基于面对面和电子邮件医患沟通接受癌症筛查的几率。其医疗服务提供者让他们参与决策的成年人接受乳腺癌筛查的几率最高（优势比[OR]=1.38；95%置信区间[CI]=1.11 - 1.71），接受宫颈癌筛查的几率为（OR = 1.30；95% CI = 1.06 - 1.60），接受结直肠癌筛查的几率为（OR = 1.25；95% CI = 1.03 - 1.51）。未观察到电子邮件医患沟通与癌症筛查之间存在显著关联。需要更多研究来探索这种关联。
