Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA.
UF Health Cancer Center, Gainesville, FL, USA.
Cancer Med. 2021 Jun;10(11):3622-3634. doi: 10.1002/cam4.3918. Epub 2021 May 7.
A discussion about patient's nonmedical needs during treatment is considered a crucial component of high-quality patient-provider communication. We examined whether having a patient-provider discussion about cancer patients' emotional and social needs is associated with their psychological well-being.
Using the 2016-2017 Medical Expenditure Panel Survey-Experiences with Cancer Survivorship Supplement (MEPS-ECSS) data, we identified the cancer survivors in the United States (US) who reported having a detailed discussion about emotional and social needs during cancer care. We used multivariable logistic regression to assess the association between having a patient-provider discussion and the patients' psychological well-being outcomes (depressive symptoms, severe psychological distress, and worrying about cancer recurrence/worsening condition) and benefit finding experience after a cancer diagnosis.
Among 1433 respondents (equivalent to 13.8 million cancer survivors in the US), only 33.6% reported having a detailed patient-provider discussion about their emotional and social needs. Having a discussion was associated with 55% lower odds (odds ratio [OR], 0.45; 95% confidence interval [CI], 0.26-0.77) of having depressive symptoms and 97% higher odds (OR, 1.97; 95% CI, 1.46-2.66) of having benefit finding experience. There was no statistically significant association between patient-provider discussion and psychological distress or worrying about cancer recurrence/worsening.
Detailed patient-provider discussion about the cancer patients' emotional and social needs was associated with a lower likelihood of depressive symptoms and a higher likelihood of experiencing benefit finding. These findings stress the importance of improving the patient-provider discussion about psychosocial needs in cancer survivorship.
讨论患者在治疗过程中的非医学需求被认为是高质量医患沟通的关键组成部分。我们研究了医患之间是否就癌症患者的情绪和社会需求进行讨论是否与患者的心理健康有关。
使用 2016-2017 年医疗支出面板调查-癌症生存者补充调查（MEPS-ECSS）数据，我们在美国（US）确定了报告在癌症护理期间进行了关于情绪和社会需求的详细讨论的癌症幸存者。我们使用多变量逻辑回归来评估患者与提供者之间的讨论与患者心理健康结果（抑郁症状，严重心理困扰和对癌症复发/病情恶化的担忧）以及癌症诊断后受益发现经历之间的关联。
在 1433 名受访者（相当于美国 1380 万癌症幸存者）中，只有 33.6%的人报告说与他们的情绪和社会需求进行了详细的医患讨论。讨论与抑郁症状的可能性降低了 55%（优势比[OR]，0.45；95%置信区间[CI]，0.26-0.77）和受益发现的可能性增加了 97%（OR，1.97；95%CI，1.46-2.66）。患者与提供者之间的讨论与心理困扰或对癌症复发/恶化的担忧之间没有统计学上的显著关联。
详细的医患讨论癌症患者的情绪和社会需求与抑郁症状的可能性降低和受益发现的可能性增加有关。这些发现强调了在癌症生存者中改善医患关于社会心理需求的讨论的重要性。
