School of Medicine, Trinity College Dublin, Dublin, Ireland.
Department of Clinical Nutrition and Dietetics, Trinity St James Cancer Institute, Dublin, Ireland.
Support Care Cancer. 2023 Jan 21;31(2):126. doi: 10.1007/s00520-022-07523-3.
Despite the fact that health information is now more accessible than ever, knowledge gaps remain between patients and healthcare providers (HCPs). To date, the patients' need for information following a diagnosis of oesophageal cancer has not been adequately met.
The purpose of this study was to identify why knowledge gaps exist between oesophageal cancer patients and HCPs and how to address them.
Purposive sampling of a group of people living with and after oesophageal cancer who had participated in a priority-setting partnership where 45% of questions from patients had existing evidence-based answers. A 7-set question series was developed for use in a patient/HCP focus group in addition to 11 individual phone interviews with survivors of oesophageal cancer. Qualitative semistructured interviews were conducted to explore oesophageal cancer patients' access to information. The data was analysed thematically, which involved coding all patient transcripts before identifying and reviewing key themes.
The three primary themes that emerged were as follows: opportunity (HCP team factors and relationship development), ability (patient factors) and priority (pacing of information delivery).
Effective communication between patients and HCPs was identified as an integral component of the enhancement of patient knowledge. HCPs should continue to refine and improve methods of information delivery and encourage conversations regarding information preferences.
尽管现在获取健康信息比以往任何时候都更加容易,但患者和医疗保健提供者(HCP)之间仍然存在知识差距。迄今为止,尚未充分满足患者在诊断出食道癌后的信息需求。
本研究的目的是确定为什么食道癌患者和 HCP 之间存在知识差距,以及如何解决这些差距。
对一组患有食道癌并已康复的患者进行了有针对性的抽样调查,这些患者参加了一个重点制定伙伴关系,其中 45%的患者问题有现有的基于证据的答案。此外,还为患者/HCP 焦点小组开发了 7 组问题系列,以及对食道癌幸存者进行了 11 次单独的电话访谈。进行了定性半结构化访谈,以探讨食道癌患者获取信息的情况。对数据进行了主题分析,这包括对所有患者转录本进行编码,然后确定并审查关键主题。
出现了三个主要主题:机会(HCP 团队因素和关系发展)、能力(患者因素)和优先级(信息传递的节奏)。
患者和 HCP 之间的有效沟通被确定为增强患者知识的一个组成部分。HCP 应继续完善和改进信息传递方法,并鼓励就信息偏好进行对话。