Faculty of Communication, Culture and Society, Università della Svizzera italiana (USI), Lugano, Switzerland.
Department of Communication, University of Mainz, Germany.
Patient Educ Couns. 2024 Jun;123:108230. doi: 10.1016/j.pec.2024.108230. Epub 2024 Feb 28.
This study, drawing on the pathway mediation model developed by Street and his colleagues (2009) that links communication to health outcomes, explores how patient-centered communication affects cancer information avoidance.
Data was gathered through online access panel surveys, utilizing stratified sampling across Germany, Switzerland, the Netherlands, and Austria. The final sample included 4910 non-cancer and 414 cancer patients, all receiving healthcare from clinicians within the past year.
The results demonstrated that patient-centered communication is directly associated with reduced cancer information avoidance, especially among cancer patients. Additionally, this association is indirectly mediated through patient trust and healthcare literacy.
The findings provide empirical evidence that reveals the underlying mechanism linking clinician-patient communication to patient health information behavior.
The potential of clinician-patient communication in addressing health information avoidance is highlighted by these findings. Future interventions in healthcare settings should consider adopting patient-centered communication strategies. Additionally, improving patient trust and literacy levels could be effective in reducing cancer information avoidance.
本研究借鉴了 Street 及其同事（2009 年）提出的路径中介模型，该模型将沟通与健康结果联系起来，旨在探讨以患者为中心的沟通方式如何影响癌症信息回避行为。
数据通过在线访问面板调查收集，在德国、瑞士、荷兰和奥地利进行分层抽样。最终样本包括 4910 名非癌症患者和 414 名癌症患者，他们均在过去一年中接受过临床医生的医疗服务。
研究结果表明，以患者为中心的沟通方式与癌症信息回避行为呈负相关，特别是在癌症患者中更为明显。此外，这种关联还通过患者信任和医疗保健素养的间接中介作用产生影响。
这些发现为揭示临床医生与患者沟通与患者健康信息行为之间的潜在联系提供了实证证据。
这些发现凸显了临床医生与患者沟通在解决健康信息回避问题上的潜力。未来的医疗保健干预措施应考虑采用以患者为中心的沟通策略。此外，提高患者信任度和文化素养水平可能有助于减少癌症信息回避行为。
