Patient satisfaction and alliance as a function of the physician's self-regulation, the physician's stress, and the content of consultation in cancer care.

Details

Serval ID
serval:BIB_53C52B286B64
Type
Article: article from journal or magazin.
Collection
Publications
Title
Patient satisfaction and alliance as a function of the physician's self-regulation, the physician's stress, and the content of consultation in cancer care.
Journal
Psycho-oncology
Author(s)
De Vries AMM, Gholamrezaee M.M., Verdonck-de Leeuw I.M., Passchier J., Despland J.N., Stiefel F., de Roten Y.
ISSN
1099-1611 (Electronic)
ISSN-L
1057-9249
Publication state
Published
Issued date
07/2017
Peer-reviewed
Oui
Volume
26
Number
7
Pages
927-934
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To investigate which characteristics of the physician and of the consultation are related to patient satisfaction with communication and working alliance.
Real-life consultations (N = 134) between patients (n = 134) and their physicians (n = 24) were audiotaped. All of the patients were aware of their cancer diagnosis and consulted their physician to discuss the results of tests (CT scans, magnetic resonance imaging, or tumor markers) and the progression of their cancer. The consultations were transcribed and coded with the "Defense Mechanisms Rating Scale-Clinician." The patients and physicians completed questionnaires about stress, satisfaction, and alliance, and the data were analyzed using robust linear modeling.
Patient satisfaction with communication and working alliance was high. Both were significantly (negatively) related to the physician's neurotic and action defenses-in particular to the defenses of displacement, self-devaluation, acting out, and hypochondriasis-as well as to the physician's stress level. The content of the consultation was not significantly related to the patient outcomes.
Our study shows that patient satisfaction with communication and working alliance is not influenced by the content of the consultation but is significantly associated with the physician's self-regulation (defense mechanisms) and stress. The results of this study might contribute to optimizing communication skills training and to improving communication and working alliance in cancer care.

Keywords
Adult, Aged, Aged, 80 and over, Communication, Female, Humans, Male, Middle Aged, Neoplasms/therapy, Patient Satisfaction/statistics & numerical data, Physician-Patient Relations, Physicians/psychology, Professional Autonomy, Stress, Psychological, Surveys and Questionnaires, Tape Recording, alliance, cancer, communication, defense mechanisms, oncology, patient satisfaction
Pubmed
Web of science
Create date
04/08/2016 18:37
Last modification date
20/08/2019 15:08
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