Choi Briana M, Obeng-Kusi Mavis, Axon David R
Department of Pharmacy Practice & Science, R. Ken Coit College of Pharmacy, The University of Arizona, 1295 N Martin Ave, P.O. Box 210202, Tucson, AZ 85721, USA.
Diseases. 2022 Oct 15;10(4):88. doi: 10.3390/diseases10040088.
Using real-world data, this retrospective cross-sectional study aimed to analyze the association between patient-physician communication and self-reported mental health from cancer patients using publicly available 2019 Medical Expenditure Panel Survey (MEPS) household component data. Four adjusted logistic regression models were conducted to analyze the association between patient-physician communication and self-perceived mental health among United States adult cancer patients, with each model assessing different aspects of patient-physician communication: being respected (respect), being listened to (listen), spending enough time (time), and being explained (explain). The main finding from this study was that only the time model showed a statistical significance, where patients who reported that their physician always spent enough time perceived their mental health as good. Other covariates that showed statistical significance with self-perceived mental health in cancer patients included age, income level, physical limitation, and limitation from pain. In conclusion, there were generally no statistically significant associations between patient-physician communication and mental health among cancer patients.
本项回顾性横断面研究利用真实世界数据，旨在通过公开可用的2019年医疗支出面板调查（MEPS）家庭部分数据，分析癌症患者中患者与医生沟通与自我报告的心理健康之间的关联。进行了四个调整后的逻辑回归模型，以分析美国成年癌症患者中患者与医生沟通与自我感知心理健康之间的关联，每个模型评估患者与医生沟通的不同方面：受到尊重（尊重）、被倾听（倾听）、有足够时间（时间）和得到解释（解释）。本研究的主要发现是，只有时间模型显示出统计学意义，即报告其医生总是有足够时间的患者将自己的心理健康视为良好。在癌症患者中，与自我感知心理健康显示出统计学意义的其他协变量包括年龄、收入水平、身体限制和疼痛限制。总之，癌症患者中患者与医生沟通与心理健康之间通常没有统计学意义的关联。
