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Patients' reflections on communication in the second-opinion hematology-oncology consultation.

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Title: Patients' reflections on communication in the second-opinion hematology-oncology consultation.
Authors: Goldman RE (AUTHOR), Sullivan A (AUTHOR), Back AL (AUTHOR), Alexander SC (AUTHOR), Matsuyama RK (AUTHOR), Lee SJ (AUTHOR), Goldman, Roberta E1 (AUTHOR), Sullivan, Amy (AUTHOR), Back, Anthony L (AUTHOR), Alexander, Stewart C (AUTHOR), Matsuyama, Robin K (AUTHOR), Lee, Stephanie J (AUTHOR)
Source: Patient Education & Counseling. Jul2009, Vol. 76 Issue 1, p44-50. 7p.
Abstract: Objective: The nature of communication between patients and their second-opinion hematology consultants may be very different in these one-time consultations than for those that are within long-term relationships. This study explored patients' perceptions of their second-opinion hematology-oncology consultation to investigate physician-patient communication in malignant disease at a critical juncture in cancer patients' care and decision-making.Methods: In-depth telephone interviews with a subset of 20 patients from a larger study, following their subspecialty hematology consultations.Results: Most patients wanted to contribute to the consultation agenda, but were unable to do so. Patients sought expert and honest advice delivered with empathy, though most did not expect the consultant to directly address their emotions. They wanted the physician to apply his/her knowledge to the specifics of their individual cases, and were disappointed and distrustful when physicians cited only general prognostic statistics. In contrast, physicians' consideration of the unique elements of patients' cases, and demonstrations of empathy and respect made patients' feel positively about the encounter, regardless of the prognosis.Conclusions: Patients provided concrete recommendations for physician and patient behaviors to enhance the consultation.Practice Implications: Consideration of these recommendations may result in more effective communication and increased patient satisfaction with medical visits. [ABSTRACT FROM AUTHOR]
Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Patients' reflections on communication in the second-opinion hematology-oncology consultation.
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  Data: <searchLink fieldCode="AR" term="%22Goldman+RE%22">Goldman RE</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sullivan+A%22">Sullivan A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Back+AL%22">Back AL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alexander+SC%22">Alexander SC</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Matsuyama+RK%22">Matsuyama RK</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lee+SJ%22">Lee SJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Goldman%2C+Roberta+E%22">Goldman, Roberta E</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sullivan%2C+Amy%22">Sullivan, Amy</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Back%2C+Anthony+L%22">Back, Anthony L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alexander%2C+Stewart+C%22">Alexander, Stewart C</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Matsuyama%2C+Robin+K%22">Matsuyama, Robin K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lee%2C+Stephanie+J%22">Lee, Stephanie J</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Patient+Education+%26+Counseling%22">Patient Education & Counseling</searchLink>. Jul2009, Vol. 76 Issue 1, p44-50. 7p.
– Name: Abstract
  Label: Abstract
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  Data: <bold>Objective: </bold>The nature of communication between patients and their second-opinion hematology consultants may be very different in these one-time consultations than for those that are within long-term relationships. This study explored patients' perceptions of their second-opinion hematology-oncology consultation to investigate physician-patient communication in malignant disease at a critical juncture in cancer patients' care and decision-making.<bold>Methods: </bold>In-depth telephone interviews with a subset of 20 patients from a larger study, following their subspecialty hematology consultations.<bold>Results: </bold>Most patients wanted to contribute to the consultation agenda, but were unable to do so. Patients sought expert and honest advice delivered with empathy, though most did not expect the consultant to directly address their emotions. They wanted the physician to apply his/her knowledge to the specifics of their individual cases, and were disappointed and distrustful when physicians cited only general prognostic statistics. In contrast, physicians' consideration of the unique elements of patients' cases, and demonstrations of empathy and respect made patients' feel positively about the encounter, regardless of the prognosis.<bold>Conclusions: </bold>Patients provided concrete recommendations for physician and patient behaviors to enhance the consultation.<bold>Practice Implications: </bold>Consideration of these recommendations may result in more effective communication and increased patient satisfaction with medical visits. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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